A list of the most recent deficiencies for The Colonnades at Reflection Bay. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-08 | 2023-12-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-07 | 2023-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-07 | 2023-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-07 | 2023-12-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-13 | 2023-10-24 | Y |
| 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 | 2023-10-13 | 2023-10-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-13 | 2023-10-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-06 | 2023-05-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-06 | 2023-05-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-08 | 2022-11-11 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-30 | 2022-11-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-30 | 2022-11-11 | Y |
| 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 | 2022-09-30 | 2022-11-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-30 | 2022-11-11 | Y |
| 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 and maintain the bed rail. | Health | 2022-09-30 | 2022-11-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-30 | 2022-11-11 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-09-30 | 2022-11-11 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-28 | 2022-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-08 | 2022-09-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-22 | 2022-08-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-07 | 2022-08-17 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-07 | 2022-08-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-21 | 2021-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-21 | 2021-09-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-21 | 2021-09-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-21 | 2021-09-01 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-07-21 | 2021-09-01 | 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 | 2021-07-21 | 2021-09-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-21 | 2021-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-16 | 2021-08-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-16 | 2021-08-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-21 | 2021-08-23 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-06-21 | 2021-08-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-21 | 2021-08-01 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-20 | 2021-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-20 | 2021-07-29 | 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 | 2021-04-15 | 2021-05-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-15 | 2021-05-15 | Y |
