Deficiency Records for Columbine Commons Health and Rehab LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Columbine Commons Health and Rehab LLC. 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? |
|---|---|---|---|---|
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-11-02 | 2023-11-06 | 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 | 2023-10-12 | 2023-10-25 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-10-12 | 2023-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-10-25 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-10-12 | 2023-10-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-26 | 2022-09-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-14 | 2022-08-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-08 | 2021-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-08 | 2021-06-18 | N |
