Deficiency Records for The Colonnades at Reflection Bay
Updated as of January 01, 2023
This is not the most recent data for The Colonnades at Reflection Bay. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-22 | 2022-08-26 | 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 |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-24 | 2021-05-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-22 | 2021-01-05 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-28 | 2020-02-28 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-01-28 | 2020-02-28 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-09 | 2020-01-15 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-15 | 2019-12-05 | 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 | 2019-11-15 | 2019-12-01 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-15 | 2019-12-01 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-11-15 | 2019-11-19 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-15 | 2019-11-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-15 | 2019-11-19 | N |