Based on record review and interviews, the facility failed to ensure one of seven nursing staff reviewed for license verification had the appropriate State licensure requirements to provide nursing care and services upon hire. Specifically, the facility failed to ensure certified nurse aide (CNA) #2 provided resident care and nursing related services was certified in the State registration system who was hired and worked 1/25/23 to 3/25/23. Findings include: I. Facility policy and procedure The New Hire policy and procedure, not dated, was received from the director of nursing (DON) on 1/9/24 at 10:15 a.m. It read in pertinent part: At the interview, if not already completed, applicant fills out an application including background check authorization. …
F728 citations in Colorado
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Colorado cites F728 more often than its own record predicts
1.00 times the share F728 takes of citations nationally.
Of every deficiency written in Colorado in 2024, this is the portion that was F728.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F728 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.
What else Colorado surveyors cite →
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