Casa Coloma Health Care Center Complaints, Violations and Inspection Records

April 24, 2026, standard and complaint inspections

18 deficiencies cited. Surveyors cited the facility for develop and implement policies and procedures to prevent abuse, neglect, and theft, ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, and provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

• F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity E)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
• F0761Ensure 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. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0578Honor 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. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity D)
• F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (scope and severity D)
• F0760Ensure that residents are free from significant medication errors. (scope and severity D)
• F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (scope and severity D)
• F0906Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. (scope and severity D)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

January 31, 2025, standard inspection

15 deficiencies cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, ensure medication error rates are not 5 percent or greater, and ensure 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.

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)

• F0761Ensure 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. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity E)
• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
• F0685Assist a resident in gaining access to vision and hearing services. (scope and severity D)
• F0693Ensure 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. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0758Implement 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. (scope and severity D)
• F0825Provide or get specialized rehabilitative services as required for a resident. (scope and severity D)
• F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

October 30, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality and make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
• F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity D)

June 18, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

• F0880Provide and implement an infection prevention and control program. (scope and severity D)

March 6, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals and ensure 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.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0761Ensure 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. (scope and severity D)

February 8, 2024, standard inspection

3 deficiencies cited. Surveyors cited the facility for pasarr screening for mental disorders or intellectual disabilities, develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals, and provide and implement an infection prevention and control program.

• F0645PASARR screening for Mental disorders or Intellectual Disabilities (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)

• F0880Provide and implement an infection prevention and control program. (scope and severity D)

February 3, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop and implement policies and procedures to prevent abuse, neglect, and theft.

• F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity D)

February 2, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

November 29, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide enough food/fluids to maintain a resident's health.

• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)

September 30, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

September 1, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor 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.

• F0584Honor 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. (scope and severity D)

August 21, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing.

• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)