CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Colonial Manor Nursing Home
View the most recent health deficiencies and inspection results for Colonial Manor Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Colonial Manor Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2026-01-29 | 2026-03-24 | 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 | 2026-01-29 | 2026-03-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-29 | 2026-03-24 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-29 | 2026-03-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-01-29 | 2026-03-24 | N |
| Post nurse staffing information every day. | Health | 2026-01-29 | 2026-03-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2026-01-29 | 2026-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-29 | 2026-03-24 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2026-01-29 | 2026-03-24 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-01-29 | 2026-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-29 | 2026-03-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-01-29 | 2026-03-24 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2026-01-29 | 2026-03-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-01-29 | 2026-03-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-01-29 | 2026-02-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-01-29 | 2026-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-29 | 2026-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-29 | 2026-02-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-29 | 2026-01-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-29 | 2026-01-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-29 | 2026-01-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-21 | 2025-01-28 | 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 | 2024-11-21 | 2025-01-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-11-21 | 2025-01-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-21 | 2025-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-21 | 2025-01-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-11-21 | 2025-01-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-11-21 | 2025-01-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-11-21 | 2025-01-10 | 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 | 2024-11-21 | 2025-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-21 | 2025-01-10 | 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 | 2024-11-21 | 2025-01-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-11-21 | 2025-01-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-21 | 2025-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-21 | 2025-01-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-21 | 2025-01-10 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-11-21 | 2025-01-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-21 | 2024-12-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-21 | 2024-11-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-10-28 | 2024-11-14 | Y |
| 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 | 2024-07-24 | 2024-08-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-24 | 2024-08-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-24 | 2024-08-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-19 | 2023-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-19 | 2023-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-19 | 2023-11-02 | N |