Based on interviews, document review, record review, and facility policy review, it was determined that the facility failed to ensure residents, their representatives and families of residents residing in the facility were notified of a confirmed positive COVID-19 result in the facility by 5:00 PM the following calendar day. This had the potential to affect all residents. The facility's Daily Census, dated 08/22/2022, indicated there were 72 active residents. Findings included: A review of the facility's policy titled, Communication During Covid Policy, dated 02/01/2022, revealed, Upon receiving a new Covid positive test result from a care partner or resident, the Administrator or designee will provide communication to Care Partners, Community Partners, Family members, and Residents. …
F885 citations in Colorado
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F885 citations were recorded in Colorado for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Colorado surveyors wrote
F885 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.
F · No harm, potential for more than minimal, widespreadAugust 25, 2022
What else Colorado surveyors cite →
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