The Colonnades At Reflection Bay

Penalties

• Oct 24, 2025 — Fine ($10,361)
• Oct 24, 2025 — Fine ($17,345)
• Jun 6, 2025 — Fine ($44,960)
• Feb 18, 2025 — Fine ($29,782)
• Dec 8, 2023 — Fine ($9,525)
• Oct 6, 2023 — Fine ($8,210)

Inspection findings

1. May 1, 2026 Health · 10 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0627 Resident Rights Deficiencies

     Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Apr 29, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Apr 29, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Apr 29, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Apr 29, 2026 · CMS fire safety

2. Nov 20, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Nov 21, 2025 · CMS health inspection

3. Oct 24, 2025 Health · 8 findings
   • Not serious Scope/severity E Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Nov 20, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Nov 20, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Oct 19, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0693 Quality of Life and Care Deficiencies

     Ensure 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.

     Corrected Nov 20, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Nov 20, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Nov 20, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 Nov 20, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Nov 20, 2025 · CMS health inspection

4. Jun 6, 2025 Health · 3 findings
   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jun 30, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jun 30, 2025 · CMS health inspection

5. Apr 21, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 20, 2025 · CMS health inspection

6. Feb 18, 2025 Health · 7 findings
   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Mar 14, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Mar 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Mar 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

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

     Corrected Feb 14, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Feb 14, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Feb 14, 2025 · CMS fire safety

7. Dec 31, 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 Jan 24, 2025 · CMS health inspection

8. Dec 4, 2024 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Dec 26, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0584 Resident Rights Deficiencies

     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.

     Corrected Dec 26, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Dec 26, 2024 · CMS health inspection

9. Oct 4, 2024 Health · 3 findings
   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Oct 25, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Oct 25, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 25, 2024 · CMS health inspection

10. Jul 30, 2024 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Aug 31, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Aug 31, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Aug 31, 2024 · CMS health inspection

11. May 31, 2024 Health · 1 finding
    • Not serious Scope/severity F Complaint

      F0925 Environmental Deficiencies

      Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      Corrected Jun 20, 2024 · CMS health inspection

12. Dec 8, 2023 Fire Safety · 4 findings
    • Not serious Scope/severity F

      E0030 Emergency Preparedness Deficiencies

      List the names and contact information of those in the facility.

      Corrected Dec 15, 2023 · CMS fire safety

    • Serious Scope/severity G

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Dec 15, 2023 · CMS health inspection

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Dec 15, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

      Corrected Dec 15, 2023 · CMS fire safety

13. Oct 13, 2023 Health · 3 findings
    • Not serious Scope/severity E Complaint

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Oct 24, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Oct 24, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Oct 24, 2023 · CMS health inspection

14. Oct 6, 2023 Health · 2 findings
    • Serious Scope/severity G Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected May 16, 2023 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected May 16, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BELL, JOSEPH — managing control - governing body, NOT APPLICABLE, since 10/01/2024
• LONGO, PETER — managing control - governing body, NOT APPLICABLE, since 10/01/2024
• PAGGEOT, FRANCES — operational/managerial control, NOT APPLICABLE, since 03/07/2024
• PAGGEOT, FRANCES — adp of the snf, NOT APPLICABLE, since 03/07/2024
• PARK, KELLY — corporate officer, NOT APPLICABLE, since 08/01/2019
• RAJAN, KAVITHA — adp of the snf, NOT APPLICABLE, since 11/19/2025
• RAJAN, KAVITHA — operational/managerial control, NOT APPLICABLE, NO DATE PROVIDED
• UNDERHILL, ROBIN — managing control - governing body, NOT APPLICABLE, since 10/01/2024
• ALBERT J. LONGO LTD. — adp of the snf, NOT APPLICABLE, since 04/30/2025
• BRATEX, INC. — adp of the snf, NOT APPLICABLE, since 11/05/2004
• CANTEX HEALTH CARE CENTERS II LLC — adp of the snf, NOT APPLICABLE, since 02/15/2015
• COLONNADES HEALTH CARE CENTER LTD CO — operational/managerial control, NOT APPLICABLE, since 02/15/2015
• COLONNADES HEALTH CARE CENTER LTD CO — adp of the snf, NOT APPLICABLE, since 04/04/2025
• CONCORD WOOD INVESTMENTS, LTD — adp of the snf, NOT APPLICABLE, since 04/30/2025
• DJM-PAN INVESTMENTS — adp of the snf, NOT APPLICABLE, since 04/30/2025
• FRANK LON PROPERTIES LTD — adp of the snf, NOT APPLICABLE, since 04/30/2025
• GOTEX INVESTMENTS (USA), INC. — adp of the snf, NOT APPLICABLE, since 04/30/2025
• GRANT KOCH ROBB INVESTMENTS LTD. — adp of the snf, NOT APPLICABLE, since 04/30/2025
• HILLSDALE HOME BUILDERS LIMITED — adp of the snf, NOT APPLICABLE, since 04/30/2025
• INDO LON CORPORATION — adp of the snf, NOT APPLICABLE, since 04/30/2025
• LAR LON PROPERTIES LTD. — adp of the snf, NOT APPLICABLE, since 04/30/2025
• LB BELON LLC — adp of the snf, NOT APPLICABLE, since 04/30/2025
• LCL INVESTMENTS LTD. — adp of the snf, NOT APPLICABLE, since 04/30/2025
• MEDCARE MANAGEMENT HOLDINGS INC — adp of the snf, NOT APPLICABLE, since 04/30/2025
• RULAND REALTY INC — adp of the snf, NOT APPLICABLE, since 04/30/2025
• SWEENY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 02/01/2015