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Deficiency Records for Columbus Healthcare Center
A list of the most recent deficiencies for Columbus 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 Columbus 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? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-30 | 2024-10-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-22 | 2024-09-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-22 | 2024-09-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-22 | 2024-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-09-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-17 | 2024-07-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-17 | 2024-07-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-06-17 | 2024-07-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-17 | 2024-07-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-17 | 2024-07-15 | 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 | 2024-06-17 | 2024-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-17 | 2024-07-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-17 | 2024-07-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-17 | 2024-07-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-06-17 | 2024-07-15 | 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 | 2024-06-17 | 2024-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-17 | 2024-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-17 | 2024-07-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-17 | 2024-07-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-17 | 2024-07-15 | Y |
| 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 | 2024-06-17 | 2024-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-17 | 2024-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-17 | 2024-07-15 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-17 | 2024-07-15 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-17 | 2024-07-15 | Y |
| 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 | 2024-06-17 | 2024-07-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-06-17 | 2024-07-15 | Y |
| 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 | 2024-06-06 | 2024-07-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-06-06 | 2024-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-06 | 2024-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-06 | 2024-07-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-06 | 2024-07-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-06 | 2024-07-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-06 | 2024-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-06 | 2024-07-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-18 | 2024-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2024-04-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-02 | 2023-03-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-02 | 2023-03-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-16 | 2023-01-06 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-12-16 | 2023-01-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-16 | 2023-01-06 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-12-16 | 2023-01-06 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-12-16 | 2023-01-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-16 | 2023-01-06 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-16 | 2023-01-06 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-12-16 | 2023-01-06 | Y |
| 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 | 2022-12-16 | 2023-01-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-16 | 2023-01-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-22 | 2022-07-11 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-22 | 2022-07-11 | Y |
| 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 | 2022-06-22 | 2022-07-11 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-22 | 2022-07-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-14 | 2022-03-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-14 | 2022-03-11 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-12-28 | 2022-01-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-28 | 2022-01-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-28 | 2022-01-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-28 | 2022-01-24 | Y |
| Keep all essential equipment working safely. | Health | 2021-12-28 | 2022-01-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-04 | 2021-10-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-10-04 | 2021-10-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-04 | 2021-10-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-04 | 2021-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-04 | 2021-10-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-04 | 2021-10-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-10-04 | 2021-10-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-04 | 2021-10-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-04 | 2021-10-29 | 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 | 2021-10-04 | 2021-10-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-04 | 2021-10-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-04 | 2021-10-29 | 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 | 2021-10-04 | 2021-10-29 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-10-04 | 2021-10-29 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-10-04 | 2021-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-04 | 2021-10-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-04 | 2021-10-29 | 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 | 2021-09-27 | 2021-10-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-27 | 2021-10-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-27 | 2021-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-27 | 2021-10-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-07 | 2019-03-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide or obtain dental services for each resident. | Health | 2019-02-07 | 2019-03-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-04 | 2019-03-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-04 | 2019-03-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-02-04 | 2019-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-04 | 2019-03-07 | N |
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