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Deficiency Records for Colonial Care Center

A list of the most recent deficiencies for Colonial Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Colonial Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-09-13 2024-10-04 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-09-13 2024-10-04 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-09-13 2024-10-04 Y
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Health 2024-06-04 2024-06-21 Y
Provide and implement an infection prevention and control program. Health 2024-06-04 2024-06-21 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-04-05 2024-04-19 Y
Ensure each resident receives an accurate assessment. Health 2024-02-23 2024-04-16 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-23 2024-03-22 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-02-23 2024-03-22 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-02-23 2024-03-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-23 2024-03-22 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-02-23 2024-03-22 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-02-23 2024-03-22 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-02-23 2024-03-22 N
Provide activities to meet all resident's needs. Health 2024-02-23 2024-03-22 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-02-23 2024-03-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-23 2024-03-22 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-02-23 2024-03-22 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-02-23 2024-03-22 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-02-23 2024-03-22 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-02-23 2024-03-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-23 2024-03-22 N
Dispose of garbage and refuse properly. Health 2024-02-23 2024-03-22 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-02-23 2024-03-22 N
Provide and implement an infection prevention and control program. Health 2024-02-23 2024-03-22 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-02-27 2024-03-15 N
Meet other general requirements that are deficient. Fire Safety 2024-02-27 2024-03-15 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-02-27 2024-03-15 N
Construct fire resistant interior walls. Fire Safety 2024-02-27 2024-03-15 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-02-27 2024-03-15 N
Install an approved automatic sprinkler system. Fire Safety 2024-02-27 2024-03-15 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-02-27 2024-03-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-27 2024-03-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-02-27 2024-03-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-27 2024-03-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-27 2024-03-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-27 2024-03-15 N
Provide and implement an infection prevention and control program. Health 2024-01-12 2024-02-03 Y
Provide and implement an infection prevention and control program. Health 2023-11-03 2023-11-21 Y
Provide and implement an infection prevention and control program. Health 2023-10-25 2023-11-07 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-31 2023-09-19 Y
Ensure that residents are free from significant medication errors. Health 2023-05-31 2023-06-21 Y
Provide care or services that was trauma informed and/or culturally competent. Health 2023-03-29 2023-04-25 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-13 2023-03-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-13 2023-03-23 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-13 2023-03-21 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-03-13 2023-03-21 Y
Respond appropriately to all alleged violations. Health 2023-03-03 2023-03-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-11 2022-08-05 Y
Perform COVID19 testing on residents and staff. Health 2022-05-19 2022-06-29 Y
Provide and implement an infection prevention and control program. Health 2022-05-31 2022-06-24 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-04 2022-06-08 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-04-18 2022-05-13 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-03-31 2022-04-11 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-18 2022-03-18 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-02-18 2022-03-18 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-02-18 2022-03-18 N
Ensure each resident receives an accurate assessment. Health 2022-02-18 2022-03-18 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-02-18 2022-03-18 N
Provide activities to meet all resident's needs. Health 2022-02-18 2022-03-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-02-18 2022-03-18 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-02-18 2022-03-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-18 2022-03-18 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-18 2022-03-18 N
Ensure medication error rates are not 5 percent or greater. Health 2022-02-18 2022-03-18 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2022-02-18 2022-03-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-18 2022-03-18 N
Provide and implement an infection prevention and control program. Health 2022-02-18 2022-03-18 N
Provide enough space and equipment to meet each resident's needs Health 2022-02-18 2022-03-18 N
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Health 2022-02-18 2022-03-18 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-02-18 2022-03-18 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-02-18 2022-03-18 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-02-23 2022-03-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-23 2022-03-18 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2022-02-23 2022-03-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-02-23 2022-03-18 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-02-23 2022-03-18 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-02-23 2022-03-18 N
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Health 2021-11-05 2021-11-23 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-11-05 2021-11-23 Y
Reasonably accommodate the needs and preferences of each resident. Health 2020-01-29 2020-02-27 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2020-01-29 2020-02-27 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2020-01-29 2020-02-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-01-29 2020-02-27 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2020-01-29 2020-02-27 N
Ensure each resident receives an accurate assessment. Health 2020-01-29 2020-02-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-29 2020-02-27 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2020-01-29 2020-02-27 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-01-29 2020-02-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-29 2020-02-27 N
Assist a resident in gaining access to vision and hearing services. Health 2020-01-29 2020-02-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-29 2020-02-27 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2020-01-29 2020-02-27 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2020-01-29 2020-02-27 N
Ensure medication error rates are not 5 percent or greater. Health 2020-01-29 2020-02-27 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2020-01-29 2020-02-27 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2020-01-29 2020-02-27 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2020-01-29 2020-02-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-29 2020-02-27 N
Provide and implement an infection prevention and control program. Health 2020-01-29 2020-02-27 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2020-01-28 2020-02-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-01-28 2020-02-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-01-28 2020-02-18 N

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