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Deficiency Records for The Colony Healthcare Center
View the most recent health deficiencies and inspection results for The Colony Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Colony Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-17 | 2026-02-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-11 | 2025-08-29 | 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 | 2025-08-11 | 2025-08-29 | 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 | 2025-08-11 | 2025-08-29 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-08-11 | 2025-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-11 | 2025-08-29 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-08-11 | 2025-08-29 | 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 | 2025-08-11 | 2025-08-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-11 | 2025-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-11 | 2025-08-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-11 | 2025-08-29 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-11 | 2025-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-11 | 2025-08-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-11 | 2025-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-11 | 2025-08-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-11 | 2025-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-11 | 2025-08-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-03 | 2024-06-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-03 | 2024-06-12 | Y |
| 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 | 2024-03-14 | 2024-03-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-03-26 | Y |
| 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 | 2023-11-07 | 2023-12-04 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-07 | 2023-12-04 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-07 | 2023-12-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-07 | 2023-12-04 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-07 | 2023-12-04 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-07 | 2023-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-07 | 2023-12-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-11-07 | 2023-12-04 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-11-07 | 2023-12-04 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-07 | 2023-12-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-07 | 2023-12-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-07 | 2023-12-04 | 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 | 2023-11-07 | 2023-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-07 | 2023-12-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-11-07 | 2023-12-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-07 | 2023-12-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-07 | 2023-12-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-07 | 2023-12-04 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-11-07 | 2023-12-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-07 | 2023-12-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-07 | 2023-12-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-07 | 2023-12-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-17 | 2023-07-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-17 | 2023-07-26 | Y |
| 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 | 2023-07-17 | 2023-07-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-03 | 2021-06-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-06-03 | 2021-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-03 | 2021-06-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-03 | 2021-06-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-03 | 2021-06-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-06-03 | 2021-06-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-03 | 2021-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-03 | 2021-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-03 | 2021-06-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-03 | 2021-06-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-03 | 2021-06-28 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-06-03 | 2021-06-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-03 | 2021-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-03 | 2021-06-28 | N |
| Keep all essential equipment working safely. | Health | 2021-06-03 | 2021-06-28 | N |