Deficiency Records for Columbia Healthcare Center
Updated as of January 01, 2019
This is not the most recent data for Columbia Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Columbia Healthcare Center. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Be properly staffed | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-06 | 2019-01-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-03 | 2019-01-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-03 | 2019-01-02 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-12-03 | 2019-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-03 | 2019-01-02 | 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 | 2018-12-03 | 2019-01-02 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-12-03 | 2019-01-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-03 | 2019-01-02 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-03 | 2019-01-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-12-03 | 2019-01-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-03 | 2019-01-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-12-03 | 2019-01-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-12-03 | 2019-01-02 | 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 | 2018-12-03 | 2019-01-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-03 | 2019-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-03 | 2019-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-03 | 2019-01-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-12-03 | 2019-01-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-31 | 2018-11-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-17 | 2018-11-16 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-08-30 | 2018-09-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-14 | 2018-06-26 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-30 | 2017-12-22 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2017-11-30 | 2017-12-22 | Y |
| 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 | 2017-10-17 | 2017-12-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-17 | 2017-12-22 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-11-13 | 2017-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-13 | 2017-12-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-11-13 | 2017-12-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2017-11-13 | 2017-12-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-11-13 | 2017-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-13 | 2017-12-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-17 | 2017-11-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-17 | 2017-11-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-17 | 2017-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-17 | 2017-11-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-17 | 2017-11-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-17 | 2017-11-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2016-11-01 | 2016-12-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-11-01 | 2016-12-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2016-11-01 | 2016-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-01 | 2016-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-11-01 | 2016-12-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-11-01 | 2016-12-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-11-01 | 2016-12-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-01 | 2016-12-09 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-10-07 | 2016-11-14 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-10-07 | 2016-11-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-10-07 | 2016-11-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-07 | 2016-11-14 | N |
| Give notice to the resident before a room or roommate change. | Health | 2016-10-07 | 2016-11-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-10-07 | 2016-11-14 | N |
| Completely assess the resident at least every twelve months. | Health | 2016-10-07 | 2016-11-14 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-07 | 2016-11-14 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-07 | 2016-11-14 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-07 | 2016-11-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-10-07 | 2016-11-14 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-10-07 | 2016-11-14 | 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 | 2016-10-07 | 2016-11-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-07 | 2016-11-14 | N |
| Provide or obtain dental services for each resident. | Health | 2016-10-07 | 2016-11-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-10-07 | 2016-11-14 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-10-07 | 2016-11-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-07 | 2016-11-14 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2016-10-07 | 2016-11-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-07 | 2016-11-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-10-07 | 2016-11-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-07 | 2016-11-14 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-07 | 2016-11-14 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-07 | 2016-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-07 | 2016-11-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-07 | 2016-11-14 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-05-26 | 2016-06-12 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-26 | 2016-06-12 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-26 | 2016-06-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-05-26 | 2016-06-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-05-26 | 2016-06-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-28 | 2016-05-13 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-28 | 2016-05-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-28 | 2016-05-13 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-28 | 2016-05-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-16 | 2016-03-16 | Y |
| Properly protected cooking facilities. | Fire Safety | 2016-02-10 | 2016-03-11 | Y |
