A list of the most recent deficiencies for Lorien Health Systems - Columbia. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-12 | 2022-01-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-12 | 2022-01-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-12 | 2022-01-08 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-12 | 2022-01-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-12 | 2022-01-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-12 | 2022-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-12 | 2022-01-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-12 | 2022-01-08 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-11-12 | 2022-01-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-12 | 2022-01-08 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-06-29 | 2021-07-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-29 | 2021-07-30 | Y |
| 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 | 2019-10-04 | 2019-11-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-04 | 2019-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-04 | 2019-11-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-09-27 | 2019-11-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-09-27 | 2019-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-27 | 2019-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-27 | 2019-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-15 | 2018-08-09 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-02-28 | 2017-04-13 | N |
| Provide housekeeping and maintenance services. | Health | 2017-02-28 | 2017-04-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-28 | 2017-04-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-28 | 2017-04-13 | N |
| Meet other general requirements. | Fire Safety | 2017-02-13 | 2017-03-31 | 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 | 2017-02-13 | 2017-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-13 | 2017-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-13 | 2017-03-31 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2017-02-13 | 2017-03-31 | 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 | 2018-06-11 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-11 | Not Fixed | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-06-11 | Not Fixed | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-11 | Not Fixed | N |
