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Deficiency Records for Colonial Park Manor
A list of the most recent deficiencies for Colonial Park Manor. 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 Manor. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-04-18 | 2024-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-18 | 2024-04-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-18 | 2024-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2024-01-10 | 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 | 2022-08-02 | 2022-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-02 | 2022-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-02 | 2022-08-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-01 | 2019-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-01 | 2019-11-08 | N |
| 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 | 2019-10-03 | 2019-11-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-03 | 2019-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-03 | 2019-11-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-03 | 2019-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-03 | 2019-11-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-03 | 2019-11-04 | 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 | 2019-10-03 | 2019-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-03 | 2019-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-01 | 2019-11-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-01 | 2019-10-25 | N |
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