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Deficiency Records for Colonial Nursing and Rehabilitation Center
A list of the most recent deficiencies for Colonial Nursing and Rehabilitation 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 Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-15 | 2024-05-23 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-20 | 2024-04-11 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2024-03-20 | 2024-04-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-20 | 2024-04-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-20 | 2024-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-20 | 2024-04-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-20 | 2024-04-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-20 | 2024-04-07 | 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 | 2024-03-20 | 2024-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-20 | 2024-04-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-03-22 | 2023-04-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-03-22 | 2023-04-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-22 | 2023-04-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-22 | 2023-04-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-22 | 2023-04-14 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-22 | 2023-04-14 | N |
| 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 | 2023-03-22 | 2023-04-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-03-22 | 2023-04-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-22 | 2023-04-14 | N |
| Establish methods for sharing information. | Fire Safety | 2023-03-22 | 2023-04-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-16 | 2022-04-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-16 | 2022-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-04-08 | N |
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