Deficiency Records for Colonial Belle Nursing Home
Updated as of November 01, 2019
This is not the most recent data for Colonial Belle Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Colonial Belle Nursing Home. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-21 | 2019-06-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-06-21 | 2019-06-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-21 | 2019-06-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-20 | 2019-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-21 | 2019-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-21 | 2019-06-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-21 | 2019-06-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-20 | 2019-06-21 | 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 | 2019-06-20 | 2019-06-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-20 | 2019-06-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-12 | 2019-01-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-01-12 | 2019-01-23 | 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 | 2019-01-12 | 2019-01-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-12 | 2019-01-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-20 | 2018-09-30 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-28 | 2018-08-03 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-28 | 2018-07-10 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-06-28 | 2018-07-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-28 | 2018-07-05 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-28 | 2018-07-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-28 | 2018-07-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-28 | 2018-07-03 | Y |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-06-28 | 2018-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-28 | 2018-06-29 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-04 | 2017-10-18 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-10-04 | 2017-10-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-18 | 2017-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-18 | 2017-06-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-18 | 2017-06-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-18 | 2017-06-06 | Y |
| Provide clean bed and bath linens that are in good condition. | Health | 2017-05-18 | 2017-05-28 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-18 | 2017-05-28 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2017-05-18 | 2017-05-28 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-18 | 2017-05-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-05-18 | 2017-05-23 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2017-05-18 | 2017-05-22 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-05-18 | 2017-05-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-18 | 2017-05-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-05-18 | 2017-05-19 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-02-22 | 2017-03-09 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-02-22 | 2017-03-03 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-22 | 2017-03-03 | Y |
