Deficiency Records for Colonial Acres Nursing Home
Updated as of May 01, 2023
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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-17 | 2022-12-22 | 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 | 2022-11-17 | 2022-12-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-17 | 2022-12-22 | N |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-11-17 | 2022-12-22 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-17 | 2022-12-13 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-17 | 2022-12-13 | 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 | 2022-11-17 | 2022-12-13 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-17 | 2022-12-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-17 | 2022-12-13 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-17 | 2022-12-13 | N |
Meet other general requirements that are deficient. | Fire Safety | 2022-11-17 | 2022-12-13 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-17 | 2022-12-13 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-11-17 | 2022-12-13 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-17 | 2022-12-13 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-06 | 2021-05-28 | 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 | 2021-05-06 | 2021-05-28 | N |
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 | 2021-05-06 | 2021-05-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-06 | 2021-05-28 | N |
Meet other general requirements that are deficient. | Fire Safety | 2021-05-06 | 2021-05-28 | 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 | 2021-05-06 | 2021-05-28 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-06 | 2021-05-28 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-05-06 | 2021-05-28 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-06 | 2021-05-28 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-07-21 | 2020-07-22 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2019-12-03 | 2020-01-22 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-05 | 2020-01-18 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-12-05 | 2020-01-18 | 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 | 2020-01-18 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-12-05 | 2020-01-18 | 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 requirements for the use of electrical equipment. | Fire Safety | 2019-12-03 | 2019-12-03 | N |