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Deficiency Records for Colonial Manor Nursing Home
View the most recent health deficiencies and inspection results for Colonial Manor Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Colonial Manor Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-05 | 2026-04-17 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2026-03-05 | 2026-04-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-21 | 2025-09-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-21 | 2025-08-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-21 | 2025-08-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-07-21 | 2025-08-22 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-07-21 | 2025-08-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-06 | 2025-03-15 | 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 | 2025-02-06 | 2025-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-06 | 2025-02-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-25 | 2024-10-22 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-01 | 2024-05-06 | 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 | 2023-12-01 | 2024-05-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-08 | 2024-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-30 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-01 | 2024-01-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-01 | 2024-01-30 | Y |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-12-01 | 2024-01-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-08 | 2023-09-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-08 | 2023-05-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-08 | 2023-05-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-08 | 2023-05-05 | 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 | 2023-02-08 | 2023-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-08 | 2023-05-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-08 | 2023-05-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-08 | 2023-05-05 | N |
| Have an externally vented heating system. | Fire Safety | 2023-02-08 | 2023-05-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-02-08 | 2023-04-28 | N |