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Deficiency Records for Colfax Nursing and Rehab, LLC

A list of the most recent deficiencies for Colfax Nursing and Rehab, LLC. 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 Colfax Nursing and Rehab, LLC. 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?
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-06-04 2024-07-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-06-04 2024-07-15 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2024-06-04 2024-07-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-04 2024-07-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-06-04 2024-07-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-04 2024-07-15 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 2024-06-04 2024-07-15 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-06-04 2024-07-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-04 2024-07-15 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-06-04 2024-07-15 N
Put firmly secured handrails on each side of hallways. Health 2024-06-04 2024-07-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-04 2024-07-15 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 2024-06-04 2024-07-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-04 2024-07-15 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-06-04 2024-07-15 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-04 2024-07-15 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-04 2024-07-09 N
Install an approved automatic sprinkler system. Fire Safety 2024-06-04 2024-07-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-06-04 2024-06-28 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-06-04 2024-06-27 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 2024-06-04 2024-06-21 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-12-21 2024-02-04 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-12-21 2024-02-04 Y
Provide and implement an infection prevention and control program. Health 2023-12-21 2024-02-04 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-11-29 2023-12-04 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-28 2023-08-07 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-06-28 2023-08-07 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-06-28 2023-08-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-28 2023-08-07 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 2023-06-28 2023-08-07 N
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2023-06-28 2023-08-07 N
Ensure medication error rates are not 5 percent or greater. Health 2023-06-28 2023-08-07 N
Dispose of garbage and refuse properly. Health 2023-06-28 2023-08-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-13 2023-08-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-13 2023-08-07 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-03 2023-04-03 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-03-03 2023-04-03 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-03-03 2023-04-03 Y
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 2022-06-23 2022-07-25 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 2022-06-23 2022-07-25 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-23 2022-07-25 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 2022-06-23 2022-07-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-23 2022-07-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-23 2022-07-25 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 2022-06-23 2022-07-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-10 2021-12-17 Y

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