CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Colony Center For Health and Rehabilitation
View the most recent health deficiencies and inspection results for Colony Center For Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Colony Center For Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-30 | 2026-01-31 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-05-14 | 2025-06-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-14 | 2025-06-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-14 | 2025-06-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-14 | 2025-06-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-07 | 2025-04-08 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-03-07 | 2025-04-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-07 | 2025-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-07 | 2025-03-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-07 | 2025-03-25 | 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 | 2025-03-07 | 2025-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-07 | 2025-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-07 | 2025-03-25 | 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 | 2025-03-07 | 2025-03-25 | N |
| Respond appropriately to all alleged violations. | Health | 2025-03-07 | 2025-03-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-07 | 2025-03-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-03-07 | 2025-03-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-03-07 | 2025-03-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-03-07 | 2025-03-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-15 | 2024-07-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-18 | 2024-03-07 | 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 | 2024-01-18 | 2024-02-09 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-01-18 | 2024-02-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-18 | 2024-02-05 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-01-18 | 2024-01-24 | N |
| Provide training in compliance and ethics. | Health | 2024-01-18 | 2024-01-24 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-01-18 | 2024-01-24 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-01-18 | 2024-01-24 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-01-18 | 2024-01-24 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-01-18 | 2024-01-24 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-01-18 | 2024-01-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-18 | 2024-01-24 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-18 | 2024-01-24 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-01-18 | 2024-01-24 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-01-18 | 2024-01-24 | N |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2024-01-18 | 2024-01-24 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-01-18 | 2024-01-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-01-18 | 2024-01-24 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-18 | 2024-01-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-18 | 2024-01-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-18 | 2024-01-24 | 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 | 2024-01-18 | 2024-01-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-18 | 2024-01-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-18 | 2024-01-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-18 | 2024-01-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-18 | 2024-01-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-18 | 2024-01-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-18 | 2024-01-24 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-01-18 | 2024-01-24 | N |
| 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 |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-12-07 | 2022-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-07 | 2021-12-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-07 | 2021-12-24 | N |