COLONIAL LAKES HEALTH CARE

The information listed below provides an in-depth look into the type and quality of care offered at Colonial Lakes Health Care. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

COLONIAL LAKES HEALTH CARE
15204 W COLONIAL DR
WINTER GARDEN, FL 34787
(407) 877-2394

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 166
  • Certified Beds: 180

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Limited Liability Company
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Ocoee | Clermont | Kissimmee

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Colonial Lakes Health Care. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.6%
ADL Index Range: 2-106.2%
Total Percent:8.8%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.3%
Total Percent:0.3%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.8%
Total Percent:0.8%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1624.8%
ADL Index Range: 6-1016.3%
ADL Index Range: 0-519.5%
Total Percent:60.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.2%
ADL Index Range: 6-101.0%
ADL Index Range: 0-58.4%
Total Percent:13.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-50.9%
Total Percent:0.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.8%
ADL Index Range: 6-101.7%
Total Percent:3.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
0.3%
ADL Index Range: 2-16
- Isolation for active infectious disease
0.09%
Total Percent:0.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.5%
ADL Index Range: 6-10
- No Signs of depression
0.3%
Total Percent:0.8%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- Signs of depression
2.3%
ADL Index Range: 11-14
- No Signs of depression
0.2%
ADL Index Range: 2-5
- Signs of depression
5.2%
Total Percent:7.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
0.09%
ADL Index Range: 0-1
- No Signs of depression
1.5%
Total Percent:1.6%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
0.2%
ADL Index Range: 0-1
- Less restorative nursing
0.8%
Total Percent:1.0%
 

Rating Details For Colonial Lakes Health Care

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours30 Minutes1 Hour and 12 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 9 Minutes2 Hours and 22 Minutes
Total Licensed Nurse Hours1 Hour and 20 Minutes1 Hour and 57 Minutes
Total Nurse Hours4 Hours and 28 Minutes4 Hours and 19 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination58%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season66%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%10%
Percent of Long-Stay Residents Who Were Physically Restrained3%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder56%54%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair18%5%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season61%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination58%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium2%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain18%17%
Percent of Short-Stay Residents Who Have Pressure Sores9%14%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/18/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Keep Sound Levels Comfortable.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/26/2011

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011
Give or Get Dental Care for Each Resident.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Send and Promptly Deliver Unopened Mail to Residents.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/15/2009
  • Correction Date: 06/23/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/15/2010
  • Correction Date: 07/08/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/18/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)04/15/2010$5,460
Civil Money Penalty (CMP)11/15/2010$7,750

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Colonial Lakes Health Care, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 12/02/2010
  • Correction Date: 01/02/2011
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/18/2011
  • Correction Date: 04/26/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 08/03/2010
  • Correction Date: 09/13/2010
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 08/03/2010
  • Correction Date: 09/13/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 09/09/2009
  • Correction Date: 10/14/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 09/09/2009
  • Correction Date: 10/14/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 11/15/2010
  • Correction Date: 12/27/2010
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 11/15/2010
  • Correction Date: 12/27/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/24/2009
  • Correction Date: 11/03/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Complaint Filed: 11/15/2010
  • Correction Date: 12/27/2010
Give or Get Emergency Care by a Doctor 24 Hours a Day.
  • Complaint Filed: 12/02/2010
  • Correction Date: 01/02/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 12/02/2010
  • Correction Date: 01/02/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 03/18/2011
  • Correction Date: 04/26/2011
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Complaint Filed: 03/18/2011
  • Correction Date: 04/26/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 06/21/2011
  • Correction Date: 07/18/2011

Resident Rights

Tell the Resident Completely About His or Her Health Status.
  • Complaint Filed: 12/10/2008
  • Correction Date: 01/21/2009
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
  • Complaint Filed: 06/30/2009
  • Correction Date: 08/10/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 11/15/2010
  • Correction Date: 12/27/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Colonial Lakes Health Care had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/14/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/13/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 03/14/2011
  • Correction Date: 04/19/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/12/2009
  • Correction Date: 06/23/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/12/2009
  • Correction Date: 06/23/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/13/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/13/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/14/2011
  • Correction Date: 04/19/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/12/2009
  • Correction Date: 06/23/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/14/2011
  • Correction Date: 04/19/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/12/2009
  • Correction Date: 06/23/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/14/2011
  • Correction Date: 04/19/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 05/12/2009
  • Correction Date: 06/23/2009
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 03/14/2011
  • Correction Date: 04/19/2011
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011