Deficiency Records for Colonial Manor Advanced Rehab and Healthcare
Updated as of October 01, 2019
This is not the most recent data for Colonial Manor Advanced Rehab and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Colonial Manor Advanced Rehab and Healthcare. 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? |
|---|---|---|---|---|
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-07-18 | 2019-08-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-11 | 2019-02-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-11 | 2019-02-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-01-11 | 2019-02-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-11 | 2019-02-02 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-01-11 | 2019-02-02 | 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 | 2019-01-11 | 2019-02-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-11 | 2019-02-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-11 | 2019-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-11 | 2019-02-02 | N |
| Provide appropriate foot care. | Health | 2019-01-11 | 2019-02-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-11 | 2019-02-02 | 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 | 2019-01-11 | 2019-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-11 | 2019-02-02 | 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 | Health | 2019-01-11 | 2019-02-02 | 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 | 2019-01-11 | 2019-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-11 | 2019-02-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-11 | 2019-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-23 | 2018-03-15 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2017-12-15 | 2018-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-15 | 2018-01-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-15 | 2018-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-15 | 2018-01-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-15 | 2018-01-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-15 | 2018-01-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-15 | 2018-01-10 | 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 | 2017-12-15 | 2018-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-15 | 2018-01-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-15 | 2018-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-15 | 2018-01-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2017-12-15 | 2018-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-12-13 | 2017-12-26 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-12-13 | 2017-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-13 | 2017-12-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-09 | 2016-12-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-09 | 2016-12-06 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-09 | 2016-12-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-02 | 2016-12-03 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-09 | 2016-12-03 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-09 | 2016-12-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-09 | 2016-12-02 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-11-09 | 2016-12-02 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2016-11-09 | 2016-11-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-09 | 2016-11-24 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-11-09 | 2016-11-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-11-09 | 2016-11-10 | N |
