The Work Unit:The Health Facilities and Emergency Medical Services Division (HFEMSD) is responsible for the oversight and enforcement of a broad range of federal and state statutes and regulations applicable to a wide variety of health care facilities and services in Colorado, numbering approximately 3,200 facilities, including hospitals, clinics, ambulatory surgical facilities, renal dialysis centers, emergency medical services providers, designated trauma centers, long term care facilities, and many other specific types of health care services. The division licenses, recommends certification and conducts routine surveys (sampling inspections) for healthcare facilities and consumer services; provides consumer safety and healthcare quality programs; recognizes Emergency Medical Service (EMS) education programs and certifies EMS providers; and licenses all air ambulance services operating within the state. This work unit exists to: (1) protect the health, safety, and welfare of patients/residents of health care facilities in the state of Colorado, by evaluating and securing compliance of licensed and certified facilities and providers, utilizing applicable federal and state laws/regulations and professional standards of practice; and (2) to provide to the public information on health care facilities. Summary of Position:This position is staffed by professionals who work independently or as a member of an interdisciplinary team to assess the care, treatment and quality of life provided by health care facilities through observations, interviews, and record review. Uses experience, training and judgment in evaluating and applying statutes, regulations, guidelines, policies and procedures on a case-by-case, item-by-item basis for facility compliance/violation. Worksas the LPN required for the survey team, and conducts nursing observations and medication pass task, and other tasks as applicable. Reviews occurrences and incidents of serious deficiencies and assesses whether licensed health facilities intervened appropriately. Writes statements of deficiencies, identifying areas of non-compliance with federal and state requirements based on survey/investigation results. Acts as resource, educator, andinterpreter of regulations for service providers and consumers, based upon established guidelines, policies and procedures. Duties of Position:On an unannounced basis, independently or as a member of an interdisciplinary team, surveys (inspects) Nursing Facilities to determine whether the entity is operating in compliance with applicable statutes/regulations. Assesses and evaluates health care facility quality of care, services, and treatment of the residents/patients as well as facility practices through observations, record review, as well as interviews with residents/patients, family members, staff, and outside agency and medical professionals. Collects and documents evidence and survey results based upon observations, interviews and record review. Analyzes the evidence and survey results in order to determine whether and how the health care facility is out of compliance with applicable statutes and regulations. Uses judgment and experience in choosing specific regulations to be cited. Writes clear, concise, and legally defensible statements of deficiencies based on analysis of the documented findings and extensive knowledge of these laws, regulations and guidelines. Advises health care facility providers, health care consumers, and other governmental agencies regarding regulatory requirements. Decides what inspection areas identified as non-compliant will be cited and then decides the specific regulation that the deficiency should be cited under. Investigates complex complaint allegations, analyzes the data gathered during the investigation, determines whether the allegations of regulatory noncompliance are substantiated and, if substantiated, determines the appropriate regulatory citations to be issued.