Colonial Health & Rehab Center, LLC

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

Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 31, 2024.

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. Correction date, as CMS recorded it: Jul 31, 2024.

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Rule F0622. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Rule F0623. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

Notify 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.

Rule F0625. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 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: Oct 16, 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. Correction date, as CMS recorded it: Oct 16, 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: Oct 16, 2024.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 22, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 22, 2024.

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

Post nurse staffing information every day.

Rule F0732. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Rule F0756. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

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

Rule F0757. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

Employ 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.

Rule F0840. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

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: Oct 16, 2024.

Provide safe, appropriate pain management for a resident who requires such services.

Rule F0697. G: actual harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.

Obtain a doctor’s order to admit a resident and ensure the resident is under a doctor’s care.

Rule F0710. G: actual harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.

Provide doctor’s orders for the resident’s immediate care at the time the resident was admitted.

Rule F0635. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 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. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 22, 2024.

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Rule F0694. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.

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. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Rule F0804. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 22, 2024.

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Rule F0805. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.

Ensure 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.

Rule F0836. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.

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

Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.

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. From a complaint. Correction date, as CMS recorded it: Nov 22, 2024.