All citations for Colonial Oaks Health Care Center

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 Oaks Health Care Center

Last standard health inspection on record

July 26, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 23 of 23 citations

No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0131, Construction Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 26, 2023).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2022).
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 17, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2022).
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 17, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2022).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2022).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2022).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Isolated (one or a few residents). CMS level D.
Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Isolated (one or a few residents). CMS level D.
Health citation F-0623, Resident Rights Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 14, 2022).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Isolated (one or a few residents). CMS level D.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 14, 2022).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 14, 2022).
No harm, with potential for minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level C.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level C.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level C.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.