A list of the most recent deficiencies for Colonial Manor of Randolph. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-14 | 2023-10-09 | Y |
| 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 | 2023-09-14 | 2023-10-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-09 | Y |
| 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 | 2023-09-12 | 2023-10-09 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-09-12 | 2023-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-12 | 2023-10-09 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-15 | 2022-07-28 | 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 | 2022-06-15 | 2022-07-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-15 | 2022-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-15 | 2022-07-28 | Y |
| Meet other general requirements. | Fire Safety | 2022-06-13 | 2022-07-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-13 | 2022-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-13 | 2022-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-13 | 2022-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-27 | 2021-06-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-04-27 | 2021-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-04 | 2021-05-20 | N |
