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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 |
| 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 |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-08-06 | Not Fixed | N |
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