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Facility profile · CCN 495392

Colonial Health & Rehab Center, Llc

62 federal citations on record , and 1 federal enforcement actions totaling $78,455.

Record summary

Federal record · Q1 2026
62
Total citations
30
Last 3 years
4
Actual harm+
1
Federal penalties
$78,455
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

62 on record
SurveyF-TagViolationSeveritySource
Sep 18, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Sep 18, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 18, 2024F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DComplaint
Sep 18, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
Sep 18, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Sep 18, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Sep 18, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.GComplaint
Sep 18, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Sep 18, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint
Sep 18, 2024F693Ensure 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.DComplaint
Sep 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Sep 18, 2024F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DComplaint
Sep 18, 2024F880Provide and implement an infection prevention and control program.FStandard
Sep 18, 2024F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DStandard
Sep 18, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Sep 18, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 18, 2024F732Post nurse staffing information every day.DStandard
Sep 18, 2024F700Try 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.DStandard
Sep 18, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Sep 18, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 18, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Sep 18, 2024F641Ensure each resident receives an accurate assessment.DStandard
Sep 18, 2024F625Notify 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.DStandard
Sep 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Sep 18, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard
Sep 18, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Sep 18, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Sep 18, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 2, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jul 8, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jul 8, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 8, 2021F791Provide or obtain dental services for each resident.DStandard
Jul 8, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 8, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 8, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jul 8, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 8, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jul 8, 2021F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jul 8, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 8, 2021F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Jul 8, 2021F578Honor 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.EStandard
Jul 8, 2021F558Reasonably accommodate the needs and preferences of each resident.EStandard
Jul 8, 2021F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Jul 8, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 14, 2019F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Nov 14, 2019F880Provide and implement an infection prevention and control program.DStandard
Nov 14, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 14, 2019F758Implement 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.DStandard
Nov 14, 2019F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Nov 14, 2019F687Provide appropriate foot care.DStandard
Nov 14, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 14, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 14, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Nov 14, 2019F641Ensure each resident receives an accurate assessment.DStandard
Nov 14, 2019F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BStandard
Nov 14, 2019F625Notify 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.EStandard
Nov 14, 2019F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard
Nov 14, 2019F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Nov 14, 2019F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Nov 14, 2019F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Nov 14, 2019F584Honor 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.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $78,455 .

DateTypeFinePayment denial
Sep 18, 2024Fine$78,455
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.

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