Based on record review and interviews, the facility failed to ensure professional staff was licensed, certified, or registered in accordance with applicable state laws.Specifically, the facility failed to ensure the acting nursing home administrator's license was current.Findings include:I. Facility policy and procedureThe Licensed Nursing Home Administrator policy, [DATE], was provided by regional clinical resource #2 on [DATE] at 10:39 a.m. It read in pertinent part, The facility shall be operated under the direction and oversight of a qualified and appropriately licensed Nursing Home Administrator in accordance with applicable federal and state requirements. …
F839 citations in Colorado
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F839 more often than its own record predicts
1.99 times the share F839 takes of citations nationally.
Of every deficiency written in Colorado in 2025, this is the portion that was F839.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F839 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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