Colonial Village

In the surveyor’s words

From the most serious findings on record at Colonial Village, in the surveyor’s own words.

• Actual harm, isolatedF692Oct 31, 2024

  The facility identified a census of 36 residents. The sample included 13 residents with one reviewed for nutrition. Based on observation, record review, and interviews, the facility failed to provide nutritional interventions to prevent Resident (R)25's identified and continued slow weight loss. As a result of the deficient practice, R25 had a significant unplanned weight loss of 13.06 percent (%) within three months. This also placed R25 at risk for malnourishment related complications. […]

• Actual harm, isolatedF689Oct 19, 2022

  The facility reported a census of 31 residents. The sample included three residents reviewed for accidents. Based on record review, interview, and observation the facility failed to ensure one resident was free from avoidable accidents and injury when staff failed to provide two staff members with the use of a Hoyer lift (total body mechanical lift used to transfer residents) to transfer Resident (R)1 from the bed to her wheelchair safely. Subsequently, R1's head hit the Hoyer lift, which resulted in a laceration that required five stitches. Findings included: - R1's Electronic Medical Record (EMR), under the Diagnosis tab recorded diagnoses of [CONDITION(S)] due to excess calories, reduced mobility, history of falling, need for assistance with personal care, and restlessness. […]

• No harm, potential for more than minimal, widespreadF730Oct 31, 2024

  The facility had a census of 36 residents. The sample included 13 residents. Five Certified Nurse Aides (CNAs) were reviewed for yearly performance evaluations and in-service training. Based on record review and interview, the facility failed to ensure one of the five reviewed CNA staff had the required yearly performance evaluations completed. This placed the residents at risk for inadequate care. Findings included: - A review of the facility's performance evaluation and in-service records revealed the following: CNA O, hired on 06/21/23, had no yearly performance evaluations. On 10/31/24 at 12:15 PM Administrative Nurse D stated the facility did not have the required yearly performance evaluations for CNA O. […]

• No harm, potential for more than minimal, widespreadF812Oct 31, 2024

  The facility identified a census of 36 residents with one kitchen and two dining rooms with kitchenettes. Based on observation, record review, and interviews, the facility failed to follow sanitary dietary standards related to the storage of food. This deficient practice placed the residents at risk related to food-borne illnesses. Findings Included: - On [DATE] an inspection of the facility's kitchen was completed. An inspection of the walk-in refrigerator unit revealed an open but undated half-gallon carton of milk and a carton of heavy whipping cream. An inspection of the back hall kitchenette revealed an unlabeled plate of spinach and beef sandwich and an undated bag with dessert pastries. […]

• No harm, potential for more than minimal, widespreadF880Nov 2, 2021

  The facility reported a census of 37 residents. The facility identified one Resident (R)13, on transmission-based precautions. Based on observation, interview, and record review, the facility failed to ensure the housekeeping staff cleaned a contact precaution room in a sanitary manner to ensure effective/appropriate disposal of the trash in the room and the cleaning cloths in the appropriate receptacle. These failures had the potential for affect all residents in the facility. Findings included: - The physician progress notes [MEDICAL RECORD OR PHYSICIAN ORDER] . On 11/02/21 at 10:55 AM, R13's room observed to have a covered bin with a red bag and a covered bin with a yellow bag near the room door. A sign on the door indicated contact [MEDICATION(S)] (intestinal) precautions. […]