F791 in Colorado. Pick another state for the same tag.
Against expectation — 2025
Colorado cites F791 more often than its own record predicts
Versus expected share2.83×
2.83 times the share F791 takes of citations nationally.
Share of Colorado citations0.78%
Of every deficiency written in Colorado in 2025, this is the portion that was F791.
Colorado0.78%
National0.28%
Share of all citations that were F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F791 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.
G · Actual harm, isolatedJanuary 29, 2026
Based on record review and interviews, the facility failed to ensure one (#3) of four residents reviewed for ancillary services out of 27 sample residents received 24-hour emergency dental care. Resident #3 was admitted on [DATE]. On 11/24/25 the resident lost a filling from her tooth. Resident #3 reported the issue to the nurse. The tooth became jagged from the missing filling. Resident #3 reported pain, difficulty eating and that a sore developed on her tongue. The facility failed to assist the resident with dental services for 34 days, resulting in the resident's continued pain. On 12/30/25, the resident saw the dentist and had immediate relief following the dentist smoothing the tooth. …
D · No harm, potential for more than minimal, isolatedSeptember 1, 2026
Based on record review and interviews, the facility failed to ensure that routine dental services were provided to meet the needs of residents for one (#2) of three residents reviewed for ancillary services out of 26 sample residents. Specifically, the facility failed to schedule a routine dental appointment for Resident #2, per a physician's order, which resulted in a delay for the resident to receive necessary oral evaluation and care.Findings include:I. Facility policy and procedureThe Dental Services policy, undated, was provided by the nursing home administrator (NHA) on 9/1/26 at approximately 2:00 p.m. It read in pertinent part, It is the policy of this facility to assist residents in obtaining routine (to the extent covered under the state plan) and emergency dental care. …
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