Based on resident, family and staff interviews and record review, the facility failed to develop and implement effective discharge planning for five (#1, #2, #3, #4, and #5) of 5 sample residents discharged while COVID-19 test results were pending or following the residents' exposure to [MEDICAL CONDITION]. Record review and interview revealed the facility failed to consider and address the post-discharge needs of these residents, their families and their communities. The facility conducted facility-wide COVID-19 testing from [DATE] to [DATE] after discovering one resident (#6) tested positive for COVID-19. The facility discharged Resident #1 home to his family on [DATE] while his test results were pending. …
F660 citations in Colorado
Discharge planning · Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Colorado cites F660 more often than its own record predicts
5.36 times the share F660 takes of citations nationally.
Of every deficiency written in Colorado in 2024, this is the portion that was F660.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F660 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.
Based on observations, record review, and interviews, the facility discharged on e (#1) of three sample residents to the community without evidence of discharge planning and without appropriate and adequate supports in place to ensure a safe transition from the facility to the community. Specifically, the facility discharged resident #1 to an independent living facility where the resident no longer had an apartment. The resident was left in the lobby, where he experienced a change of condition that lead to a prolonged hospitalization . The findings include: I. Facility policy and procedure A copy of the facility's Transfer and Discharge Procedure dated 10/2017 was provided by the nursing home administrator (NHA) on 12/27/17 at 5:45 p.m. …
Based on observations, record review and interviews, the facility failed to develop and implement an effective discharge plan for two (#362 and #466) of two residents reviewed for discharge planning out of 51 sample residents. Specifically, the facility failed to: -Ensure Resident #362 and #466 and/or their responsible party were apprised of their progress and discharge planning; and, -Ensure the discharge planning process was documented in the residents' electronic medical records (EMR). Findings include: I. Facility policy and procedure The Discharge Planning policy and procedure, revised February 2020, was provided by the nursing home administrator (NHA) on 12/10/24 at 9:00 p.m. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 1.45× |
| 2024 | 1.12% | 5.36× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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