Deficiency Records for Columbia Manor Health and Rehabilitation
Updated as of June 01, 2023
This is not the most recent data for Columbia Manor Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Columbia Manor Health and Rehabilitation. 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 | 2023-03-13 | 2023-04-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-02 | 2022-06-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-15 | 2021-08-11 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-07-15 | 2021-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-15 | 2021-08-11 | N |
| Post nurse staffing information every day. | Health | 2021-07-15 | 2021-08-11 | 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 | 2021-07-15 | 2021-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-15 | 2021-08-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-15 | 2021-08-11 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-15 | 2021-08-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-07-15 | 2021-08-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-15 | 2021-08-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-16 | 2021-06-14 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-08-15 | 2019-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-15 | 2019-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-15 | 2019-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-26 | 2018-08-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-26 | 2018-08-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-07-26 | 2018-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-08-06 | N |
