Colonial Health Services

Penalties

• Aug 19, 2025 — Fine ($22,191)

Inspection findings

1. Aug 19, 2025 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Sep 15, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 15, 2025 · CMS health inspection

2. May 21, 2025 Health · 8 findings
   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jun 21, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 21, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jun 21, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jun 21, 2025 · CMS fire safety

3. Oct 7, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Oct 24, 2024 · CMS health inspection

4. Mar 14, 2024 Health · 5 findings
   • Not serious Scope/severity D

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Apr 3, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 3, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Apr 3, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Apr 3, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Apr 3, 2024 · CMS fire safety

5. Feb 16, 2023 Health · 8 findings
   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Mar 13, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0916 Gas, Vacuum, and Electrical Systems Deficiencies

     Have a battery powered remote alarm panel in a location accessible by operating personnel.

     Corrected Mar 13, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Mar 13, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Mar 13, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BAUMANN, TROY — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• BAUMANN, TROY — direct ownership interest, NOT APPLICABLE, since 02/01/2025
• BELONGIA, CHRISTINA — adp of the snf, NOT APPLICABLE, since 02/01/2025
• BELONGIA, CHRISTINA — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• GEE, DARREN — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• GEE, DARREN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 01/12/2026
• GEE, DARREN — adp of the snf, NOT APPLICABLE, since 02/01/2025
• GREER, LAUREN — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• HOEHN, JEFFREY — adp of the snf, NOT APPLICABLE, since 02/01/2025
• HOEHN, JEFFREY — operational/managerial control, NOT APPLICABLE, since 05/27/2026
• HOEHN, JEFFREY — direct ownership interest, NOT APPLICABLE, since 02/01/2025
• LEE, MORGAN — adp of the snf, NOT APPLICABLE, since 05/26/2026
• LEE, MORGAN — operational/managerial control, NOT APPLICABLE, since 05/26/2026
• MILLS, DAVID — direct ownership interest, NOT APPLICABLE, since 02/01/2025
• PATZER, COLLEEN — operational/managerial control, NOT APPLICABLE, since 02/14/2023
• PATZER, COLLEEN — adp of the snf, NOT APPLICABLE, since 02/14/2023
• PURTELL, BRIAN — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• PURTELL, BRIAN — adp of the snf, NOT APPLICABLE, since 02/01/2025
• UMLAND, MICHAEL — adp of the snf, NOT APPLICABLE, since 02/01/2025
• UMLAND, MICHAEL — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• CIBC BANK USA — adp of the snf, NOT APPLICABLE, since 02/01/2025
• CIBC BANK USA — 5% or greater security interest, NOT APPLICABLE, since 02/01/2025
• CIBC BANK USA — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• CIBC BANK USA — 5% or greater mortgage interest, NOT APPLICABLE, since 02/01/2025
• CLIFTONLARSONALLEN LLP — adp of the snf, NOT APPLICABLE, since 03/19/2025
• CLIFTONLARSONALLEN LLP — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• CONTINUUM THERAPY PARTNERS LLC — adp of the snf, NOT APPLICABLE, since 03/31/2025
• CONTINUUM THERAPY PARTNERS LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• NORTH SHORE HEALTHCARE LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• NORTH SHORE HEALTHCARE LLC — adp of the snf, NOT APPLICABLE, since 03/19/2025
• NSH DOLF STREET LLC — adp of the snf, NOT APPLICABLE, since 02/01/2025
• WIPFLI LLP — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• WIPFLI LLP — adp of the snf, NOT APPLICABLE, since 03/19/2025