Deficiency Records for Colonial Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Colonial Health and Rehabilitation 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-22 | 2024-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-22 | 2023-11-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-31 | 2023-11-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-22 | 2023-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-22 | 2023-10-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-22 | 2023-10-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-22 | 2023-10-21 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-09-22 | 2023-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-22 | 2023-10-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-31 | 2023-10-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-31 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-09-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-31 | 2023-09-01 | 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 | 2023-08-31 | 2023-09-01 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-08-31 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-09-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-17 | 2022-04-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-03-17 | 2022-04-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-17 | 2022-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-23 | 2021-12-15 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-18 | 2021-11-28 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-18 | 2021-11-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-05 | 2019-12-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-16 | 2019-11-27 | 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 | 2019-10-16 | 2019-11-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-16 | 2019-11-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-16 | 2019-11-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-10-16 | 2019-11-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-16 | 2019-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-16 | 2019-11-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-16 | 2019-11-27 | N |
| 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 | 2019-10-16 | 2019-11-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-16 | 2019-11-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-16 | 2019-11-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-16 | 2019-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-16 | 2019-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-16 | 2019-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-12 | 2019-01-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-12 | 2019-01-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-12 | 2019-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-15 | 2018-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-15 | 2018-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2018-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-22 | Not Fixed | N |
