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Deficiency Records for Colonial Manors of Columbus Community
A list of the most recent deficiencies for Colonial Manors of Columbus Community. 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 Colonial Manors of Columbus Community. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-08-15 | 2024-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-15 | 2024-09-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-15 | 2024-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-15 | 2024-09-13 | 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 | 2024-08-15 | 2024-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-15 | 2024-09-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-15 | 2024-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | 2024-09-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-15 | 2024-09-13 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-08-15 | 2024-09-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-23 | 2024-09-04 | 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 | 2024-08-23 | 2024-09-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-23 | 2024-09-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-23 | 2024-09-03 | 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 | 2023-10-12 | 2023-11-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-12 | 2023-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-12 | 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 | 2023-10-12 | 2023-11-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-12 | 2023-11-12 | N |
| Provide or obtain dental services for each resident. | Health | 2023-10-12 | 2023-11-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-12 | 2023-11-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-12 | 2023-11-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-11 | 2023-10-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-12 | 2022-08-06 | 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 | 2022-05-12 | 2022-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-08-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-05-12 | 2022-08-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-12 | 2022-08-06 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-05-12 | 2022-08-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-12 | 2022-08-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-05-17 | 2022-06-01 | N |
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