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Deficiency Records for Columbia Post Acute
A list of the most recent deficiencies for Columbia Post Acute. 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 Post Acute. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-15 | 2024-12-30 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-11-15 | 2024-12-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-15 | 2024-12-30 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-11-15 | 2024-12-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-15 | 2024-12-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-11 | 2023-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-11 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-09-01 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-08-11 | 2023-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-11 | 2023-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-11 | 2023-09-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-28 | 2022-06-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-04-28 | 2022-06-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-28 | 2022-06-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-28 | 2022-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-06-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-28 | 2022-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-28 | 2022-06-10 | N |
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