10 Colo. Code Regs. § 2505-10-8.421
It shall be the responsibility of each county department to inform the State Department whenever it is aware that:
A licensed nursing home has permanently discontinued or decreased the qualified nursing service under which it was licensed.
Any person is operating an unlicensed nursing home or violating terms of license for a nursing home in which there are three or more recipients not related to the owner, and is providing any nursing service in an unlicensed home or one with a limited license to such recipients in addition to board and room services.
Any other condition exists which operates to the detriment of the patients in the home. This would include observation by the county department of such things as uncleanliness, poor or inadequate food, safety hazards, overcrowding, poor or inhumane treatment of patients, etc.
10 CCR 2505-10-8.421