Based on record review and interviews, the facility failed to provide, implement and maintain an effective training program for new and existing staff. Specifically the facility failed to provide:-All staff the required annual abuse identification, abuse prevention and abuse reporting training, for 75 out of 83 staff; -All staff dementia management training, for 39 out of 83 staff;-All staff resident rights training, for 31 out of 83 staff; -All staff quality assurance and performance improvement (QAPI) training, for 30 out of 83 staff;-All direct care staff effective communication training, for 49 out of 49 staff; -All staff infection control training, for 20 out of 83 staff members; -All staff compliance and ethics training, for 16 out of 83 staff; and, - All direct care staff behavioral… …
F940 citations in Colorado
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F940 more often than its own record predicts
2.29 times the share F940 takes of citations nationally.
Of every deficiency written in Colorado in 2025, this is the portion that was F940.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F940 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 |
|---|---|---|
| 2024 | 0.30% | 3.17× |
| 2025 | 0.22% | 2.29× |
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