Deficiency Records for Colonial Belle Nursing Home Sealy
Updated as of July 01, 2022
This is not the most recent data for Colonial Belle Nursing Home Sealy. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-09 | 2020-10-15 | Y |
Establish emergency prep training and testing. | Fire Safety | 2019-08-07 | 2019-09-05 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-08-07 | 2019-09-05 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-08-07 | 2019-08-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-07 | 2019-08-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-07 | 2019-08-29 | 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 | 2019-08-09 | 2019-08-23 | 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 | 2019-08-09 | 2019-08-12 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-08-09 | 2019-08-12 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-09 | 2019-08-12 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-09 | 2019-08-12 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-24 | 2018-09-13 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-24 | 2018-09-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-24 | 2018-09-12 | N |
Provide and implement an infection prevention and control program. | Health | 2018-08-24 | 2018-09-06 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-08-24 | 2018-09-05 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-24 | 2018-09-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-24 | 2018-09-05 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-24 | 2018-09-05 | N |
Ensure that residents are free from significant medication errors. | Health | 2018-08-24 | 2018-09-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-24 | 2018-09-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-24 | 2018-09-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-23 | 2018-08-31 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-23 | 2018-08-31 | N |