A list of the most recent deficiencies for Colonial Pines Healthcare Center. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-06 | 2023-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-07 | 2023-09-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-07 | 2023-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-07 | 2023-09-13 | 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 | 2023-09-07 | 2023-09-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-07 | 2023-09-13 | 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 | 2023-09-07 | 2023-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-07 | 2023-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-09-13 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-09-07 | 2023-09-13 | N |
| Provide training in compliance and ethics. | Health | 2023-09-07 | 2023-09-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-06 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-03 | 2023-06-04 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-07-27 | 2022-08-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-27 | 2022-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-27 | 2022-08-23 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-14 | 2021-05-28 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-14 | 2021-05-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-14 | 2021-05-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-14 | 2021-05-28 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-13 | 2021-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-13 | 2021-04-15 | N |
