All citations for Colonial Village

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 Village

Last standard health inspection on record

October 31, 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 25 of 52 citations

Harm to a resident
Provide enough food/fluids to maintain a resident's health.
Isolated (one or a few residents). CMS level G.
Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 21, 2024).
No harm, with potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Widespread (many residents). CMS level F.
Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 21, 2024).
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 October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 21, 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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 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 October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2025).
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 October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 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 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 28, 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 November 2, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 30, 2021).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of November 2, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 7, 2022).
No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Widespread (many residents). CMS level F.
Fire safety citation K-0131, Construction Deficiencies. Inspection of November 2, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 7, 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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 2, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 7, 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 November 2, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 7, 2022).
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 November 2, 2021. Found during a standard inspection.
A waiver was granted (January 7, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 2, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 7, 2022).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 2, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (January 7, 2022).
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 October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 21, 2024).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pattern (more than a few residents). CMS level E.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 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.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2023).
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 June 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 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.