Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Colony Center For Health And Rehabilitation during CMS and state inspections, most recent first.
A resident with multiple complex diagnoses was readmitted after hospitalization for GI bleed and new onset atrial fibrillation, with discharge instructions requiring follow-up with Cardiology and GI providers within one week. Despite physician orders and documentation in the discharge summary, staff failed to schedule these appointments, and interviews revealed that key personnel were unaware of the requirement, resulting in the deficiency.
A resident with multiple complex medical conditions experienced a fall during OT, but the facility failed to promptly notify the resident's HCA, despite her documented involvement and availability. The assigned nurse completed the incident report but did not contact the HCA, citing missing contact information on the face sheet, and the resident ultimately informed the HCA directly. Facility policy and protocol required such notification, but it was not followed in this instance.
A resident with multiple complex medical conditions, including a recent amputation, indwelling catheter, diabetes, and anticoagulation therapy, was admitted without baseline care plans being developed or implemented within 48 hours as required. Nursing staff did not document or address the resident's immediate care needs until 12 days after admission, and interviews revealed confusion among staff about responsibility for completing these care plans.
A resident with diabetes, recent amputation, and other complex conditions was admitted requiring a specialized therapeutic diet, but no person-centered nutritional care plan was developed or implemented. Despite documented dietary needs and facility policy requiring timely care planning, both the RD and DON were unaware of the missing plan, resulting in unmet nutritional care planning for the resident.
A resident with a new surgical wound and multiple comorbidities did not receive recommended nutritional interventions, including a multivitamin and liquid protein, because nursing staff failed to communicate and follow up on the Registered Dietician's recommendations. The process for relaying consultant recommendations to the physician was not followed, resulting in a lack of timely care.
A resident experienced an unwitnessed fall and was found on the floor by CNAs. Nurse #1 conducted a brief assessment and helped lift the resident back into bed but failed to document the incident, complete an incident report, or inform the oncoming nurse. The resident complained of pain and was later diagnosed with pelvic fractures. The facility did not follow its policies on falls and incident reporting.
Failure to Schedule Required Post-Hospitalization Follow-Up Appointments
Penalty
Summary
A deficiency occurred when a resident who was readmitted to the facility after hospitalization for an upper gastrointestinal (GI) bleed and new onset atrial fibrillation with rapid ventricular response did not have required follow-up appointments scheduled with Cardiology and Gastrointestinal (GI) providers within one week post-discharge, as specified in the hospital discharge summary. The resident's diagnoses included gastrointestinal hemorrhage, anemia, atrial fibrillation, hypertension, anoxic brain damage, and seizure disorder. The hospital discharge summary and subsequent physician orders both indicated the need for these follow-up appointments, but there was no documentation that they were scheduled during the resident's stay. Interviews with facility staff revealed that the Unit Manager reviewed the hospital discharge summary but did not notice the instructions for follow-up appointments. The Nurse Practitioner wrote an order for the follow-up appointments and flagged it in the resident's chart, informing the assigned nurse, who later stated she was unaware of the orders. The Director of Nursing was also unaware of the need for these appointments and, upon review, confirmed that no appointments had been scheduled. The facility failed to ensure that the resident received services meeting professional standards of practice by not arranging the required follow-up care.
Failure to Notify Resident's Health Care Agent of Change in Status After Fall
Penalty
Summary
Facility staff failed to promptly notify a resident's Health Care Agent (HCA), who was also a family member and highly involved in the resident's care, of a change in the resident's status following a fall that occurred during occupational therapy. The resident had a history of significant medical issues, including a recent left below-the-knee amputation, peripheral vascular disease, urinary retention with an indwelling catheter, diabetes mellitus, and depression. Documentation showed that the HCA's contact information was available in multiple forms, and the HCA had signed several key documents, indicating her active involvement and legal authority in the resident's care decisions. Despite this, after the fall, the assigned nurse completed the incident report but did not notify the HCA, stating she could not locate the HCA's phone number on the resident's face sheet and only asked the resident if there was anyone to call. The resident later informed the HCA of the fall, not the facility. The Director of Nursing confirmed that it was facility protocol to notify the HCA or responsible party of any fall unless the resident objected, and was unaware that the notification had not occurred. The facility's policy required prompt notification of the resident's representative in the event of a change in condition or status.
Failure to Initiate Baseline Care Plans Within 48 Hours of Admission
Penalty
Summary
The facility failed to develop and implement baseline care plans within 48 hours of admission for a resident with multiple complex medical needs. According to facility policy, a baseline care plan should be created within 48 hours to address immediate care needs, including initial goals, physician and dietary orders, therapy services, social services, and PASRR recommendations. However, for a resident admitted with diagnoses such as status-post left below the knee amputation, peripheral vascular disease, urinary retention with an indwelling catheter, diabetes mellitus, depression, and on anticoagulation therapy, there was no documentation of baseline or comprehensive care plans addressing these needs within the required timeframe. The resident's hospital discharge summary identified immediate care needs including a new surgical wound, indwelling catheter, psychotropic medication use, diabetes management, and anticoagulation therapy. Despite these needs, the medical record showed that nursing did not initiate, develop, or implement the necessary care plans for these conditions until 12 days after admission. Interviews with nursing staff and management revealed a lack of awareness and clarity regarding responsibility for completing baseline care plans, resulting in the resident's immediate care needs not being formally addressed as required by facility policy.
Failure to Develop and Implement Person-Centered Nutritional Care Plan
Penalty
Summary
A deficiency occurred when the facility failed to develop and implement a comprehensive, person-centered nutritional care plan for a resident who was admitted with multiple complex medical conditions, including diabetes mellitus (insulin dependent), status-post left below the knee amputation, peripheral vascular disease, urinary retention with an indwelling catheter, and depression. Upon admission, the resident required a therapeutic diet as indicated by both the hospital discharge summary and the facility's own nutritional evaluation, which specified dietary needs such as an IDDSI Level 6 dysphagia diet, low calorie sweetener, 2g sodium, pureed textures, nectar thick liquids, and a PM diabetic snack. Despite these documented needs, a review of the resident's medical record revealed that no nutritional care plan was developed or implemented from admission through the end of the review period. Interviews with the Registered Dietician (RD) and the Director of Nurses (DON) confirmed that neither was aware of the absence of a nutritional care plan for the resident. The RD acknowledged responsibility for developing such plans as part of the interdisciplinary team but admitted that not all residents had care plans in place. The facility's policy requires individualized, measurable care plans to be developed within seven days of the comprehensive assessment, but this was not done for the resident in question.
Failure to Implement Dietician Recommendations for Wound Care
Penalty
Summary
Nursing staff failed to ensure that professional standards of quality were met for a resident who required nutritional interventions for wound care. The resident, admitted with a new surgical wound following a below-the-knee amputation and with multiple diagnoses including peripheral vascular disease and diabetes, was assessed by the Registered Dietician (RD) who recommended starting a multivitamin (MVI), adding 30 ml of liquid protein, and including yogurt at breakfast. While the addition of yogurt was ordered, there was no documentation that the recommendations for the MVI and liquid protein were communicated to the physician or implemented. The RD made these recommendations on two separate occasions, but neither the Director of Nursing (DON) nor the Nurse Clinical Manager were aware that the recommendations had not been addressed. The facility's process required the RD to upload recommendations to a portal and email a report to the DON, who would then distribute the recommendations to the appropriate staff for physician review and order implementation. However, this process was not followed, resulting in the resident not receiving the recommended nutritional interventions in a timely manner.
Failure to Document and Report Resident Fall
Penalty
Summary
The facility failed to provide nursing care and treatment that met professional standards of practice for a cognitively intact resident who experienced an unwitnessed fall. On the overnight shift, the resident was found on the floor by two CNAs after calling out for help. Nurse #1, who responded to the incident, conducted a brief assessment and assisted the CNAs in lifting the resident back into bed. However, Nurse #1 did not document the incident, complete an incident report, or report the incident to the oncoming nurse during the shift change. There was no documentation in the resident's medical record to support that an adequate assessment was conducted after the fall. The resident, who had a history of repeated falls and other medical conditions such as osteoarthritis, chronic kidney disease, and hypertension, complained of pain in the left upper leg/thigh area for the next two shifts following the incident. Approximately 24 hours after the fall, the resident was transferred to the hospital emergency department, where they were diagnosed with acute fractures of the pelvis. The facility's policies on falls and incident reporting were not followed, as the incident was not documented or reported as required. Interviews with the CNAs and nurses involved revealed discrepancies in the reporting and handling of the incident. Nurse #1 claimed the resident was in a near-fall position and did not fall, which led to the lack of documentation and reporting. However, the Director of Nurses confirmed that near-fall incidents are considered falls and should be documented and reported. The facility was unable to provide any documentation related to the incident, highlighting a failure to adhere to professional standards and facility policies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Abington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Champion Rehabilitation And Nursing Center | 2.2 mi | ★★★★★ | 8 | 0 |
| Southshore Health Care Center | 2.6 mi | ★★★★★ | 23 | 0 |
| Webster Park Rehabilitation And Healthcare Center | 2.9 mi | ★★★★★ | 4 | 0 |
| St Joseph Manor Health Care Inc | 2.9 mi | ★★★★★ | 4 | 0 |
| The Guardian Center | 4 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.