Based on record review and interviews, the facility failed to establish an effective antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use for one (#30) of five residents reviewed for antibiotic stewardship out of 31 sample residents. Specifically, the facility failed to ensure Resident #30's long term use antibiotic was evaluated for appropriate use.Findings include:I. Professional referenceAccording to The Centers for Disease Control and Prevention's (CDC) Core Elements of Antibiotic Stewardship for Nursing Homes, (2024), retrieved on 4/27/26 from https://www.cdc.gov/antibiotic-use/hcp/core-elements/nursing-homes-antibiotic-stewardship.html, To track how and why antibiotics are prescribed, providers perform reviews on resident… …
F881 citations in Colorado
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F881 more often than its own record predicts
1.87 times the share F881 takes of citations nationally.
Of every deficiency written in Colorado in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F881 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 | 0.34% | 0.73× |
| 2024 | 0.67% | 1.50× |
| 2025 | 0.90% | 1.87× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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