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Deficiency Records for The Colonnades at Reflection Bay

A list of the most recent deficiencies for The Colonnades at Reflection Bay. 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 The Colonnades at Reflection Bay. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-30 2024-08-31 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-07-30 2024-08-31 Y
Provide and implement an infection prevention and control program. Health 2024-07-30 2024-08-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-08 2023-12-15 N
List the names and contact information of those in the facility. Fire Safety 2023-12-07 2023-12-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-07 2023-12-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-12-07 2023-12-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-10-13 2023-10-24 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 2023-10-13 2023-10-24 Y
Provide and implement an infection prevention and control program. Health 2023-10-13 2023-10-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-06 2023-05-16 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-10-06 2023-05-16 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-09-30 2022-11-11 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-30 2022-11-11 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-09-30 2022-11-11 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-30 2022-11-11 Y
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2022-09-30 2022-11-11 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-30 2022-11-11 Y
Dispose of garbage and refuse properly. Health 2022-09-30 2022-11-11 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-08 2022-11-11 Y
Provide properly protected cooking facilities. Fire Safety 2022-09-28 2022-11-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-08 2022-09-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-22 2022-08-26 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-07-07 2022-08-17 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-07-07 2022-08-17 Y
Provide and implement an infection prevention and control program. Health 2021-07-21 2021-09-15 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2021-07-21 2021-09-01 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 2021-07-21 2021-09-01 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-07-21 2021-09-01 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2021-07-21 2021-08-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-07-20 2021-08-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-20 2021-07-29 N

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