All citations for Colby Operator, LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

June 11, 2025

Showing 1 to 25 of 63 citations

Immediate jeopardy to resident health or safety
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level J.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 12, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 11, 2024).
No harm, with potential for more than minimal harm
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Widespread (many residents). CMS level F.
Health citation F-0729, Nursing and Physician Services Deficiencies. Inspection of June 11, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (July 25, 2025).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 3, 2023).
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Widespread (many residents). CMS level F.
Health citation F-0851, Administration Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 3, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 3, 2023).
No harm, with potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Widespread (many residents). CMS level F.
Health citation F-0925, Environmental Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 3, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2023).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 13, 2022).
No harm, with potential for more than minimal harm
Establish an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2022).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2022).
No harm, with potential for more than minimal harm
Develop a communication plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2022).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2022).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2022).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2022).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2022).
No harm, with potential for more than minimal harm
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0901, Electrical Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, Egress Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2025).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.