Deficiency Records for Colonial Oaks Health Care Center
Updated as of October 01, 2016
This is not the most recent data for Colonial Oaks Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Colonial Oaks Health Care 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-30 | 2016-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-30 | 2016-07-18 | Y |
| Horizontal exits. | Fire Safety | 2016-05-26 | 2016-06-17 | N |
| Horizontal exits. | Fire Safety | 2016-05-26 | 2016-06-17 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-04-29 | 2016-05-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-29 | 2016-05-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-29 | 2016-05-29 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-04-29 | 2016-05-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-29 | 2016-05-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-29 | 2016-05-29 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-04-29 | 2016-05-29 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-04-29 | 2016-05-29 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-29 | 2016-05-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-29 | 2016-05-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-29 | 2016-05-29 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-04-29 | 2016-05-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-29 | 2016-05-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-29 | 2016-05-29 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-04-29 | 2016-05-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-29 | 2016-05-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-29 | 2016-05-29 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-04-29 | 2016-05-29 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-04-29 | 2016-05-29 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-29 | 2016-05-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-29 | 2016-05-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-29 | 2016-05-29 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-03-08 | 2016-03-29 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-08 | 2016-03-29 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-03-08 | 2016-03-29 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-08 | 2016-03-29 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-08-13 | 2015-08-31 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-08-13 | 2015-08-31 | Y |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2015-03-16 | 2015-04-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-16 | 2015-04-15 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-03-16 | 2015-04-15 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2015-03-16 | 2015-04-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-16 | 2015-04-15 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-03-16 | 2015-04-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-03-03 | 2015-04-02 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-03-03 | 2015-04-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-03 | 2015-04-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-03-03 | 2015-04-02 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-03-03 | 2015-04-02 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-03-03 | 2015-04-02 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-03-03 | 2015-04-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-03 | 2015-04-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-03-03 | 2015-04-02 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-03-03 | 2015-04-02 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-04-15 | 2014-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-04-15 | 2014-05-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-04-15 | 2014-05-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-04-15 | 2014-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-04-15 | 2014-05-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-04-15 | 2014-05-09 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-04-08 | 2014-04-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-04-08 | 2014-04-30 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2014-04-08 | 2014-04-30 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-04-08 | 2014-04-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-04-08 | 2014-04-30 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2014-04-08 | 2014-04-30 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2014-02-07 | 2014-03-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-02-07 | 2014-03-09 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-02-07 | 2014-03-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-02-07 | 2014-03-09 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-02-07 | 2014-03-09 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-02-07 | 2014-03-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-02-07 | 2014-03-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-02-07 | 2014-03-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-02-07 | 2014-03-09 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-02-07 | 2014-03-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-02-07 | 2014-03-09 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2014-02-07 | 2014-03-09 | N |
| Provide or obtain dental services for each resident. | Health | 2014-02-07 | 2014-03-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-02-07 | 2014-03-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-07 | 2014-03-09 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2014-02-07 | 2014-03-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-02-07 | 2014-03-09 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-02-07 | 2014-03-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-02-07 | 2014-03-09 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-02-07 | 2014-03-09 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-02-07 | 2014-03-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-02-07 | 2014-03-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-02-07 | 2014-03-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-02-07 | 2014-03-09 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-02-07 | 2014-03-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-02-07 | 2014-03-09 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2014-02-07 | 2014-03-09 | N |
| Provide or obtain dental services for each resident. | Health | 2014-02-07 | 2014-03-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-02-07 | 2014-03-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-07 | 2014-03-09 | N |
