Based on record review and interviews, the facility failed to meet all the requirements for the provisions of hospice care for two (#67 and #41) of two residents reviewed for hospice care services out of 36 sample residents. Specifically, the facility failed to: -Ensure hospice notes were readily available in Resident #67 and Resident #41's electronic medical records (EMR); -Ensure Resident #67 and Resident #41's comprehensive care plans were developed with a delineation of care responsibilities between the facility staff and the hospice care services team; and, -Ensure there was a designated hospice care services coordinator for the facility.Findings include: I. …
F849 citations in Colorado
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F849 more often than its own record predicts
3.72 times the share F849 takes of citations nationally.
Of every deficiency written in Colorado in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F849 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.
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 1.10% | 3.49× |
| 2024 | 0.67% | 2.20× |
| 2025 | 1.01% | 3.72× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction