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🔎 Colonial Belle Nursing Home

Inspection Results


Inspection Overview

Colonial Belle Nursing Home has been cited for a total of 51 deficiencies since we began saving each survey.

In Texas, the average facility has **34.42 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Provide training in compliance and ethics.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2025-03-21
Correction Date: 2025-04-10
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2024-01-26
Correction Date: 2024-02-01
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2024-01-26
Correction Date: 2024-02-01
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2024-01-26
Correction Date: 2024-02-01
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2024-01-26
Correction Date: 2024-02-01
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey Date: 2024-01-26
Correction Date: 2024-02-01
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2024-01-26
Correction Date: 2024-02-01
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

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

Survey Date: 2024-01-26
Correction Date: 2024-02-01
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2024-01-26
Correction Date: 2024-02-01
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2022-11-23
Correction Date: 2022-12-19
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2022-11-23
Correction Date: 2022-12-19
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2022-11-23
Correction Date: 2022-12-19
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Ensure a qualified health professional conducts resident assessments.

Survey Date: 2022-07-22
Correction Date: 2022-07-29
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

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

Survey Date: 2022-07-22
Correction Date: 2022-07-29
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: G

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

Survey Date: 2022-07-22
Correction Date: 2022-07-29
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

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.

Survey Date: 2022-07-22
Correction Date: 2022-07-29
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: D

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Survey Date: 2022-07-22
Correction Date: 2022-07-29
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: E

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey Date: 2022-07-22
Correction Date: 2022-07-29
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: E

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

Survey Date: 2022-07-22
Correction Date: 2022-07-29
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2022-07-22
Correction Date: 2022-07-29
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2021-09-10
Correction Date: 2021-09-17
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2021-09-10
Correction Date: 2021-09-17
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: F

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

Survey Date: 2021-07-21
Correction Date: 2021-07-28
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: J

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

Survey Date: 2020-06-09
Correction Date: 2020-06-16
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: J

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

Survey Date: 2020-06-09
Correction Date: 2020-06-16
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: G

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey Date: 2020-06-09
Correction Date: 2020-06-16
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: E

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

Survey Date: 2019-06-21
Correction Date: 2019-06-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey Date: 2019-06-21
Correction Date: 2019-06-28
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

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

Survey Date: 2019-06-21
Correction Date: 2019-06-22
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2019-06-21
Correction Date: 2019-06-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2019-06-21
Correction Date: 2019-06-22
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: F

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

Survey Date: 2019-06-21
Correction Date: 2019-06-22
Category: Environmental Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**