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Deficiency Records for Colonial Park Rehabilitation and Nursing Center

A list of the most recent deficiencies for Colonial Park Rehabilitation and Nursing 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 Park Rehabilitation and Nursing 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?
Address subsistence needs for staff and patients. Fire Safety 2024-08-06 2024-10-05 N
Conduct testing and exercise requirements. Fire Safety 2024-08-06 2024-10-05 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-08-06 2024-10-05 N
Have exits that are accessible at all times. Fire Safety 2024-08-06 2024-10-05 N
Install proper backup exit lighting. Fire Safety 2024-08-06 2024-10-05 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-08-06 2024-10-05 N
Provide properly protected cooking facilities. Fire Safety 2024-08-06 2024-10-05 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-08-06 2024-10-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-08-06 2024-10-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-06 2024-10-05 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-08-06 2024-10-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-08-06 2024-10-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-08-06 2024-10-05 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2024-08-06 2024-10-05 N
Ensure electrical receptacles or cover plates have distinctive color or marking. Fire Safety 2024-08-06 2024-10-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-06 2024-10-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-08-06 2024-10-05 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-08-06 2024-10-05 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-22 2024-09-16 Y
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 2024-07-22 2024-09-16 Y
Provide activities to meet all resident's needs. Health 2024-07-22 2024-09-16 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-22 2024-09-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-22 2024-09-16 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-22 2024-09-16 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-07-22 2024-09-16 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 2024-07-22 2024-09-16 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-07-22 2024-09-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-22 2024-09-16 Y
Provide and implement an infection prevention and control program. Health 2024-07-22 2024-09-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-20 2024-04-30 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-03-20 2024-04-30 Y
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-06-03 2022-08-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-07-11 2022-08-22 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-11 2022-08-22 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-07-11 2022-08-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-03 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 2022-06-03 2022-07-25 N
Ensure staff are vaccinated for COVID-19 Health 2022-06-03 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 2022-06-03 2022-07-25 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-03 2022-07-25 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-06-03 2022-07-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-03 2022-07-25 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-06-03 2022-07-25 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-06-03 2022-07-25 Y
Conduct testing and exercise requirements. Fire Safety 2022-06-03 2022-07-25 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 2022-06-03 2022-07-25 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 2022-06-03 2022-07-25 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-06-03 2022-07-25 N
Install an approved automatic sprinkler system. Fire Safety 2022-06-03 2022-07-25 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-06-03 2022-07-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-06-03 2022-07-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-06-03 2022-07-25 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-06-03 2022-07-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-13 2022-02-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-13 2022-02-21 Y
Ensure that residents are free from significant medication errors. Health 2022-01-13 2022-02-21 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-08-30 2019-10-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-08-30 2019-10-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-08-30 2019-10-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-08-30 2019-10-21 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2019-08-30 2019-10-21 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 2019-08-30 2019-10-21 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2019-08-30 2019-10-21 N
Have an enclosure around a vertical opening shaft. Fire Safety 2019-08-29 2019-08-30 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 2019-08-29 2019-08-30 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 2024-08-06 Not Fixed N
Install an approved automatic sprinkler system. Fire Safety 2024-08-06 Not Fixed N

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