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Deficiency Records for Colonial Manor of Elma

A list of the most recent deficiencies for Colonial Manor of Elma. 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 Manor of Elma. 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?
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-02 2024-06-02 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 2024-05-02 2024-06-02 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-05-02 2024-06-02 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-05-08 2024-05-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-08 2024-05-14 N
Conduct testing and exercise requirements. Fire Safety 2023-03-08 2023-03-14 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-03-08 2023-03-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-08 2023-03-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-21 2021-11-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-21 2021-11-21 Y
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-10-26 2021-10-26 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2021-10-26 2021-10-26 N

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