Based on record review and interviews, the facility failed to ensure the facility had a designated designated registered nurse (RN) acting as the director of nursing (DON). Specifically, the facility utilized the DON as a floor nurse and certified nurse aide (CNA) several times when the facility's average daily census was over 60 residents. Findings include:I. Facility policy and procedureThe Nursing Services and Sufficient Staffing policy, not dated, was provided by the nursing home administrator (NHA) on 4/30/26 at 3:08 p.m. It read in pertinent part, The Director of Nursing (DON) may serve as a charge nurse only when the facility has an average daily occupancy of 60 or fewer residents. …
F727 citations in Colorado
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F727 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F727 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.
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 0.25% | 0.37× |
| 2024 | 0.37% | 0.70× |
| 2025 | 0.22% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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