F659 in Colorado. Pick another state for the same tag.
Against expectation — 2025
Colorado cites F659 more often than its own record predicts
Versus expected share11.57×
11.57 times the share F659 takes of citations nationally.
Share of Colorado citations0.45%
Of every deficiency written in Colorado in 2025, this is the portion that was F659.
Colorado0.45%
National0.04%
Share of all citations that were F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F659 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, isolatedFebruary 11, 2026
Based on record review and interviews, the facility failed to ensure that services provided or arranged in accordance with the resident's plan of care were delivered by individuals who have the skills, experience and knowledge to do a particular task or activity for one (#80) of five residents reviewed for quality of care out of 35 sample residents. Specifically, the facility failed to ensure Resident #80 was assessed by a registered nurse (RN) following a fall on 12/13/25. Findings include:I. Facility policy and procedureThe Fall Management System policy and procedure, revised 1/20/26, was provided by the nursing home administrator (NHA) on 2/12/26 at 4:41 p.m. …
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