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? |
|---|---|---|---|---|
| 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 | 2021-11-16 | 2022-03-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-16 | 2022-03-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-16 | 2022-03-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-16 | 2022-03-16 | 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 | 2021-11-16 | 2022-03-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-11-16 | 2022-03-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-16 | 2022-03-16 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-16 | 2022-03-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-16 | 2022-03-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-16 | 2022-03-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-16 | 2022-03-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-16 | 2022-03-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-16 | 2022-03-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-16 | 2022-03-16 | N |
| 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 |
| 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-04 | 2022-03-16 | N |
| 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 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-23 | 2021-08-23 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-02 | 2021-06-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-12 | 2021-04-23 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-12 | 2021-04-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-16 | 2020-02-17 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-01-16 | 2020-02-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-16 | 2020-02-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-16 | 2020-02-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-16 | 2020-02-17 | 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 | 2020-01-16 | 2020-02-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-16 | 2020-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-16 | 2020-02-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-16 | 2020-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-16 | 2020-02-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-16 | 2020-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-17 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-01-16 | 2020-02-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-01-14 | 2020-02-17 | 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 | 2020-01-14 | 2020-02-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-14 | 2020-02-17 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-01-14 | 2020-02-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-14 | 2020-02-17 | N |
