Deficiency Index

F655 citations in Colorado

Baseline care plan · Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

F655 in Colorado. Pick another state for the same tag.

Against expectation — 2025

Colorado cites F655 less often than its own record predicts

Versus expected share0.85×

0.85 times the national share — cited less often here than elsewhere.

Share of Colorado citations0.56%

Of every deficiency written in Colorado in 2025, this is the portion that was F655.

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

In the surveyor’s words

What Colorado surveyors wrote

F655 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, isolatedMay 14, 2026

Based on observations, record review and interview, the facility failed to develop an acute/baseline care plan for one (#51) of two residents reviewed for care planning out of 46 sample residents. Specifically, the facility failed to include Resident #51's seatbelt use on the baseline care plan.Findings include:I. Facility policy and procedureThe Person Centered Care Planning policy and procedure, reviewed 8/29/25, was retrieved from the executive director on 5/15/26 at 12:23 p.m. It read in pertinent part, Each resident will have a person-centered comprehensive care plan developed and implemented to meet his or her preferences and goals, and address the resident's medical, physical, mental and psychosocial needs. …

Western Hills Health Care Center

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Recent years

YearShare of Colorado citationsvs expected
20230.25%0.32×
20240.22%0.33×
20250.56%0.85×

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

What else Colorado surveyors cite →

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