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Deficiency Records for Colonial Manor Ii

A list of the most recent deficiencies for Colonial Manor Ii. 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 Manor Ii. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-07 2024-09-19 Y
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-06-01 2024-06-28 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 2024-06-01 2024-06-28 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2024-06-01 2024-06-28 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-06-01 2024-06-28 N
Provide and implement an infection prevention and control program. Health 2024-06-01 2024-06-28 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2024-06-07 2024-06-18 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-12 2024-06-18 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-06-12 2024-06-13 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 2023-04-17 2023-05-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-17 2023-05-18 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 2023-04-17 2023-05-18 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 2023-04-27 2023-05-18 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2022-04-20 2022-07-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-20 2022-07-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-04-20 2022-07-29 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-04-22 2022-06-22 N
Observe each nurse aide's job performance and give regular training. Health 2022-04-22 2022-06-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-04-20 2022-06-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-04-20 2022-06-02 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-04-20 2022-05-25 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 2022-04-20 2022-05-18 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-04-20 2022-05-11 N

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