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Deficiency Records for Majestic Care of Columbus LLC

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.

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?
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-08-05 2024-09-02 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-08-05 2024-09-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-05 2024-09-02 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-08-05 2024-09-02 N
Provide and implement an infection prevention and control program. Health 2024-08-05 2024-09-02 N
Implement a program that monitors antibiotic use. Health 2024-08-05 2024-09-02 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-08-05 2024-09-02 Y
Implement emergency and standby power systems. Fire Safety 2024-07-29 2024-09-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-29 2024-09-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-29 2024-09-02 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-07-29 2024-09-02 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-03-27 2024-04-30 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-03-27 2024-04-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-22 2024-03-15 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-02-22 2024-03-15 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-02-22 2024-03-15 N
Provide and implement an infection prevention and control program. Health 2024-02-22 2024-03-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-22 2024-03-15 Y
Honor the resident's right to manage his or her financial affairs. Health 2023-09-21 2023-10-27 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 2023-09-21 2023-10-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-21 2023-10-27 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-09-21 2023-10-27 N
Ensure medication error rates are not 5 percent or greater. Health 2023-09-21 2023-10-27 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2023-09-21 2023-10-27 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-09-21 2023-10-27 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2023-09-21 2023-10-27 N
Provide and implement an infection prevention and control program. Health 2023-09-21 2023-10-27 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-09-20 2023-10-27 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-09-20 2023-10-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-20 2023-10-27 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-07-26 2023-08-08 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-07-26 2023-08-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-26 2023-08-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-26 2023-08-08 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-07-26 2023-08-08 Y
Provide and implement an infection prevention and control program. Health 2023-07-26 2023-08-08 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-03-02 2023-03-17 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-03-02 2023-03-17 Y
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 2023-03-02 2023-03-17 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-01-30 2023-03-17 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-01-30 2023-03-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-01-30 2023-03-17 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 2023-01-30 2023-03-17 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-01-30 2023-03-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-01-30 2023-03-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-30 2023-03-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-30 2023-03-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-30 2023-03-17 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-01-30 2023-03-17 Y
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2023-01-30 2023-03-17 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-01-30 2023-03-17 Y
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 2023-01-30 2023-03-17 Y
Help the resident with transportation to and from laboratory services outside of the facility. Health 2023-01-30 2023-03-17 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-01-30 2023-03-17 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-01-30 2023-03-17 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-01-30 2023-03-17 Y
Provide and implement an infection prevention and control program. Health 2023-01-30 2023-03-17 Y
Report COVID19 data to residents and families. Health 2023-01-30 2023-03-17 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-12-20 2023-03-17 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-12-20 2023-03-17 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-12-20 2023-03-17 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-20 2023-03-17 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-12-20 2023-03-17 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-09-16 2022-09-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-16 2022-09-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-27 2022-06-30 Y
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 2022-05-17 2022-05-25 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-03-02 2022-03-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-02 2022-03-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-02 2022-03-16 Y
Provide and implement an infection prevention and control program. Health 2022-03-02 2022-03-16 Y
Put firmly secured handrails on each side of hallways. Health 2022-03-02 2022-03-16 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-09 2022-03-16 Y
Keep residents' personal and medical records private and confidential. Health 2022-02-09 2022-03-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-09 2022-03-16 Y
Provide and implement an infection prevention and control program. Health 2022-02-09 2022-03-16 Y
Provide and implement an infection prevention and control program. Health 2021-12-28 2022-03-16 Y
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 2021-12-16 2022-03-16 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2021-11-16 2022-03-16 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2021-11-16 2022-03-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-16 2022-03-16 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-11-16 2022-03-16 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 2021-11-16 2022-03-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-16 2022-03-16 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-11-16 2022-03-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-16 2022-03-16 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-11-16 2022-03-16 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-10-08 2021-11-16 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-08 2021-11-16 Y
Respond appropriately to all alleged violations. Health 2021-10-08 2021-11-16 Y

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