A list of the most recent deficiencies for Cole Place. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-08 | 2023-07-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-08 | 2023-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-08 | 2023-07-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-08 | 2023-07-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-02 | 2023-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-02 | 2023-07-11 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-06-02 | 2023-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-02-06 | Y |
| 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 | 2022-06-24 | 2022-08-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-24 | 2022-08-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-24 | 2022-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-24 | 2022-08-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-24 | 2022-08-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-24 | 2022-08-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-24 | 2022-08-08 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2022-06-24 | 2022-08-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-30 | 2022-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-30 | 2022-08-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-30 | 2022-08-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-30 | 2022-08-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-24 | 2021-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-24 | 2021-08-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-06-24 | 2021-08-09 | N |
| 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 | 2021-06-24 | 2021-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-08-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-24 | 2021-08-09 | N |
