Deficiency Records for Majestic Care of Columbus LLC
Updated as of July 01, 2019
This is not the most recent data for Majestic Care of Columbus LLC. For the most recent information, click here.
A list of the most recent deficiencies for Majestic Care of Columbus 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? |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-01-13 | 2019-02-20 | 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 | 2019-01-13 | 2019-02-20 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Be properly staffed | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-13 | 2019-02-20 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-16 | 2019-02-20 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-16 | 2019-02-20 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-16 | 2019-02-20 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-16 | 2019-02-20 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-01-16 | 2019-02-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-01-16 | 2019-02-20 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-01-16 | 2019-02-20 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-01-16 | 2019-02-20 | N |
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-01-16 | 2019-02-20 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-16 | 2019-02-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-16 | 2019-02-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-16 | 2019-02-20 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-01-16 | 2019-02-20 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-01-16 | 2019-02-20 | 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 ne | Health | 2019-01-16 | 2019-02-20 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-01-16 | 2019-02-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-16 | 2019-02-20 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-16 | 2019-02-20 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-16 | 2019-02-20 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-05 | 2018-05-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-05 | 2018-05-14 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-05 | 2018-05-14 | N |
Be properly staffed | Fire Safety | 2018-04-05 | 2018-05-14 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2018-04-05 | 2018-05-14 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-05 | 2018-05-14 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-04-05 | 2018-05-14 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-04-05 | 2018-05-14 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-05 | 2018-05-14 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-05 | 2018-05-14 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-04-05 | 2018-05-14 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-04-05 | 2018-05-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-05 | 2018-05-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-05 | 2018-05-14 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-04-05 | 2018-05-14 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-04-05 | 2018-05-14 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-26 | 2017-08-21 | Y |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-26 | 2017-08-21 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-26 | 2017-08-21 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-26 | 2017-08-21 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-26 | 2017-08-21 | Y |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-02-07 | 2017-05-02 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-07 | 2017-05-02 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-02-07 | 2017-05-02 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-02-09 | 2017-05-02 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-09 | 2017-05-02 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-09 | 2017-05-02 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-02-09 | 2017-05-02 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-09 | 2017-05-02 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-09 | 2017-03-08 | N |