Deficiency Records for Columbine West Health and Rehab Facility
Updated as of September 01, 2016
This is not the most recent data for Columbine West Health and Rehab Facility. For the most recent information, click here.
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? |
---|---|---|---|---|
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-27 | 2016-05-27 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-04-06 | 2016-05-06 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-06 | 2016-05-06 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-06 | 2016-05-06 | N |
Dispose of garbage and refuse properly. | Health | 2016-04-06 | 2016-05-06 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-06 | 2016-05-06 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-02-19 | 2015-03-16 | N |
Restrictions on the use of highly flammable decorations. | Fire Safety | 2015-02-19 | 2015-03-16 | N |
Restrictions on the use of flammable curtains. | Fire Safety | 2015-02-19 | 2015-03-16 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-01-26 | 2015-02-26 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-26 | 2015-02-26 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-01-26 | 2015-02-26 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-01-26 | 2015-02-26 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-26 | 2015-02-26 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-01-26 | 2015-02-26 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-03-11 | 2014-03-31 | N |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-02-12 | 2014-03-10 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2014-02-12 | 2014-03-10 | N |
Maintain comfortable and safe temperature levels. | Health | 2014-02-12 | 2014-03-10 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-02-12 | 2014-03-10 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-02-12 | 2014-03-10 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-02-12 | 2014-03-10 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-30 | 2013-11-18 | Y |