All citations for Colonial Manor Nursing Home

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.

Back to Colonial Manor Nursing Home

Last standard health inspection on record

February 6, 2025

Showing 1 to 12 of 12 citations

  1. 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 February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  2. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 15, 2024).

  3. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0919, Environmental Deficiencies. Inspection of February 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 15, 2024).

  4. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  5. 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 February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  6. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home has a plan to correct it (September 5, 2023).

  7. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  8. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  9. No harm, with potential for more than minimal harm

    Have an externally vented heating system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0522, Services Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  10. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

  11. No harm, with potential for more than minimal harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2023).

  12. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0921, Environmental Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2023).

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.