Colonial Court Assisted Living and Memory Care

Facility failed to administer medications as prescribed (carvedilol) for 1 resident when blood pressure or heart rate parameters were not met.

Facility failed to ensure residents in memory care were aware that medications were mixed into pudding; staff referred to them as 'sweet treats' or 'vitamins'.

Facility failed to ensure staff completed required continuing education hours and specialty training (mental health/dementia).

Facility lacked documentation meeting regulatory requirements for family plans regarding medication/treatment assistance.

Facility did not have an outdoor communication system for residents, staff, and visitors.

Facility was not using a sanitizer for house laundry.

Facility failed to complete full assessments within 14 days of admission for 2 residents and failed to complete safety assessments for medical devices (bedrails/trapeze) for 3 residents.

Facility failed to order medications in a timely manner for 2 residents, resulting in missed doses.

Observed moldy produce, uncovered food in refrigerator and sandwich station, and lack of proper labeling/dating of opened food packages.

Facility did not have all negotiated service agreements signed annually by residents or their representatives.

TB testing records were missing for staff due to turnover of the employee who previously managed them.

Water temperatures were not within the required 105 F to 120 F range during the July 2025 check.

Extension cord in use in room 4-2.

9 smoke detector devices failed sensitivity test.

Unapproved multiplug adapter in use in room 2-9.

Missing UL test documentation for specific sprinkler heads, dry sprinkler head in refrigerator/freezer dated 2018, and failure to replace module covers for supervisory switches.

Key pads at each exit with no posted codes within 6 feet.

The facility failed to report a reported incident of alleged sexual abuse to the department, although they did report it to law enforcement.

Facility failed to update care plans regarding resistance to care and failed to ensure laundry services were negotiated in writing with residents or representatives.

Facility failed to monitor and document new/recurring resistive behaviors and did not have an adequate system to determine if interventions were needed.

Facility failed to ensure the administrator or a qualified designee was available to address concerns related to sampled residents.