Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555715

Colonial Gardens Nursing Home

109 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $44,463.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
109
Total citations
78
Last 3 years
2
Actual harm+
3
Federal penalties
$44,463
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care19 Care Planning17 Resident Rights17 Abuse & Neglect14 Medication & Pharmacy12

Most common F-tags at this facility

F6569 F6897 F8806 F6095 F7614

Citation history

109 on record
SurveyF-TagViolationSeveritySource
Dec 30, 2025F761Ensure 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.DComplaint
Dec 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 4, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Nov 18, 2025F584Honor 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.DComplaint
Nov 14, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 14, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 14, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 15, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 6, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Aug 6, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Aug 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 6, 2025F610Respond appropriately to all alleged violations.DComplaint
Aug 6, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 24, 2025F610Respond appropriately to all alleged violations.DComplaint
Jun 24, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 24, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 22, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
May 22, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
May 22, 2025F911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.EStandard
May 22, 2025F880Provide and implement an infection prevention and control program.DStandard
May 22, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 22, 2025F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
May 22, 2025F761Ensure 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.FStandard
May 22, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
May 22, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
May 22, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 22, 2025F693Ensure 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.DStandard
May 22, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 22, 2025F641Ensure each resident receives an accurate assessment.DStandard
May 22, 2025F637Assess the resident when there is a significant change in conditionDStandard
May 22, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
May 22, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 22, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
May 22, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 16, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
Apr 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 10, 2025F880Provide and implement an infection prevention and control program.DComplaint
Mar 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 18, 2024F880Provide and implement an infection prevention and control program.EComplaint
Sep 13, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Aug 21, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Aug 21, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 21, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 21, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Aug 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 27, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Jun 27, 2024F911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.EStandard
Jun 27, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Jun 27, 2024F881Implement a program that monitors antibiotic use.FStandard
Jun 27, 2024F880Provide and implement an infection prevention and control program.FStandard
Jun 27, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jun 27, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Jun 27, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 27, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 27, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Jun 27, 2024F761Ensure 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.EStandard
Jun 27, 2024F760Ensure that residents are free from significant medication errors.DStandard
Jun 27, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Jun 27, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Jun 27, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 27, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 27, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jun 27, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jun 27, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 27, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 27, 2024F641Ensure each resident receives an accurate assessment.DStandard
Jun 27, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Jun 27, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jun 27, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jun 27, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jun 27, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard
Sep 7, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 21, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
May 2, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Apr 13, 2023F880Provide and implement an infection prevention and control program.BComplaint
Apr 10, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.BComplaint
Mar 24, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 24, 2023F610Respond appropriately to all alleged violations.DComplaint
Mar 24, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 24, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 8, 2022F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Apr 8, 2022F911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.DStandard
Apr 8, 2022F880Provide and implement an infection prevention and control program.EStandard
Apr 8, 2022F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Apr 8, 2022F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
Apr 8, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 8, 2022F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FStandard
Apr 8, 2022F761Ensure 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.EStandard
Apr 8, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Apr 8, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 8, 2022F732Post nurse staffing information every day.BStandard
Apr 8, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Apr 8, 2022F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 8, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Apr 8, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Apr 8, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $44,463 .

DateTypeFinePayment denial
Aug 5, 2024Fine$36,700—
Jun 26, 2023Fine$2,470—
Jun 5, 2023Fine$5,293—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

Concerned about care at Colonial Gardens Nursing Home?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.