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Colonial Lakes Health Care

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 180
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 04/13/2012

Date of last standard health inspection: 04/13/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 3
Average number of Health Deficiencies in FL: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in FL: 0 - 15
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/02/2012 00/02/2001 Few complete and organized clinical records on each re
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/02/2012 00/02/2001 3 Few
Give or get emergency care by a doctor 24 hours a day. 00/02/2012 00/02/2001 2 Few

Inspection, 01/05/2011

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/05/2011 02/07/2012 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/05/2011 02/07/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 01/05/2011 02/07/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/05/2011 02/07/2012 2 Few

Inspection, 00/03/2011

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide timely notification to the resident before transfer or discharge. 00/03/2011 00/06/2012 2 Few

Inspection, 00/03/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/03/2008 01/03/2009 2 Some
Keep all essential equipment working safely. 00/03/2008 01/03/2009 2 Some

Inspection, 02/01/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly care for residents needing special services 02/01/2006 01/08/2007 colostomy including: injections

Inspection, 01/05/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/05/2004 02/05/2005 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/05/2004 02/05/2005 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/05/2004 02/05/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 01/05/2004 02/05/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/05/2004 02/05/2005 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/05/2004 02/05/2005 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/05/2004 02/05/2005 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/05/2004 02/05/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/05/2004 00/08/2007 2 Few

Inspection, 01/03/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2004 01/03/2005 2 Few
Have a program that investigates 01/03/2004 01/03/2005 Few controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/03/2004 01/03/2005 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/03/2004 01/03/2005 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/03/2004 01/03/2005 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/03/2004 01/03/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/03/2004 01/03/2005 2 Few
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 01/03/2004 01/03/2005 2 Few
Conduct initial and periodic assessments of each resident's functional capacity. 01/03/2004 01/03/2005 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/03/2004 01/03/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 01/03/2004 01/03/2005 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/03/2004 01/03/2005 2 Few

Inspection, 01/08/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/08/2003 02/06/2004 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/08/2003 01/08/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2003 01/08/2004 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/08/2003 01/08/2004 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/08/2003 02/06/2004 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/08/2003 01/08/2004 2 Few
Store, cook, and serve food in a safe and clean way. 01/08/2003 01/08/2004 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/08/2003 01/08/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/08/2003 01/08/2004 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/08/2003 01/08/2004 2 Few
Ensure residents maintain acceptable nutritional status. 01/08/2003 01/08/2004 2 Few
Provide routine and 24-hour emergency dental care for each resident. 01/08/2003 01/08/2004 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia 01/08/2003 02/06/2004 vomiting diarrhea
Properly care for residents needing special services 01/08/2003 02/06/2004 colostomy including: injections
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/08/2003 01/08/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/08/2003 01/08/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/08/2003 01/08/2004 2 Few

Inspection, 02/04/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/04/2001 02/04/2002 2 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in FL Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 106 173
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 8 hours 15 minutes 1 hour 16 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 7 hours 17 minutes 24 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 37 minutes 52 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 9 hours 26 minutes 2 hours 39 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 04/10/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/10/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in FL: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in FL: 0 - 0

Inspection, 01/03/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/03/2004 01/03/2005 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/03/2004 01/03/2005 1 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/03/2004 01/03/2005 2 Few

Inspection, 01/00/2004

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 01/00/2004 02/03/2005 2 Few
Properly protected cooking facilities. 01/00/2004 02/03/2005 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/00/2004 02/03/2005 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/00/2004 02/03/2005 2 Few

Inspection, 01/04/2003

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/04/2003 01/09/2004 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/04/2003 01/09/2004 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/04/2003 01/09/2004 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/04/2003 01/09/2004 2 Few
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 01/04/2003 01/09/2004 2 Few
 

15204 W Colonial Dr
Winter Garden, FL 34787

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