Deficiency Records for Colonial Nursing Home
Updated as of October 01, 2022
This is not the most recent data for Colonial Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Colonial Nursing Home. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2022-06-06 | 2022-09-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-06 | 2022-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-06 | 2022-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-06 | 2022-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-06 | 2022-06-20 | N |
| Have an externally vented heating system. | Fire Safety | 2022-06-06 | 2022-06-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-10 | 2022-06-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-10 | 2022-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-10 | 2022-06-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-10 | 2022-06-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-10 | 2022-06-02 | 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 | 2022-05-10 | 2022-06-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-10 | 2022-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-10 | 2022-06-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-05-10 | 2022-06-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-10 | 2022-06-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-10 | 2022-06-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-10 | 2022-01-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-29 | 2021-11-26 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-29 | 2021-11-26 | Y |
| 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 | 2021-10-29 | 2021-11-26 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-07-06 | 2021-07-16 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-24 | 2021-06-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-24 | 2021-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-24 | 2021-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-24 | 2021-06-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-24 | 2021-06-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-24 | 2021-06-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-24 | 2021-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-24 | 2021-06-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-05-06 | 2021-06-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-05-06 | 2021-06-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-06 | 2021-06-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-06-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-06 | 2021-06-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-06 | 2021-06-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-22 | 2021-04-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-13 | 2020-11-20 | 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 | 2019-05-14 | 2019-06-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-14 | 2019-06-13 | 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 | 2019-05-14 | 2019-06-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-05-14 | 2019-06-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-14 | 2019-06-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-14 | 2019-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-14 | 2019-06-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-14 | 2019-06-13 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-05-14 | 2019-06-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-05-14 | 2019-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-14 | 2019-06-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-14 | 2019-06-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-11 | 2019-05-11 | 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 | 2019-04-11 | 2019-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-11 | 2019-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-11 | 2019-05-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-11 | 2019-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-11 | 2019-05-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-11 | 2019-05-11 | 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 | 2019-04-11 | 2019-05-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-11 | 2019-05-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-11 | 2019-05-11 | N |
