CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Colonial Care Center
View the most recent health deficiencies and inspection results for Colonial Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Colonial Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-02-12 | 2026-03-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-02-12 | 2026-03-05 | 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 | 2026-02-12 | 2026-03-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-12 | 2026-03-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-02-12 | 2026-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-12 | 2026-03-05 | 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 | 2026-02-12 | 2026-03-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-12 | 2026-03-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2026-02-12 | 2026-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-12 | 2026-03-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2026-02-12 | 2026-03-05 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2026-02-12 | 2026-03-05 | N |
| 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 | 2026-02-12 | 2026-03-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-12 | 2026-03-05 | 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 | 2026-02-12 | 2026-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-12 | 2026-03-05 | N |
| Dispose of garbage and refuse properly. | Health | 2026-02-12 | 2026-03-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2026-02-12 | 2026-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-12 | 2026-03-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-12 | 2026-03-05 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-12 | 2026-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-29 | 2026-02-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-13 | 2025-11-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-06 | 2025-11-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-16 | 2025-06-05 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-02-06 | 2025-03-27 | 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 | 2025-02-06 | 2025-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-06 | 2025-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-06 | 2025-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-06 | 2025-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-06 | 2025-03-07 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-02-06 | 2025-03-07 | 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 | 2025-02-06 | 2025-03-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-06 | 2025-03-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-02-06 | 2025-03-06 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-02-06 | 2025-03-06 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-02-06 | 2025-03-06 | 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 | 2025-02-06 | 2025-03-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-06 | 2025-03-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-02-06 | 2025-03-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-02-06 | 2025-03-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-06 | 2025-03-06 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-02-06 | 2025-03-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-06 | 2025-03-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-02-06 | 2025-03-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-06 | 2025-03-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-02-06 | 2025-03-06 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-02-06 | 2025-03-05 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-02-06 | 2025-03-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-02-06 | 2025-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-06 | 2025-03-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-02-06 | 2025-03-04 | 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 | 2025-02-06 | 2025-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-06 | 2025-03-03 | N |
| Dispose of garbage and refuse properly. | Health | 2025-02-06 | 2025-03-03 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-02-06 | 2025-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-06 | 2025-02-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-02-06 | 2025-02-28 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2025-02-06 | 2025-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-16 | 2025-01-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-13 | 2024-10-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-13 | 2024-10-04 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-09-13 | 2024-10-04 | Y |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2024-06-04 | 2024-06-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-04 | 2024-06-21 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-04-05 | 2024-04-19 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-23 | 2024-04-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-23 | 2024-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-23 | 2024-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-23 | 2024-03-22 | 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 | 2024-02-23 | 2024-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-23 | 2024-03-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-02-23 | 2024-03-22 | N |
| Provide activities to meet all resident's needs. | Health | 2024-02-23 | 2024-03-22 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-02-23 | 2024-03-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2024-03-22 | 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 | 2024-02-23 | 2024-03-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-02-23 | 2024-03-22 | 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 | 2024-02-23 | 2024-03-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-23 | 2024-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-03-22 | N |
| Dispose of garbage and refuse properly. | Health | 2024-02-23 | 2024-03-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-23 | 2024-03-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-23 | 2024-03-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-23 | 2024-03-15 | 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 | 2024-02-23 | 2024-03-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-23 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-03 | 2023-11-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-25 | 2023-11-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-09-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-31 | 2023-06-21 | Y |