F686 in Colorado. Pick another state for the same tag.
Against expectation — 2025
Colorado cites F686 less often than its own record predicts
Versus expected share0.57×
0.57 times the national share — cited less often here than elsewhere.
Share of Colorado citations1.12%
Of every deficiency written in Colorado in 2025, this is the portion that was F686.
Colorado1.12%
National1.97%
Share of all citations that were F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F686 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, isolatedAugust 29, 2024
Based on interviews, record review, and observations, the facility failed to provide two of five residents (#85 and #140) out of 24 sample residents, with the timely and necessary treatment and services to prevent and manage facility-acquired deep tissue pressure injuries (DTI) that resulted in the development of infection and sepsis, and required hospitalization . Cross-reference F880 (Infection Prevention and Control), F882 (Infection Preventionist) and F867 (Quality Assurance and Performance Improvement).
RESIDENT #85
Resident #85, who had a diagnosis of diabetes, kidney disease, and generalized muscle weakness, was admitted to the facility on [DATE] for rehabilitation and strengthening. …
Based on observations, record review and interviews, the facility failed to provide the necessary treatment and services to prevent and treat pressure injuries for one (#20) of two residents out of 34 sample residents.Resident #20, who was dependent on staff for all care and mobility and was known to be at risk for skin breakdown, was admitted to the facility on [DATE] with a right hip surgical incision, but did not have any pressure injuries. The facility did not implement interventions to offload the resident's heels or provide a low-air loss mattress upon the resident's admission to the facility.Additionally, the facility failed to conduct a Braden Scale assessment (a tool utilized for predicting pressure ulcer injury risk) upon the resident's admission to the facility.On 4/6/26,… …
D · No harm, potential for more than minimal, isolatedJune 25, 2026
Based on observations, record review and interviews, the facility failed to provide necessary services consistent with professional standards of practice to promote healing of pressure injuries and prevent additional pressure injuries for one (#6) of two residents out of 35 sample residents. Specifically, the facility failed to ensure thorough documentation of weekly wound assessments to track the progression of a chronic pressure injury for Resident #6.Findings include:I. Professional referenceAccording to the National Pressure Injury Advisory Panel, European Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance Prevention and Treatment of Pressure Injuries: Clinical Practice Guideline, third edition, [NAME] Haesler (Ed.), EPUAP/NPIAP/PPPIA (2019), retrieved on 6/26/26… …
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