Deficiency Records for Colony Center For Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Colony Center For Health and Rehabilitation. 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 provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-07-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-07 | 2022-01-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-07 | 2022-01-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-07 | 2022-01-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-07 | 2022-01-14 | 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 | 2021-12-07 | 2022-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-07 | 2022-01-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-03 | 2019-08-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-03 | 2019-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-03 | 2019-08-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-03 | 2019-08-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-03 | 2019-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-03 | 2019-08-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-03 | 2019-08-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-30 | 2018-06-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-30 | 2018-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-30 | 2018-06-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-30 | 2018-06-15 | 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 | 2018-04-30 | 2018-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-30 | 2018-06-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-30 | 2018-06-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-30 | 2018-06-15 | 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 | 2018-04-30 | 2018-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-30 | 2018-06-15 | N |
