Based on record review and staff interview, the facility failed to ensure quarterly assessments were completed in the required time frame for two (#46 and #1) of two out of 33 sampled residents. Specifically, the facility failed to ensure the quarterly review assessments were submitted timely as specified in the Resident Assessment Instrument (RAI). Findings include: I. Facility policy The undated Resident Assessment policy was provided by the nursing home administrator (NHA) on 8/29/19 at 11:50 a.m. …
F638 citations in Colorado
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F638 citations were recorded in Colorado for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Colorado surveyors wrote
F638 findings written in Colorado, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
What else Colorado surveyors cite →
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