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Deficiency Records for Colonial Vista Post-Acute and Rehab Center
View the most recent health deficiencies and inspection results for Colonial Vista Post-Acute and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Colonial Vista Post-Acute and Rehab Center. 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 | 2025-08-22 | 2025-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-22 | 2025-09-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-22 | 2025-09-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-08-22 | 2025-09-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-08-22 | 2025-09-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-21 | 2025-09-17 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-22 | 2025-09-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-08-22 | 2025-09-17 | N |
| Provide activities to meet all resident's needs. | Health | 2025-08-22 | 2025-09-17 | 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 | 2025-08-22 | 2025-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-22 | 2025-09-17 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-22 | 2025-09-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-27 | 2025-02-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-27 | 2025-01-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-27 | 2024-12-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-09-27 | 2024-12-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-09-27 | 2024-12-05 | N |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2024-11-15 | 2024-12-04 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Establish methods for sharing information. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-09-27 | 2024-11-15 | 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 | 2024-09-27 | 2024-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-27 | 2024-11-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-27 | 2024-10-28 | 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 | 2024-09-27 | 2024-10-28 | 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 | 2024-09-27 | 2024-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-27 | 2024-10-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-27 | 2024-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-27 | 2024-10-28 | 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 | 2024-09-27 | 2024-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-27 | 2024-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-27 | 2024-10-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-09-27 | 2024-10-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-09-27 | 2024-10-28 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-08 | 2023-09-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-08 | 2023-08-30 | 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 | 2023-08-08 | 2023-08-30 | 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 | 2023-08-08 | 2023-08-30 | 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 | 2023-08-08 | 2023-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-08-08 | 2023-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-08 | 2023-08-15 | 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 | 2023-08-08 | 2023-08-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-08 | 2023-08-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-08 | 2023-08-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-08 | 2023-08-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-08 | 2023-08-03 | N |
| Meet other general requirements. | Fire Safety | 2023-08-08 | 2023-08-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-08 | 2023-08-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-08 | 2023-08-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-08 | 2023-08-02 | N |