Colonial Vista Senior Living

Facility failed to implement a safe medication delivery system, resulting in Resident 2 receiving a significant overdose of methadone (8ml instead of 0.8ml) due to incorrect measurement.

Facility failed to ensure sufficient staff were trained to meet medication needs for residents, leading to delayed pain relief for Resident 1 and placing residents at risk for medication errors.

Sprinkler head with paint on the deflector in the Riser Room.

Fire-resistance rated door to Room #12 had 1 inch of clearance; penetration in Elevator Room due to new cables.

Facility unable to provide documentation for annual servicing and annual 4-hour load bank testing of the emergency generator.

The facility failed to implement immediate control measures when water tested positive for Legionella, resulting in an imminent health hazard and worsening health complications for a resident.

The facility failed to report to the Department's Complaint Resolution Unit when the Local Health Jurisdiction found the facility's water tested positive for Legionella and required service interruption.

Failed to implement immediate control measures for Legionella contamination after tests were positive, causing an imminent health hazard and hospitalization of a resident.

Failed to report to the Department when the facility had a positive Legionella test of the water and when water service required interruption.

The facility failed to ensure staff held required credentials to be delegated as medication technicians, and failed to maintain written delegation instructions in the resident's chart for delegation tasks (macy catheter). Residents received care from uncredentialed staff without access to necessary instructions.