Colonial Manor Nursing Home

Total Number of Beds: 100	Percent of Occupied Beds: 57%
Total Number of Residents: 57	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 07/07/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.21

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.75

Number of CNA Hours per Nursing Home Resident per Day: 2.48

Number of Staff Hours per Nursing Home Resident per Day: 3.44

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 7%
Percent of Residents Who Have Moderate to Severe Pain: 13%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 0%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 19%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 0%
Percent of Residents Who are More Depressed or Anxious: 4%
Percent of Residents Who Were Physically Restrained: 25%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 29%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 13%
Percent of Residents With a Urinary Tract Infection: 8%
** Details Last Reported on: 7/7/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-01-11	2001-02-20	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Minimal harm or potential for actual harm
2001-01-11	2001-02-20	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2001-01-11	2001-02-20	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2002-05-22	2002-05-24	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
2002-05-22	2002-05-24	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
2002-05-22	2002-05-24	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2002-05-22	2002-05-24	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2002-05-22	2002-05-24	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Pattern	Minimal harm or potential for actual harm
2002-05-22	2002-05-24	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Immediate jeopardy to resident health or safety
2003-07-07	2003-08-01	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Actual harm
2003-07-07	2003-10-20	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Actual harm
2003-07-07	2003-10-20	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	Isolated	Actual harm
2003-07-07	2003-10-20	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
2003-07-07	2003-07-23	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-08-11	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-08-04	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Widespread	Potential for minimal harm
2003-07-07	2003-08-01	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
2003-07-07	2003-10-20	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-10-20	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-10-20	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-08-04	Resident Assessment Deficiencies	Keep assessments completed in the preceding 15 months in the resident's active record.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-08-08	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
2003-07-07	2003-10-20	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2003-07-07	2003-10-20	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
2003-07-07	2003-10-20	Quality Care Deficiencies	Make sure that a resident who has been able to eat enough alone or with help is not fed by a feeding tube, if possible.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-07-07	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Immediate jeopardy to resident health or safety
2003-07-07	2003-08-11	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-08-04	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-10-20	Quality Care Deficiencies	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Isolated	Actual harm
2003-07-07	2003-10-20	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-08-01	Pharmacy Service Deficiencies	Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-08-01	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-10-20	Quality Care Deficiencies	Use a registered nurse at least 8 hours a day, 7 days a week.	Widespread	Minimal harm or potential for actual harm
2003-07-07	2003-10-20	Quality Care Deficiencies	Give or get special rehabilitation if in the patient's plan of care.	Isolated	Actual harm
2003-07-07	2003-10-20	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-07-23	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2003-07-07	2003-09-11	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-09-11	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-08-04	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
2003-07-07	2003-09-11	Administration Deficiencies	Hold committee meetings every 3 months to review and ensure quality in the nursing home.	Pattern	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.