Colony Oaks Care Ctr

601 N BRIARCLIFF DR
Appleton, WI 54915
(920) 739-4466
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 92
Number of Residents: 70
Percent of Occupied Beds: 76%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? Yes
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 2 Star Nurse Staffing Rating
Quality Measures: 2 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071008 Health Mistreatment Deficiencies 1) Hire only people who have 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. Pattern Minimal harm or potential for actual harm 20071108
20071008 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm 20071108
20071008 Health Administration Deficiencies Keep accurate and appropriate medical records. Widespread Potential for minimal harm 20071108
20071029 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20071127
20080424 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080523
20080424 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20080523
20080505 Health Mistreatment Deficiencies 1) Hire only people who have 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. Isolated Minimal harm or potential for actual harm 20080616
20080505 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20080523
20080505 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20080523
20090121 Health Pharmacy Service Deficiencies Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. Widespread Potential for minimal harm 20090203
20090401 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Immediate jeopardy to resident health or safety 20090401
20090401 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090401
20090505 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20090508
20090817 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety
20090817 Health Quality Care Deficiencies Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated Immediate jeopardy to resident health or safety
20090817 Health Resident Assessment Deficiencies Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. Isolated Minimal harm or potential for actual harm
20090817 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Actual harm
20090817 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Widespread Minimal harm or potential for actual harm
20091027 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Actual harm 20091125
20100224 Health Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. Isolated Minimal harm or potential for actual harm 20100318
20100224 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20100318
20100224 Health Administration Deficiencies Make sure that nurse aides show they have the skills to be able to care for residents. Isolated Minimal harm or potential for actual harm 20100318
20100505 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20100521
20100505 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated Minimal harm or potential for actual harm 20100521
20100728 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated Minimal harm or potential for actual harm 20100825
20100728 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm 20100825
20100728 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20100825
20100728 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20100825
20100728 Health Resident Rights Deficiencies Let residents give themselves their drugs if they are able. Isolated Minimal harm or potential for actual harm 20100825
20100728 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20100825
20100728 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Pattern Minimal harm or potential for actual harm 20100825
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 80
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 77
Percent of long-stay residents whose need for help with daily activities has increased: 24
Percent of long-stay residents who have moderate to severe pain: 3
Percent of high-risk long-stay residents who have pressure sores: 11
Percent of low-risk long-stay residents who have pressure sores: 10
Percent of long-stay residents who were physically restrained: 6
Percent of long-stay residents who are more depressed or anxious: 18
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 54
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 2
Percent of long-stay residents who spend most of their time in bed or in a chair: 2
Percent of long-stay residents whose ability to move about in and around their room got worse: 17
Percent of long-stay residents who had a urinary tract infection: 6
Percent of long-stay residents who lose too much weight: 8
Percent of short-stay residents given influenza vaccination during the flu season: 68
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 55
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 28
Percent of short-stay residents who have pressure sores: 8
# of Residents: 70
# RN Hours per Resident: 0.87
# LPN Hours per Resident: Unknown
# CNA Hours per Resident: 2.26
Total Staff Hours per Resident: 0.87