Based on observation, interview and record review, the facility failed to ensure 21 residents with symptoms of dementia who resided in the secure unit (#33, #40, #39, #3, #81, #29, #16, #82, #20, #42, #44, #15, #7, #43, #27, #67, #68, #56, #63, #73, #28), received appropriate treatment and services to attain and/or maintain their highest practicable level of physical, mental and psychosocial well-being. Specifically: Repeat incidents of physical aggression, too frequent verbal aggression to document, staff's lack of training in dementia care and their inappropriate and limited response to residents' behaviors, placed the physical, mental, and psychosocial well-being and safety of all 21 residents with symptoms of dementia residing in the unit at risk for immediate and serious harm. …
F744 citations in Colorado
Dementia care · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F744 more often than its own record predicts
8.48 times the share F744 takes of citations nationally.
Of every deficiency written in Colorado in 2025, this is the portion that was F744.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F744 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 observation, interview, and record review the facility failed to ensure three (#14, #20 and #22) of three residents reviewed for dementia care of 22 sample residents, received appropriate treatment and services to maintain their highest practicable physical, mental, and psychosocial well-being. Resident #14 was admitted to the facility for long term care on 5/25/23 with diagnoses of Alzheimer's disease, senile degeneration of the brain, anxiety disorder, depressive episodes, and cognitive communication deficit. The resident required supervision with one person physical assistance with walking in the room and corridors. The resident required extensive one person assistance with dressing. …
Based on observations, record review and interviews, the facility failed to ensure residents received person-centered dementia care that met the needs for one (#36) of six residents reviewed for dementia care out of 25 sample residents. Specifically, the facility failed to effectively identify person-centered approaches for wandering and dementia care for Resident #36.Findings include: I. Facility policy and procedure The Dementia Care policy, revised 6/30/25, was provided by the nursing home administrator (NHA) on 7/16/26 at 11:27 a.m. It read in pertinent part, The facility will assess, develop, and implement care plans through an interdisciplinary team (IDT) approach that includes the resident, their family, and/or resident representative, to the extent possible. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 2.03% | 9.54× |
| 2024 | 0.60% | 2.86× |
| 2025 | 1.68% | 8.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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