Based on observations, record review and interviews, the facility failed to test staff, including individuals providing services under arrangement for Coronavirus (COVID-19). Specifically, the facility had been in a COVID-19 outbreak status since 12/23/21 that included positive cases for both residents and staff. The facility failed to conduct bi weekly PCR testing for all staff per the CDC and CMS guidance due to outbreak status since 12/23/21, to ensure the virus did not spread to residents within the facility. The facility failed to protect individuals, equipment and supplies, allowing individual and testing items within six feet of the testing area and each other. …
F886 citations in Colorado
Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Colorado cites F886 more often than its own record predicts
3.22 times the share F886 takes of citations nationally.
Of every deficiency written in Colorado in 2023, this is the portion that was F886.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F886 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.
Based on observations, record review and interviews, the facility failed to test staff including individuals providing services under arrangement and volunteers for Coronavirus (COVID-19). Specifically, the facility failed to ensure the COVID-19 was conducted in a contained environment in order to prevent the spread of an infectious disease. Findings include: I. Professional reference According to the Centers for Disease Control (CDC) website, Guidance for SARS_CoV-2 Rapid Testing Performed in Point of Care Settings https://www.cdc.gov/coronavirus/2023-ncov/hcp/broad-based-testing.html (retrieved 3/13/23) documented the following: Physical space: For indoor specimen collection activities, designate separate spaces for each specimen collection testing station, either rooms with doors that… …
What else Colorado surveyors cite →
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