Based on interviews and record review, the facility failed to ensure one (#45) of one residents reviewed for radiology and diagnostic services, received timely care out of 32 sample residents. Specifically, the facility failed to schedule and obtain magnetic resonance imaging (MRI - diagnostic imaging) in a timely manner for Resident #45. Findings include: I. Facility policy and procedure The Diagnostic Services policy, revised on 9/24/24, was provided by the nursing home administrator (NHA) on 5/15/25 at 6:15 p.m. It revealed in pertinent part, The facility will ensure that diagnostics services meet the needs of residents. The facility is responsible for the quality and timeliness of services whether services are provided by the facility or an outside resource. II. Resident #45 A. …
F776 citations in Colorado
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F776 more often than its own record predicts
2.96 times the share F776 takes of citations nationally.
Of every deficiency written in Colorado in 2025, this is the portion that was F776.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F776 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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