Based on record review and interviews, the facility failed to ensure physician ordered laboratory services were provided in a timely manner for one (#12) of two residents reviewed for laboratory services out of 39 sample residents. Specifically, the facility failed to ensure timely follow-up for Resident #12's urine sample, which was sent to the laboratory (lab) without being labeled with the resident's identifying information. Findings include: I. Facility policy and procedure The Laboratory Services and Reporting policy and procedure, revised December 2024, was provided by the director of nursing (DON) on 6/26/25 at 1:37 p.m. …
F770 citations in Colorado
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F770 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F770 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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