Based on interviews and record review, the facility failed to develop, implement, and maintain a mandatory effective training program for all staff, which includes, at a minimum, training on the facility's quality assurance and performance improvement (QAPI) program, including the goals and various elements of the program, how the facility intends to implement the program the staff's role in the facility's QAPI program and how to communicate concerns, problems or opportunities for improvement to the facility's quality assessment and assurance (QAA) committee for 17 of 17 nursing staff hired between 10/4/23 and 12/6/23 out of 49 nursing staff members. …
F944 citations in Colorado
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Colorado cites F944 more often than its own record predicts
1.38 times the share F944 takes of citations nationally.
Of every deficiency written in Colorado in 2023, this is the portion that was F944.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F944 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.
What else Colorado surveyors cite →
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