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COLONNADES HEALTH CARE CENTER Inspection Report, Violations & Safety Grade (CHARLOTTESVILLE, Virginia)

100 COLONNADES HILL DRIVE, CHARLOTTESVILLE, Virginia 22901

Phone: 8049634198

CMS Overall:2/5

Overview & Bed Count

Certified Beds
34
Avg Residents/Day
17.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Albemarle
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall2/5
Health1/5
Staffing5/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day1.140.71+0.43
Total Nurse Hours per Resident per Day6.773.88+2.90
CMS Staffing Rating5/52.5/5-
Nursing Staff Turnover45.7%47.5%-

Health Citation History

26 health citations on record

DateCategoryDescriptionSeverity
2024-11-01Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K – Immediate Jeopardy
2024-11-01Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K – Immediate Jeopardy
2024-11-01Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.F – Moderate Harm Potential
2024-11-01Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2024-11-01Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-11-01Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-11-01Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.E – Moderate Harm Potential
2024-11-01Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2024-11-01Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E – Moderate Harm Potential
2024-11-01Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E – Moderate Harm Potential
2024-11-01Resident Rights DeficienciesLet each resident or the resident's legal representative access or purchase copies of all the resident's records.D – Moderate Harm Potential
2024-11-01Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2024-11-01Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-11-01Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-11-01Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-11-01Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-11-01Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-11-01Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2024-11-01Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2024-11-01Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2024-11-01Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2024-11-01Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.D – Moderate Harm Potential
2023-03-15Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-03-15Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-03-15Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2021-08-25Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential

Fire Safety Citation History

2 fire safety citations on record

DateCategoryDescriptionSeverity
2023-03-15Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2021-08-25Gas, Vacuum, and Electrical Systems DeficienciesHave proper power supply for life support equipment.D – Moderate Harm Potential

Total Penalties & Fines

$74,535
Total Fine Amount (CMS)
1
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-11-01Fine$74,535-
2024-11-01Payment Denial-10 days starting 2025-02-07

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