Deficiency Records for Majestic Care of Columbus LLC
Updated as of June 01, 2021
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? |
---|---|---|---|---|
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 |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-05 | 2020-12-31 | Y |
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 | 2020-10-05 | 2020-12-31 | Y |
Have properly located and lighted "Exit" signs. | Fire Safety | 2020-10-05 | 2020-12-31 | Y |
Provide a written emergency evacuation plan. | Fire Safety | 2020-10-05 | 2020-12-31 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-05 | 2020-12-31 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-08-18 | 2020-12-31 | Y |
Meet other general requirements that are deficient. | Fire Safety | 2020-08-18 | 2020-12-31 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-12-21 | 2020-12-31 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-11-25 | 2020-12-31 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-11-25 | 2020-12-31 | Y |
Respond appropriately to all alleged violations. | Health | 2020-11-25 | 2020-12-31 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-25 | 2020-12-31 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-01 | 2020-12-31 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-01 | 2020-12-31 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-10-01 | 2020-12-31 | 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 | 2020-06-17 | 2020-06-29 | 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 | 2020-06-17 | 2020-06-29 | Y |
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 |
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 |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-03 | 2019-12-30 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-03 | 2019-12-30 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-03 | 2019-12-30 | 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 | 2019-12-03 | 2019-12-30 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-20 | 2019-12-30 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-20 | 2019-12-30 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-09 | 2019-11-05 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-09 | 2019-11-05 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-09 | 2019-11-05 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-29 | 2019-09-23 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-29 | 2019-09-23 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-29 | 2019-09-23 | Y |
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 an enclosure around a vertical opening shaft. | 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 |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 necessary and PRN use is limited. | 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 |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |