A list of the most recent deficiencies for Colonial Belle Nursing Home Sealy. 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? |
|---|---|---|---|---|
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-11 | 2024-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-01-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-01-11 | 2024-01-18 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-11 | 2024-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-12 | 2024-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-26 | 2022-11-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-10-26 | 2022-11-24 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-10-26 | 2022-11-24 | 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 | 2022-10-26 | 2022-11-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-10-26 | 2022-11-16 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-10-26 | 2022-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-26 | 2022-11-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-26 | 2022-11-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-26 | 2022-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-24 | 2022-10-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-24 | 2022-10-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-02 | 2021-10-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-09-02 | 2021-10-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-09-02 | 2021-10-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-01 | 2021-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-01 | 2021-09-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-01 | 2021-09-23 | N |
