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Deficiency Records for Columbus Alzheimer's Care Ctr
A list of the most recent deficiencies for Columbus Alzheimer's Care Ctr. 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 Alzheimer's Care Ctr. 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? |
|---|---|---|---|---|
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-08-27 | 2024-10-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-27 | 2024-10-02 | 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 | 2024-08-27 | 2024-10-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-27 | 2024-10-02 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-27 | 2024-10-02 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-08-27 | 2024-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-27 | 2024-10-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-27 | 2024-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-27 | 2024-10-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-08-27 | 2024-10-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-27 | 2024-10-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-27 | 2024-10-02 | 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 | 2024-08-27 | 2024-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-27 | 2024-10-02 | 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 | 2024-08-27 | 2024-10-02 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2024-08-27 | 2024-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-27 | 2024-10-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Use approved construction type or materials. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-21 | 2024-10-02 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-03-06 | 2024-03-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-06 | 2022-05-17 | 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 | 2022-02-22 | 2022-04-01 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-22 | 2022-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-22 | 2022-04-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-22 | 2022-04-01 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-16 | 2022-04-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-16 | 2022-04-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-16 | 2022-04-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-16 | 2022-04-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-16 | 2022-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-16 | 2022-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-16 | 2022-04-01 | 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 | 2019-04-25 | 2019-05-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-25 | 2019-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-25 | 2019-05-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-25 | 2019-05-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-04-25 | 2019-05-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-25 | 2019-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-05-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-24 | 2019-05-21 | N |
| Develop a communication plan. | Fire Safety | 2019-04-24 | 2019-05-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-04-24 | 2019-05-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-24 | 2019-05-21 | 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 | 2019-04-24 | 2019-05-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-24 | 2019-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-24 | 2019-05-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-24 | 2019-05-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-24 | 2019-05-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-24 | 2019-05-21 | N |
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