Based on record review and interviews, the facility failed to provide emergency basic life support and cardiopulmonary resuscitation (CPR) when needed for one (#59) of three residents reviewed for advance directives out of 30 sample residents.Resident #59 was admitted to the facility on [DATE] with a history of acute and chronic respiratory failure.On [DATE], the Resident #59 completed and signed a Colorado Medical Orders for Scope of Treatment (MOST) form. The MOST form documented Resident #59 desired to receive CPR with full treatment in the event it was required. On [DATE], a physician's order was entered into Resident #59's electronic medical record (EMR) that identified Resident #59 was a full code and should receive CPR. On [DATE] at 2:42 a.m. …
F678 citations in Colorado
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F678 more often than its own record predicts
1.85 times the share F678 takes of citations nationally.
Of every deficiency written in Colorado in 2025, this is the portion that was F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F678 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 record review and interviews, the facility failed to maintain accurate medical records for advance directives for one (#2) of one resident reviewed out of 31 sample residents. Specifically, the facility failed to ensure Resident #2's medical orders for scope of treatment (MOST) form matched the resident's computerized physician orders (CPO) for cardiopulmonary resuscitation (CPR).Findings include:I. Facility policy and procedure The Advance Directives policy, dated [DATE], was provided by the nursing home administrator (NHA) on [DATE] at 1:54 p.m. It read in pertinent part, The community recognizes advance directives, every attempt will be made to honor residents' wishes unless to do so would violate state or federal law. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 2.26× |
| 2024 | 0.30% | 1.42× |
| 2025 | 0.34% | 1.85× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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