A list of the most recent deficiencies for Columbia Care Center. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-13 | 2020-01-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-13 | 2020-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-13 | 2020-01-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-12-12 | 2020-01-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-12 | 2020-01-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-12 | 2020-01-23 | 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 | 2018-04-16 | 2018-05-25 | N |
| 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 | 2018-04-16 | 2018-05-25 | 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 | 2018-04-16 | 2018-05-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-16 | 2018-05-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-10 | 2018-05-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-10 | 2018-05-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-10 | 2018-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-10 | 2018-05-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-10 | 2018-05-25 | N |
