Deficiency Records for Colonial Oaks Living Center
Updated as of January 01, 2019
This is not the most recent data for Colonial Oaks Living Center. For the most recent information, click here.
A list of the most recent deficiencies for Colonial Oaks Living 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-02 | 2018-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-02 | 2018-09-16 | N |
| 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 | 2018-08-02 | 2018-09-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-08-02 | 2018-09-16 | 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 | 2018-08-02 | 2018-09-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-08-02 | 2018-09-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-08-02 | 2018-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-02 | 2018-09-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-08-02 | 2018-08-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-09 | 2018-01-26 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2017-08-10 | 2017-08-26 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-10 | 2017-08-26 | 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 | 2017-08-10 | 2017-08-26 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-15 | 2016-11-09 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-15 | 2016-11-09 | 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 | 2016-09-15 | 2016-11-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-15 | 2016-11-09 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-09-15 | 2016-11-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-09-15 | 2016-11-09 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-09-15 | 2016-10-30 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-09-15 | 2016-10-30 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2016-09-15 | 2016-10-30 | N |
