Deficiency Records for Columbine West Health and Rehab Facility
Updated as of March 01, 2024
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 care by qualified persons according to each resident's written plan of care. | Health | 2022-03-29 | 2022-04-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-26 | 2021-05-07 | 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 |
| 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 |
