Based on observations, record review and interviews, the facility failed to provide an effective pain management regimen in a manner consistent with professional standards of practice, resident-centered care plans, and resident preferences for two (#92 and #56) of two residents reviewed for pain management out of 54 sample residents. Resident #92 was admitted to the facility on [DATE]. Resident #92 had a history of osteoarthritis and pain. On 7/6/26, the facility failed to ensure the resident's oxycodone medication was administered timely. Resident #92's medication was not administered until five hours after it was scheduled, which resulted in Resident #92 experiencing increased pain.Resident #56 was admitted to the facility on [DATE]. …
F697 citations in Colorado
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F697 less often than its own record predicts
0.57 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F697 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 failed to manage pain in a manner consistent with professional standards of practice, resident-centered care plans and resident's goals preferences for one (#2) of two residents reviewed for pain out of 55 sample residentsSpecifically, the facility failed to:-Complete a thorough assessment of the residents pain, including the site and pain goals; and,-Include person-centered non pharmacological pain interventions on the resident's care plan.Findings include: I. Facility policy and procedure:The Pain-clinical protocol policy, revised in April 2025, was received from the nursing home administrator (NHA) on 6/11/26 at 4:22 p.m. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 1.69% | 2.31× |
| 2024 | 1.80% | 2.44× |
| 2025 | 0.45% | 0.57× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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