Deficiency Records for Columbine West Health and Rehab Facility
Updated as of November 01, 2021
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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2020-12-01 | 2020-12-29 | N |
Provide and implement an infection prevention and control program. | Health | 2020-04-20 | 2020-05-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-19 | 2020-02-05 | Y |
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 |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-15 | 2019-11-01 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-10-15 | 2019-11-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-15 | 2019-11-01 | Y |
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 |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-06-06 | 2017-07-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-06 | 2017-07-06 | 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 | 2017-05-10 | 2017-06-12 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-05-10 | 2017-06-12 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-10 | 2017-06-12 | N |