Inspection Reports for Colonial Health Care

36 WORKMAN TER, LINCOLN, ME, 04457-1162

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

65% better than Maine average
Maine average: 5.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Census

Latest occupancy rate 89% occupied

Based on a May 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

36 45 54 63 72 81 May 2023 Jul 2024 Aug 2024 Oct 2024 Oct 2024 May 2025

Inspection Report

Annual Inspection
Census: 67 Capacity: 75 Deficiencies: 1 Date: May 9, 2025

Visit Reason
The inspection was conducted as a biennial survey and complaint investigation for Colonial Healthcare, a Level IV PNMI Residential Care Facility, to assess compliance with regulations governing assisted housing programs.

Complaint Details
The finding was confirmed with the Residential Care Director at the time of the survey on 5/9/2025.
Findings
The facility was found not in substantial compliance due to failure to ensure medications were administered correctly, specifically one of three resident records reviewed showed incorrect medication dosage administration.

Deficiencies (1)
Failure to ensure medication was administered in the correct dose for Resident #2.
Report Facts
Resident records reviewed: 3 Resident #2 medication order date: Mar 25, 2025 Medication administration record date: Apr 2, 2025

Employees mentioned
NameTitleContext
Jacqueline LibbyAdministratorAdministrator of Colonial Healthcare, signed the report

Inspection Report

Complaint Investigation
Census: 67 Capacity: 75 Deficiencies: 1 Date: May 9, 2025

Visit Reason
The inspection was conducted as a biennial survey combined with complaint investigations to assess compliance with regulations governing Level IV Residential Care Facilities.

Complaint Details
The visit included complaint investigations identified by references 2025-AHP-40697 and 2025-AHP-41048, with the medication administration error substantiated during the survey.
Findings
The facility was found not in substantial compliance due to a medication administration error where one resident was given medication at a blood pressure reading below the ordered threshold. This finding was confirmed with the Residential Care Director during the survey.

Deficiencies (1)
Facility failed to ensure medication was administered in the correct dose for one resident, specifically administering Metoprolol Tartrate despite blood pressure being below the hold threshold.
Report Facts
Resident census: 67 Total capacity: 75 Resident records reviewed: 3

Employees mentioned
NameTitleContext
Jacqueline LibbyAdministratorNamed as facility administrator
Residential Care DirectorConfirmed medication administration finding during survey

Inspection Report

Capacity: 75 Deficiencies: 0 Date: Dec 16, 2024

Visit Reason
This document is a statement of deficiencies and plan of correction for Colonial Health Care, a Level IV PNMI Residential Care Facility, related to licensing and certification oversight.

Findings
Colonial Health Care is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV Residential Care Facilities and Infection Prevention and Control, Part of 10-144, Chapter 113.

Inspection Report

Complaint Investigation
Census: 65 Capacity: 75 Deficiencies: 0 Date: Oct 9, 2024

Visit Reason
The inspection was conducted as a complaint investigation identified by case numbers 2024-AHP-38721/38879/38569.

Findings
Colonial Health Care, a Level IV PNMI Residential Care Facility, was found to be in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV Residential Care Facilities and Infection Prevention and Control.

Inspection Report

Complaint Investigation
Census: 65 Capacity: 75 Deficiencies: 0 Date: Oct 8, 2024

Visit Reason
The inspection was conducted as a complaint investigation identified as 2024-AHP-38284/38523 for Colonial Health Care, a Level IV PNMI Residential Care Facility.

Complaint Details
Complaint investigation 2024-AHP-38284/38523 completed with findings of substantial compliance.
Findings
The facility was found to be in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV Residential Care Facilities and Infection Prevention and Control, Part of 10-144, Chapter 113.

Inspection Report

Complaint Investigation
Census: 65 Capacity: 75 Deficiencies: 0 Date: Aug 14, 2024

Visit Reason
The inspection visit was conducted as a complaint investigation identified as 2024-AHP-38166.

Findings
Colonial Health Care, a Level IV PNMI Residential Care Facility, was found to be in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV Residential Care Facilities and Infection Prevention and Control.

Inspection Report

Complaint Investigation
Census: 65 Capacity: 75 Deficiencies: 0 Date: Jul 25, 2024

Visit Reason
The visit was conducted as a complaint investigation identified as 2024-AHP-37740/37823 for Colonial Health Care, a Level IV PNMI Residential Care Facility.

Complaint Details
Complaint investigation 2024-AHP-37740/37823 was completed with findings of substantial compliance.
Findings
Colonial Health Care was found to be in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV Residential Care Facilities and Infection Prevention and Control, Part of 10-144, Chapter 113.

Report Facts
Census: 65 Total Capacity: 75

Employees mentioned
NameTitleContext
Jaqualine LibbyAdministratorNamed as facility administrator

Inspection Report

Complaint Investigation
Capacity: 65 Deficiencies: 0 Date: Mar 1, 2024

Visit Reason
A complaint investigation was conducted at the facility.

Complaint Details
Complaint investigation completed with no deficiencies found.
Findings
No deficiencies were found during the complaint investigation review.

Employees mentioned
NameTitleContext
Jacqueline LibbyAdministratorNamed as the facility administrator.

Inspection Report

Complaint Investigation
Capacity: 65 Deficiencies: 0 Date: Feb 1, 2024

Visit Reason
A desk review complaint investigation was completed on 2/1/2024.

Complaint Details
Desk review complaint investigation completed with no deficiencies found.
Findings
No deficiencies were found during the review.

Employees mentioned
NameTitleContext
Jacqueline LibbyAdministratorNamed as administrator of the facility.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Sep 7, 2023

Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Colonial Health Care, a Level IV PNMI Residential Care Facility, related to licensing and functioning regulations for assisted housing programs.

Findings
Colonial Health Care is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities, Part of 10-144, Chapter 113.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 31, 2023

Visit Reason
The inspection was conducted as a complaint investigation identified as 2023-AHP-34145 for Colonial Health Care, a Level IV PNMI Residential Care Facility.

Findings
Colonial Healthcare is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities, Part of 10-144, Chapter 113.

Inspection Report

Biennial Survey
Census: 49 Capacity: 65 Deficiencies: 4 Date: May 23, 2023

Visit Reason
The visit was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs for a Level IV PNMI Residential Care Facility.

Findings
The facility was found not in substantial compliance due to deficiencies in employee records, mechanical dishwashing sanitation, lack of locks on bathing facility doors, and water temperatures exceeding the allowed maximum in resident areas.

Deficiencies (4)
Results of annual personnel evaluations were not found in employee records after 2021.
Dishwasher final rinse temperature did not meet the required minimum of 180°F, with observed temperatures not exceeding 175°F.
Bathing facility 'west shower room' lacked locks on doors or stalls, compromising resident privacy.
Water temperatures in resident areas exceeded the maximum allowed 120°F, with measurements of 122°F and 125.5°F recorded.
Report Facts
Census: 49 Total Capacity: 65 Dishwasher test cycles: 5 Water temperature: 122 Water temperature: 125.5

Employees mentioned
NameTitleContext
Jacqueline LibbyAdministratorConfirmed findings during survey and exit conference

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