A list of the most recent deficiencies for Colonial Poplin 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-23 | 2023-06-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-23 | 2023-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-23 | 2023-06-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-23 | 2023-06-12 | N |
| Keep all essential equipment working safely. | Health | 2023-05-23 | 2023-06-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-05-22 | 2023-06-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-22 | 2023-06-09 | 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 | 2023-05-22 | 2023-06-09 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-05-22 | 2023-06-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-22 | 2023-06-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-07-14 | 2022-08-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-07-14 | 2022-08-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-14 | 2022-08-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-14 | 2022-08-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-14 | 2022-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-14 | 2022-08-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-14 | 2022-08-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-14 | 2022-08-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-15 | 2022-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-15 | 2022-08-12 | N |
| Report COVID19 data to residents and families. | Health | 2022-07-15 | 2022-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-15 | 2022-08-05 | 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 | 2022-07-15 | 2022-07-27 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2021-06-30 | 2021-07-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-30 | 2021-07-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-30 | 2021-07-28 | 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 | 2021-06-30 | 2021-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-30 | 2021-07-28 | N |
