F684 in Colorado. Pick another state for the same tag.
Against expectation — 2025
Colorado cites F684 less often than its own record predicts
Versus expected share0.73×
0.73 times the national share — cited less often here than elsewhere.
Share of Colorado citations3.14%
Of every deficiency written in Colorado in 2025, this is the portion that was F684.
Colorado3.14%
National4.29%
Share of all citations that were F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F684 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.
J · Immediate jeopardy, isolatedJuly 15, 2026
Based on record review and interviews, the facility failed to identify a change of condition and notify the physician when needed for one (#59) of three residents reviewed for change of condition out of 25 sample residents.Resident #59 was admitted to the facility on [DATE] with a history of acute and chronic respiratory failure, systemic inflammatory response syndrome, and heart failure.On 7/12/25, Resident #59 completed and signed a Colorado Medical Orders for Scope of Treatment (MOST) form. The MOST form documented Resident #59 desired no cardiopulmonary resuscitation (CPR) with selective treatment, that included transfer to the hospital if indicated.On 2/21/26 at 4:43 p.m. …
Based on record review and interviews, the facility failed to provide treatment and care in accordance with professional standards for one (#5) of six residents out of nine sample residents. Specifically, the facility failed to respond to Resident #5's failure to void following the removal of the resident's catheter in a timely manner, which delayed the resident's transfer to the hospital.Resident #5 was admitted to the facility on [DATE]. Resident #5 was sent to the emergency department on 4/30/26 and returned the same day with an indwelling (tubing placed in the bladder) catheter for urinary retention and an order for an antibiotic. On 5/12/26 at approximately 1:30 p.m. the resident's indwelling catheter was removed per the physician's orders.On 5/12/26 at 7:45 p.m. …
D · No harm, potential for more than minimal, isolatedAugust 13, 2026
Based on observations, record review and interviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (#7) of four residents reviewed for quality of care out of 13 sample residents.Specifically, the facility failed to respond in a timely manner to a change of condition for Resident #7.Findings include:I. Facility policy and procedureThe Provision of Quality Care policy, undated, was provided by the nursing home administrator (NHA) on [DATE] at 2:37 p.m. …
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