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Deficiency Records for Casa Coloma Health Care Center
A list of the most recent deficiencies for Casa Coloma Health 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 Casa Coloma Health 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-06-18 | 2024-06-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-06 | 2024-03-15 | Y |
| 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 | 2024-03-06 | 2024-03-15 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-15 | 2024-03-10 | 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 | 2024-02-15 | 2024-03-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-15 | 2024-03-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-08 | 2024-02-21 | 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 | 2024-02-08 | 2024-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-02-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-03 | 2024-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-02 | 2024-02-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-29 | 2023-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-30 | 2023-10-24 | Y |
| 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 | 2023-09-01 | 2023-09-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-21 | 2023-09-04 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-04-21 | 2023-05-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-16 | 2023-02-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-01 | 2023-01-10 | 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 | 2022-12-01 | 2023-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-30 | 2022-12-30 | Y |
| Keep all essential equipment working safely. | Health | 2022-07-01 | 2022-08-31 | Y |
| 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 | 2022-06-08 | 2022-08-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-06 | 2022-08-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-06 | 2022-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-01 | 2022-08-31 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-05-30 | 2022-08-31 | Y |
| 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 | 2022-05-30 | 2022-08-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-06 | 2022-08-30 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-05-31 | 2022-08-30 | Y |
| 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 | 2022-08-12 | 2022-08-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-12 | 2022-08-26 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-12 | 2022-08-26 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-12 | 2022-08-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-03 | 2022-03-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-22 | 2022-03-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-01-28 | 2022-03-02 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-15 | 2021-08-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-15 | 2021-08-16 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-15 | 2021-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-08-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-15 | 2021-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-15 | 2021-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-15 | 2021-08-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-10 | 2021-07-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-10 | 2021-07-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-10 | 2021-07-10 | 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 | 2021-06-10 | 2021-07-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-10 | 2021-07-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-10 | 2021-07-10 | 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 | 2021-06-10 | 2021-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-10 | 2021-07-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-05 | 2019-06-28 | 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 | 2019-06-05 | 2019-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-11 | 2019-06-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-11 | 2019-06-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-11 | 2019-06-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-11 | 2019-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-11 | 2019-06-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-11 | 2019-06-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-11 | 2019-06-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-11 | 2019-06-20 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-04-11 | 2019-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-06-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-11 | 2019-06-20 | N |
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