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Deficiency Records for Columbia Healthcare Center
A list of the most recent deficiencies for Columbia Healthcare 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 Columbia Healthcare 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? |
|---|---|---|---|---|
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-05-09 | 2024-06-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-26 | 2024-04-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-28 | 2023-12-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-28 | 2023-12-20 | Y |
| Meet other general requirements. | Fire Safety | 2023-09-18 | 2023-10-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-18 | 2023-10-27 | 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 | 2023-09-18 | 2023-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-18 | 2023-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-18 | 2023-10-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-18 | 2023-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-18 | 2023-10-27 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-09-18 | 2023-10-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-18 | 2023-10-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-14 | 2023-09-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-14 | 2023-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-14 | 2023-09-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-14 | 2023-09-14 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-08-14 | 2023-09-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-14 | 2023-09-14 | N |
| Post nurse staffing information every day. | Health | 2023-08-14 | 2023-09-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-14 | 2023-09-14 | 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 | 2023-08-14 | 2023-09-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-08-14 | 2023-09-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-14 | 2023-09-14 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-08-14 | 2023-09-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-14 | 2023-09-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-14 | 2023-09-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-15 | 2022-12-30 | Y |
| Meet other general requirements. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| 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 | 2021-07-06 | 2021-08-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-06 | 2021-08-05 | 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 | 2021-07-06 | 2021-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-24 | 2021-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-24 | 2021-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-24 | 2021-07-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-24 | 2021-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-24 | 2021-07-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-16 | 2020-06-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-06 | 2020-03-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-06 | 2020-03-07 | N |
| Post nurse staffing information every day. | Health | 2020-02-06 | 2020-03-07 | 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 | 2020-02-06 | 2020-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-07 | N |
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