Colonial Care Center

Ensure that residents are fully informed and understand their health status, care and treatments.

Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

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.

Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Ensure services provided by the nursing facility meet professional standards of quality.

Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Provide 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.

Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

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.

Rule F0693. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Rule F0698. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Provide care or services that was trauma informed and/or culturally competent.

Rule F0699. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

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.

Rule F0700. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

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.

Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Dispose of garbage and refuse properly.

Rule F0814. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Rule F0849. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2026.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 5, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Feb 19, 2026.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 29, 2025.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 5, 2025.

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Rule F0678. J: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Mar 6, 2025.

Provide enough food/fluids to maintain a resident’s health.

Rule F0692. J: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Mar 6, 2025.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Rule F0553. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

Rule F0557. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

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.

Rule F0578. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Rule F0604. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

PASARR screening for Mental disorders or Intellectual Disabilities

Rule F0645. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

Provide 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.

Rule F0688. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

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.

Rule F0693. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

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.

Rule F0726. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 27, 2025.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 6, 2025.

Implement 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.

Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 27, 2025.

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.

Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Rule F0800. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 26, 2025.

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Rule F0801. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 3, 2025.

Dispose of garbage and refuse properly.

Rule F0814. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 3, 2025.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Have a plan that describes the process for conducting QAPI and QAA activities.

Rule F0865. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2025.

Implement a program that monitors antibiotic use.

Rule F0881. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.

Rule F0887. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2025.

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Rule F0941. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2025.

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Rule F0944. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 5, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 3, 2025.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Rule F0553. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 4, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 4, 2024.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 4, 2024.

Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren’t provided.

Rule F0772. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 21, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 21, 2024.

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.

Rule F0693. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

Provide 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.

Rule F0688. G: actual harm. Correction date, as CMS recorded it: Mar 22, 2024.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Rule F0604. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 16, 2024.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Rule F0644. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Ensure services provided by the nursing facility meet professional standards of quality.

Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Rule F0676. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Provide activities to meet all resident’s needs.

Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

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.

Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Rule F0802. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Ensure 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.

Rule F0803. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Rule F0806. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Dispose of garbage and refuse properly.

Rule F0814. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Rule F0867. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 22, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 3, 2024.