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Deficiency Records for Columbine West Health and Rehab Facility
A list of the most recent deficiencies for Columbine West Health and Rehab Facility. 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 Columbine West Health and Rehab Facility. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-08-06 | 2024-08-25 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-09 | 2024-05-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-09 | 2024-05-16 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-04-11 | 2024-05-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-11 | 2024-05-03 | 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 | 2024-04-11 | 2024-05-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-11 | 2024-05-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-04-11 | 2024-05-03 | 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 | 2024-04-11 | 2024-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-11 | 2024-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-05-03 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-03-29 | 2022-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-19 | 2020-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2020-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-01 | 2019-01-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-30 | 2018-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-01 | 2018-12-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-01 | 2018-12-05 | N |
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