Based on record review and interviews, the facility failed to ensure residents received necessary respiratory care and services per professional standards of practice for one (#2) of five sample residents reviewed for respiratory care out of 12 sample residents.Resident #2, who was admitted to the facility on [DATE], had a history of chronic obstructive pulmonary disease (COPD - air flow blockage) and required continuous oxygen. On [DATE] at approximately 8:30 a.m. the facility experienced a 45-minute electrical power outage and the backup generator failed to turn on. The social services director (SSD), who was also a certified nurse aide (CNA), transitioned two residents, including Resident #2, from their oxygen concentrators to their portable oxygen canisters when the power went out. …
F695 citations in Colorado
Respiratory care · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F695 less often than its own record predicts
0.86 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F695 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 ensure one (#5) of three residents reviewed out of five sample residents received respiratory care consistent with professional standards of practice. Resident #5 was admitted to the hospital from home on 6/28/23 with pneumonia. While at the hospital a tracheostomy was placed and the resident was placed on a mechanical ventilator (machine that breathes for you, ensures large enough breaths are taken). During the last week of the resident's hospitalization he was weaned from a ventilator down to a bi-level positive airway pressure (BIPAP, helps keep the airway open with positive pressure and gives more oxygen to the lungs, a person breathes on their own). The facility admitted the resident on 8/4/23. …
Based on observations, record review and interviews, the facility failed to provide necessary respiratory care and services consistent with professional standards of practice for one (#35) of one resident reviewed for respiratory services out of 26 sample residents. Specifically, the facility failed to ensure Resident #35 received oxygen therapy in accordance with the physician's orders.Findings include:I. Professional referenceAccording to the National Library of Medicine, National Center for Biotechnology Information, update 1/22/25, retrieved on 9/2/26 from https://www.ncbi.nlm.nih.gov/books/NBK551617/, Oxygen therapy is a critical medical intervention that ensures adequate oxygen delivery to the body's cells, supporting essential functions and preventing life-threatening conditions. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 2.54% | 1.09× |
| 2024 | 1.94% | 0.88× |
| 2025 | 1.91% | 0.86× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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