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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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