Deficiency Records for Colonial Acres Nursing Home
Updated as of May 01, 2020
This is not the most recent data for Colonial Acres Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Colonial Acres Nursing Home. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-03 | 2020-01-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-03 | 2020-01-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-03 | 2020-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-03 | 2020-01-13 | 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 | 2019-12-03 | 2020-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-03 | 2020-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-03 | 2020-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-03 | 2020-01-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-03 | 2019-12-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-03 | 2019-12-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-03 | 2019-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-03 | 2019-12-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-03 | 2019-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-10-26 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-08-30 | 2018-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-10-26 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-08-30 | 2018-10-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-28 | 2018-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-28 | 2018-09-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-28 | 2018-09-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-13 | 2017-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-13 | 2017-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-13 | 2017-11-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-13 | 2017-11-18 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-12-05 | Not Fixed | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-05 | Not Fixed | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-12-05 | Not Fixed | 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 | 2019-12-05 | Not Fixed | N |
