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Deficiency Records for Colonial Health and Rehab Center, LLC
View the most recent health deficiencies and inspection results for Colonial Health and Rehab Center, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Colonial Health and Rehab Center, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-18 | 2024-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-18 | 2024-12-03 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-09-18 | 2024-11-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-18 | 2024-11-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-18 | 2024-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-18 | 2024-11-22 | 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 | 2024-09-18 | 2024-11-22 | Y |
| 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 | 2024-09-18 | 2024-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-18 | 2024-10-16 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-09-18 | 2024-10-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-18 | 2024-10-16 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-09-18 | 2024-10-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-18 | 2024-10-16 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-09-18 | 2024-10-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-18 | 2024-10-16 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-09-18 | 2024-10-16 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-09-18 | 2024-10-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-18 | 2024-10-16 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-09-18 | 2024-10-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-18 | 2024-10-16 | N |
| Post nurse staffing information every day. | Health | 2024-09-18 | 2024-10-16 | 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 | 2024-09-18 | 2024-10-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-18 | 2024-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-18 | 2024-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-18 | 2024-10-16 | 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 | 2024-09-18 | 2024-10-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-18 | 2024-10-16 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-09-18 | 2024-10-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-18 | 2024-10-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-18 | 2024-07-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-09-18 | 2024-07-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-02 | 2023-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-08 | 2021-11-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-08 | 2021-11-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-08 | 2021-11-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-08 | 2021-10-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-08 | 2021-10-01 | N |
| Provide or obtain dental services for each resident. | Health | 2021-07-08 | 2021-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-08 | 2021-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-08 | 2021-10-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-08 | 2021-10-01 | 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 | 2021-07-08 | 2021-10-01 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-07-08 | 2021-10-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-07-08 | 2021-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-08 | 2021-10-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-08 | 2021-08-09 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-07-08 | 2021-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-08 | 2021-08-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-08 | 2021-08-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-14 | 2019-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-14 | 2019-12-27 | 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 | 2019-11-14 | 2019-12-27 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-11-14 | 2019-12-27 | N |
| Provide appropriate foot care. | Health | 2019-11-14 | 2019-12-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-14 | 2019-12-27 | 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 | 2019-11-14 | 2019-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2019-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-14 | 2019-12-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-11-14 | 2019-12-27 | 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 | 2019-11-14 | 2019-12-27 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-11-14 | 2019-12-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-14 | 2019-12-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-14 | 2019-12-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-14 | 2019-12-27 | 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 | 2019-11-14 | 2019-12-27 | N |