Colonial Pines Healthcare Center

Inspection findings

1. Jan 21, 2026 Health · 9 findings
   • Not serious Scope/severity D

     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 Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0638 Resident Assessment and Care Planning Deficiencies

     Assure that each resident’s assessment is updated at least once every 3 months.

     Corrected Jan 27, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jan 27, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity D

     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 Jan 30, 2026 · 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 Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0925 Environmental Deficiencies

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

     Corrected Jan 23, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

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

     Corrected Mar 6, 2026 · CMS fire safety

2. Oct 29, 2024 Health · 9 findings
   • 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 Nov 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0802 Nutrition and Dietary Deficiencies

     Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

     Corrected Nov 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0805 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

     Corrected Nov 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Nov 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Nov 1, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0925 Environmental Deficiencies

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

     Corrected Nov 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0926 Environmental Deficiencies

     Have policies on smoking.

     Corrected Nov 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Nov 7, 2024 · CMS fire safety

3. Oct 23, 2024 Health · 2 findings
   • Not serious Scope/severity D 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, 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 24, 2024 · CMS health inspection

4. Apr 24, 2024 Health · 2 findings
   • Not serious Scope/severity D 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 Apr 2, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Apr 2, 2024 · CMS health inspection

5. Sep 7, 2023 Health · 12 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 Sep 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     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 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     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 Sep 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Sep 13, 2023 · 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 Sep 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     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 Sep 13, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 13, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0944 Administration Deficiencies

     Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

     Corrected Sep 13, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0946 Administration Deficiencies

     Provide training in compliance and ethics.

     Corrected Sep 13, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 8, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

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

     Corrected Oct 3, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• CAMPBELL, SCOTT — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/08/2025
• CHANCE, JAMES — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/08/2025
• FISHER, JAMES — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/08/2025
• GOVATHOTI, DEEPTI — adp of the snf, NOT APPLICABLE, since 01/01/2023
• LANGDON, THOMAS — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/08/2025
• MCGEHEE, WILLIAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/08/2025
• STRATTON, CHARLES — corporate officer, NOT APPLICABLE, since 05/01/2005
• TAYLOR, JOHN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/08/2025
• TOUSHA, JOSHUA — operational/managerial control, NOT APPLICABLE, since 01/02/2023
• TOUSHA, JOSHUA — adp of the snf, NOT APPLICABLE, since 01/02/2023
• WALLER, AMBER — adp of the snf, NOT APPLICABLE, since 07/25/2024
• LIBERTY COUNTY HOSPITAL DISTRICT NO 1 — 5% or greater direct ownership interest, 100%, since 03/31/2017
• LIFETIME WELLNESS, LTD. — adp of the snf, NOT APPLICABLE, since 09/23/2021
• MARTUS FINANCIAL SERVICES, INC. — adp of the snf, NOT APPLICABLE, since 12/31/2023
• PF COLONIAL SNF OPS, LLC — adp of the snf, NOT APPLICABLE, since 12/08/2025
• PF COLONIAL SNF OPS, LLC — operational/managerial control, NOT APPLICABLE, since 09/23/2021
• PHARMERICA DRUG SYSTEMS LLC — adp of the snf, NOT APPLICABLE, since 08/27/2017
• PRESERVATION FREEHOLD COMPANY — adp of the snf, NOT APPLICABLE, since 09/23/2021
• REHAB PRO LP — adp of the snf, NOT APPLICABLE, since 09/23/2021
• SANCTUARY LTC, LLC — adp of the snf, NOT APPLICABLE, since 09/23/2021
• STONEGATE SENIOR LIVING, LP — operational/managerial control, NOT APPLICABLE, since 06/22/2022
• STONEGATE SENIOR LIVING, LP — adp of the snf, NOT APPLICABLE, since 12/08/2025
• UMB BANK NATIONAL ASSOCIATION — 5% or greater mortgage interest, NOT APPLICABLE, since 09/23/2021