B+
84/100

COLONIAL VISTA POST-ACUTE & REHAB CENTER Inspection Report, Violations & Safety Grade (WENATCHEE, Washington)

625 OKANOGAN AVE, WENATCHEE, Washington 98801

Phone: 5096631171

CMS Overall:4/5

Overview & Bed Count

Certified Beds
100
Avg Residents/Day
82.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Chelan
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityWashington AvgDifference
RN Hours per Resident per Day1.040.99+0.05
Total Nurse Hours per Resident per Day3.844.42-0.58
CMS Staffing Rating4/53.7/5-
Nursing Staff Turnover42.9%43.9%-

Health Citation History

25 health citations on record

DateCategoryDescriptionSeverity
2025-08-22Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesE – Moderate Harm Potential
2025-08-22Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2025-08-22Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-08-22Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2025-08-22Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D – Moderate Harm Potential
2025-08-22Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2025-08-22Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-08-22Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-08-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-11-15Resident Rights DeficienciesProtect a residents' right to refuse some types of non-requested transfers within the nursing home.D – Moderate Harm Potential
2024-09-27Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.F – Moderate Harm Potential
2024-09-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-09-27Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.E – Moderate Harm Potential
2024-09-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2024-09-27Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2024-09-27Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2024-09-27Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-09-27Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2024-09-27Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.D – Moderate Harm Potential
2024-09-27Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-09-27Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2023-08-08Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2023-08-08Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-08-08Pharmacy 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
2023-08-08Pharmacy 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

Fire Safety Citation History

67 fire safety citations on record

DateCategoryDescriptionSeverity
2025-08-22Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2025-08-22Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-08-22Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2025-08-22Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-08-22Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2025-08-22Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2025-08-22Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-08-22Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2025-08-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2025-08-22Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-08-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2025-08-22Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2025-08-22Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-08-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2025-08-21Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesEstablish methods for sharing information.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesProvide family notifications of emergency plan.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2024-09-27Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-09-27Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2024-09-27Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2024-09-27Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-09-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-09-27Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2024-09-27Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2024-09-27Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-09-27Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2024-09-27Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-09-27Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2024-09-27Gas, Vacuum, and Electrical Systems DeficienciesEnsure that personnel concerned with handling of medical gases and cylinders are trained on the risk.F – Moderate Harm Potential
2024-09-27Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2024-09-27Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-09-27Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2024-09-27Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2024-09-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-09-27Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.D – Moderate Harm Potential
2023-08-08Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2023-08-08Construction DeficienciesMeet other general requirements.F – Moderate Harm Potential
2023-08-08Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential

Showing 50 of 67 citations.

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-09-27Payment Denial-39 days starting 2024-12-27
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