Deficiency Records for Columbus Colony Elderly Care
Updated as of February 01, 2018
This is not the most recent data for Columbus Colony Elderly Care. For the most recent information, click here.
A list of the most recent deficiencies for Columbus Colony Elderly Care. 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? |
|---|---|---|---|---|
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-10-25 | 2017-11-14 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-25 | 2017-11-14 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-25 | 2017-11-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-25 | 2017-11-14 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-26 | 2017-11-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-26 | 2017-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-26 | 2017-11-14 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-09-26 | 2017-11-14 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-26 | 2017-11-14 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-23 | 2017-11-14 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-28 | 2017-08-14 | 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 | 2017-06-01 | 2017-08-14 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-01 | 2017-08-14 | 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 | 2017-05-21 | 2017-08-14 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-05-21 | 2017-08-14 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-21 | 2017-08-14 | 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 | 2017-03-17 | 2017-08-14 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-17 | 2017-08-14 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-03-02 | 2017-08-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-02 | 2017-08-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-02 | 2017-08-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-02-28 | 2017-08-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-28 | 2017-08-03 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-06-28 | 2017-08-03 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-28 | 2017-08-03 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-28 | 2017-08-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-28 | 2017-08-03 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-28 | 2017-08-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-28 | 2017-08-03 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-06-28 | 2017-08-03 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-06-28 | 2017-08-03 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2017-06-28 | 2017-08-03 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-01 | 2017-08-03 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-06-01 | 2017-08-03 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-06-01 | 2017-08-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-21 | 2017-08-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-21 | 2017-08-03 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-21 | 2017-08-03 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-04-27 | 2017-08-03 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-27 | 2017-08-03 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-27 | 2017-08-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-27 | 2017-08-03 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-27 | 2017-08-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-27 | 2017-08-03 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-04-27 | 2017-08-03 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-04-27 | 2017-08-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-17 | 2017-08-03 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-03-02 | 2017-08-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-02 | 2017-08-03 | 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 | 2017-03-02 | 2017-08-03 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-03-02 | 2017-08-03 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-03-02 | 2017-08-03 | 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 | 2017-03-02 | 2017-08-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-02 | 2017-08-03 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-02 | 2017-08-03 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-04-21 | 2016-05-16 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-21 | 2016-05-16 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-21 | 2016-05-16 | Y |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2015-12-14 | 2016-02-05 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-12-14 | 2016-02-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-14 | 2016-02-05 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-12-17 | 2016-02-05 | 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 | 2015-12-17 | 2016-02-05 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-12-17 | 2016-02-05 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-12-17 | 2016-02-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-12-17 | 2016-02-05 | 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 | 2015-12-17 | 2016-02-05 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2015-12-17 | 2016-02-05 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-12-17 | 2016-02-05 | N |
| Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2015-12-17 | 2016-02-05 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-12-17 | 2016-02-05 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-09 | 2014-10-30 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2014-09-09 | 2014-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-09-11 | 2014-10-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-09-11 | 2014-10-30 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2014-09-11 | 2014-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-11 | 2014-10-30 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-09-11 | 2014-10-30 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2014-09-11 | 2014-10-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-09-11 | 2014-10-30 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-09-11 | 2014-10-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-11 | 2014-10-30 | N |
