A list of the most recent deficiencies for Columbus Oaks Healthcare Community. 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? |
|---|---|---|---|---|
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-03-16 | 2023-04-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-16 | 2023-04-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-17 | 2023-03-24 | 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 | 2023-03-17 | 2023-03-24 | 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 | 2023-03-17 | 2023-03-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-17 | 2023-03-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-17 | 2023-03-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-03-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-17 | 2023-03-24 | 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 | 2023-03-17 | 2023-03-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-17 | 2023-03-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-17 | 2023-03-24 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-03-16 | 2023-03-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-16 | 2023-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-16 | 2023-03-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-30 | 2022-01-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-30 | 2022-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-30 | 2022-01-14 | 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 | 2021-12-30 | 2022-01-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-30 | 2022-01-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-30 | 2022-01-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-10-01 | 2020-10-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-01 | 2020-10-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-10-01 | 2020-10-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-10-01 | 2020-10-23 | N |
| 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 | 2020-10-01 | 2020-10-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-01 | 2020-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-01 | 2020-10-23 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-09-29 | 2020-10-23 | 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 | 2020-09-29 | 2020-10-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-29 | 2020-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-29 | 2020-10-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-29 | 2020-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-29 | 2020-10-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-29 | 2020-10-23 | N |
