Inspection Reports for Colonial Manor of Randolph

The document is a Nursing Home Licensure Renewal Application for Colonial Manor of Randolph, submitted to renew the facility's license.

The document certifies that Colonial Manor of Randolph meets statutory requirements for licensure renewal as a Skilled Nursing Facility with specified services including occupational, physical, and speech therapy.

An unannounced visit was conducted to investigate a complaint at Colonial Manor Of Randolph on May 20, 2019, regarding allegations that the facility failed to provide assistance for meals, oxygen as ordered, and ADL assistance as required.

The investigation found that the facility provided assistance as required for meals, oxygen as ordered, and ADL assistance as required. Observations, interviews, and record reviews determined the facility was in compliance with relevant regulatory requirements.

The complaint alleged failure to provide assistance for meals, oxygen as ordered, and ADL assistance. The investigation determined the facility was in compliance with all these allegations.

An unannounced visit was conducted to investigate a complaint and annual survey at Colonial Manor Of Randolph on August 22, 2018-August 28, 2018.

The facility failed to ensure prompt response to calls for assistance, failed to ensure staff maintain appropriate credentials, failed to allow residents choice in bathing and getting up times, failed to provide accurate MDS assessments, failed to provide adequate ADL care, failed to provide necessary treatment for pressure ulcers, failed to provide care to maintain or improve range of motion, failed to ensure resident safety when leaving facility unattended, failed to implement nutritional interventions for residents with weight loss, failed to assess and manage pain, failed to ensure sufficient nursing staff, failed to ensure staff competency, failed to promptly report drug irregularities, failed to ensure psychotropic medication use was supported, failed to maintain medication error rate below 5%, and failed to follow food safety requirements.

Complaint investigation included allegations of failure to ensure prompt response to calls for assistance and failure to ensure staff have appropriate credentials to work at the facility. Findings substantiated both allegations.

Routine state survey inspection of Colonial Manor of Randolph to assess compliance with licensure regulations and life safety code.

The facility had multiple deficiencies including housekeeping and maintenance issues, incomplete care plans for residents at risk, failure to implement care plan interventions, fire safety code violations including kitchen hood suppression system not tied to fire alarm, incomplete fire watch and sprinkler system out of service policies, corridor door gaps, unsealed smoke barriers, lack of facility-specific evacuation plan, smoking regulation deficiencies, and oxygen safety concerns.

An unannounced visit was conducted to investigate a complaint and annual survey at Colonial Manor Of Randolph on April 11, 2016-April 14, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found in compliance with ensuring residents were safe from residents with behaviors. However, deficiencies were found related to failure to revise care plans for bruising, failure to assess and prevent bruising for residents, failure to assess accident risks for a resident leaving unsupervised, medication administration errors, improper infection control practices with glucometer cleaning, incomplete fire drill documentation, and improper installation of alcohol-based hand rub dispensers.

The complaint allegation was that the facility fails to ensure residents are safe from residents with behaviors. The investigation found the facility ensured residents were safe from residents with behaviors and was in compliance with relevant regulatory requirements.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to assist residents with pain management, bowel elimination, and failure to report allegations of abuse.

The investigation found no violations related to pain management or bowel elimination. However, the facility failed to report an allegation of potential abuse/neglect for one resident to the state agency, violating federal and state regulations.

The complaint alleged failure to assist residents with pain management, bowel elimination, and failure to report allegations of abuse. The allegation regarding abuse reporting was substantiated as the facility failed to report one resident's allegation of potential abuse/neglect to the state agency.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to protect residents from residents with behaviors and from falls with injury.

The facility was found compliant in protecting residents from adverse behaviors but failed to implement fall prevention interventions for two residents, resulting in a violation of Federal tag F 323 and 175 NAC 12-006.09D7.

The complaint alleged the facility failed to protect residents from residents with behaviors and from falls with injury. The facility was found compliant regarding behaviors but non-compliant regarding fall prevention interventions for two residents.

The inspection was the annual survey of Colonial Manor of Randolph to assess compliance with state and federal regulations governing skilled nursing facilities.

The facility was found deficient in several areas including failure to employ a qualified dietary manager, failure to notify physicians of significant weight loss, failure to respect resident choice in rising time, failure to provide individualized activity programs, failure to develop comprehensive care plans addressing fall prevention, failure to implement fall prevention interventions, failure to maintain nutritional status with appropriate interventions, and failure to accurately post nurse staffing information.

An unannounced visit was conducted to investigate a complaint at Colonial Manor Of Randolph on October 20, 2014. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found to have no violations related to abuse protection and provision of medical records. However, violations were found for failure to notify family of changes in condition and medication adjustments, and failure to ensure residents' drug regimens were free from unnecessary drugs, including lack of informed consent for antipsychotic medication changes and failure to attempt gradual dose reductions.

The complaint alleged failure to protect residents from abuse, failure to ensure drug regimens were free from unnecessary drugs, failure to notify family of changes in condition, failure to provide copies of medical records within designated time frames, failure to have informed consent to give antipsychotics, and failure to notify the department of changes in administration. The investigation found no abuse or medical record provision violations, but confirmed violations related to drug regimens, family notification, and informed consent.

Routine inspection of Colonial Manor of Randolph to assess compliance with regulatory requirements including drug regimen, immunizations, infection control, and life safety code.

The facility was found deficient in multiple areas including failure to ensure residents' drug regimens were free from unnecessary drugs, failure to offer and document pneumococcal vaccinations for some residents, failure of the pharmacist to identify drug regimen irregularities, and inadequate infection control practices including improper hand hygiene and failure to clean mechanical lifts between resident uses. The facility was in compliance with the Life Safety Code.

The inspection was conducted as a routine survey to assess compliance with regulatory requirements for skilled nursing facilities, including resident care, safety, and life safety code standards.

The facility failed to provide reasonable accommodations for residents' call light use, failed to ensure interventions to reduce fall risks and secure chemicals, and lacked proper exit signage. Specific deficiencies included call lights not within reach for several residents, failure to supervise a high fall-risk resident in the bathroom, unsecured hazardous chemicals accessible to residents, and inadequate exit signage posing evacuation risks.

The inspection was conducted as an annual survey to assess compliance with regulatory requirements for skilled nursing facilities, including housekeeping, medication administration, fall prevention, and life safety code standards.

The facility was found deficient in housekeeping and maintenance services affecting multiple resident rooms, medication administration errors for one resident, failure to implement fall prevention interventions for another resident, and multiple life safety code violations including lack of required automatic sprinkler system, unverified flame spread ratings for interior finishes, non-fire retardant window blinds, and inadequate fire safety measures.

The documents pertain to the renewal of the nursing home license for Colonial Manor of Randolph and include related administrative correspondence and occupancy permits.

The documents certify the facility's license renewal status and provide occupancy permits indicating a maximum capacity of 45 beds. No inspection findings or deficiencies are reported.

This document serves as a licensure renewal application and verification of the Skilled Nursing Facility/Nursing Facility dual certification for Colonial Manor of Randolph.

The documents confirm the facility's licensure status, ownership information, and capacity. No inspection findings or deficiencies are reported.

The document serves as a licensure renewal application and verification of licensing status for Colonial Manor of Randolph, including occupancy permit and corporate organization information.

No inspection findings or deficiencies are reported; the document primarily contains administrative and licensing information.

This document set serves as the renewal application and verification of licensure for Colonial Manor of Randolph skilled nursing facility, including occupancy permit and corporate information.

The documents confirm the facility's licensure renewal through 3/31/2025, list the licensed bed capacity as 45, and include the Nebraska State Fire Marshal occupancy permit issued 5/6/2021 for 45 beds.

The documents pertain to the licensure renewal and regulatory compliance of Colonial Manor of Randolph, including renewal application, ownership information, and fire safety occupancy permit.

No inspection findings or deficiencies are reported in these documents. They primarily provide licensing, ownership, and occupancy information.

The documents serve to certify the renewal of the SNF/NF dual certification license for Colonial Manor of Randolph and to provide the occupancy permit issued by the Nebraska State Fire Marshal.

The facility is licensed through 3/31/2021 with a maximum occupancy of 45 beds as per the fire marshal occupancy permit issued on 1/13/2020. No inspection findings or deficiencies are reported in these documents.

This document is related to the renewal of the nursing home license for Colonial Manor of Randolph, verifying licensure through the indicated renewal date.

The document confirms that Colonial Manor of Randolph meets statutory requirements for SNF/NF dual certification and includes information on licensure renewal, ownership, and facility capacity.

This document is a Nursing Home Licensure Renewal Application for Colonial Manor of Randolph, indicating the facility is applying to renew its license to operate as a Skilled Nursing Facility.

The document certifies that Colonial Manor of Randolph meets statutory requirements for licensure renewal and includes ownership and organizational information, but does not report any inspection findings or deficiencies.

The documents serve as a renewal application and verification of licensure for Colonial Manor of Randolph as a skilled nursing facility.

No inspection findings are reported; the documents include license renewal application details, corporate organization chart, occupancy permit, and a fire evacuation plan.