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Deficiency Records for Columbine Manor Care Center
A list of the most recent deficiencies for Columbine Manor Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Columbine Manor Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-11-02 | 2023-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-11-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-12 | 2023-11-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-10-12 | 2023-11-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-12 | 2023-11-06 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-12 | 2023-11-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-09 | 2023-03-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-09 | 2023-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-09 | 2023-03-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-09 | 2023-03-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-09 | 2023-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-12-22 | N |
| 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. | Health | 2022-10-20 | 2022-12-01 | N |
| 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. | Health | 2022-10-20 | 2022-11-27 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-20 | 2022-11-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-20 | 2022-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-20 | 2022-11-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-20 | 2022-11-27 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-20 | 2022-11-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-09 | 2022-11-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-31 | 2021-09-30 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2021-08-31 | 2021-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-31 | 2021-09-28 | N |
| 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. | Health | 2021-08-05 | 2021-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-31 | 2021-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-31 | 2021-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-31 | 2021-09-01 | N |
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