Deficiency Index

F646 citations in Colorado

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F646 in Colorado. Pick another state for the same tag.

Against expectation — 2025

Colorado cites F646 more often than its own record predicts

Versus expected share1.71×

1.71 times the share F646 takes of citations nationally.

Share of Colorado citations0.11%

Of every deficiency written in Colorado in 2025, this is the portion that was F646.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Colorado surveyors wrote

F646 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.

D · No harm, potential for more than minimal, isolatedSeptember 11, 2025

Based on record review and interviews, the facility failed to notify the state mental health agency promptly after a significant change in the resident's mental condition for one (#7) of four residents out of 39 sample residents. Specifically, the facility failed to notify the state mental health agency authority of Resident #7's necessity for inpatient psychiatric hospitalization.Findings include:I. Facility Policy and ProcedureThe Pre-admission Screen and Resident Review (PASRR) policy, dated 9/26/23, was provided by the nursing home administrator (NHA) on 9/11/25 at 9:15 a.m. It revealed in pertinent part, If a resident's psychiatric status changes after admission. …

Wellsprings Care Center

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Recent years

YearShare of Colorado citationsvs expected
20230.17%3.44×
20240.07%1.60×
20250.11%1.71×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Colorado surveyors cite →

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