Deficiencies per Year
16
12
8
4
0
Moderate
Low
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 116
Capacity: 116
Deficiencies: 0
Apr 3, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00454298.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00454298 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census: 116
Total Capacity: 116
Medicare Census: 2
Medicaid Census: 97
Other Payor Census: 17
Inspection Report
Plan of Correction
Deficiencies: 0
Mar 18, 2025
Visit Reason
Paper compliance review related to the Investigation of multiple complaints (IN00452997, IN00453214, IN00453166, IN00453005, IN00453237, IN00452975, IN00453317) and an unrelated deficiency survey completed on February 13, 2025.
Findings
Columbia Healthcare Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review of the investigations and the unrelated deficiency survey.
Complaint Details
The visit was related to the investigation of multiple complaints as listed; compliance was found based on paper review.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 12, 2025
Visit Reason
The inspection was conducted as a paper compliance review of the Investigation of Complaint IN00449174 completed on December 31, 2024.
Findings
Columbia Healthcare Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper review of the complaint investigation.
Complaint Details
Complaint IN00449174 was investigated and found to be corrected.
Inspection Report
Complaint Investigation
Census: 117
Capacity: 117
Deficiencies: 1
Feb 12, 2025
Visit Reason
This visit was conducted for the investigation of multiple complaints (IN00452997, IN00453214, IN00453166, IN00453005, IN00453237, IN00452975, IN00453317) regarding the facility.
Findings
No deficiencies were found related to the specific complaints investigated; however, an unrelated deficiency was cited regarding the facility's failure to maintain a safe, sanitary, and comfortable environment, including dust and dirt buildup, unclean linen closets and shower rooms, improper storage of urinals, and persistent urine odors throughout the facility.
Complaint Details
The investigation covered seven complaints (IN00452997, IN00453214, IN00453166, IN00453005, IN00453237, IN00452975, IN00453317). No deficiencies related to the allegations in these complaints were cited.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure a safe, sanitary environment with dust and dirt buildup on multiple halls, unclean linen closets and shower rooms, improper storage of urinals, and urine odors present throughout the survey. | SS=E |
Report Facts
Census: 117
Total Capacity: 117
Census Payor Type - Medicare: 1
Census Payor Type - Medicaid: 98
Census Payor Type - Other: 18
Inspection Report
Complaint Investigation
Census: 111
Capacity: 111
Deficiencies: 2
Dec 30, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00449174 related to federal/state deficiencies cited at F695 and F842.
Findings
The facility failed to follow nebulizer treatment policy for one resident, resulting in a resident found without respirations or pulse during treatment. Additionally, the facility failed to ensure complete and accurate documentation for insulin administration and nebulizer treatments for multiple residents.
Complaint Details
Complaint IN00449174 was substantiated with federal/state deficiencies cited at F695 (respiratory/tracheostomy care and suctioning) and F842 (resident records - identifiable information).
Severity Breakdown
SS=D: 1
SS=E: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to follow nebulizer policy for 1 of 1 resident reviewed; resident was not assessed prior to treatment and staff did not stay at bedside during nebulizer treatment, resulting in resident found without respirations or pulse. | SS=D |
| Failed to ensure documentation was complete and accurate for 4 of 8 resident records reviewed; insulin administration and nebulizer treatments were not marked as complete on the Medication Administration Record. | SS=E |
Report Facts
Census: 111
Total Capacity: 111
Survey Dates: December 30 and 31, 2024
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Beran | Laboratory Director or Provider/Supplier Representative | Signed the report |
| RN 5 | Registered Nurse | Named in nebulizer treatment deficiency and interview regarding resident found unresponsive |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding nebulizer treatment assessments and documentation |
| Administrator | Facility Administrator | Interviewed regarding nebulizer treatment policy and staffing |
Inspection Report
Re-Inspection
Census: 114
Capacity: 114
Deficiencies: 0
Dec 12, 2024
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Recertification and State Licensure Survey completed on November 1, 2024, conducted in conjunction with the Investigation of Complaint IN00447581.
Findings
Columbia Healthcare Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Recertification and State Licensure Survey.
Complaint Details
Investigation of Complaint IN00447581 was conducted in conjunction with this visit.
Report Facts
Census SNF/NF: 114
Census Payor Type - Medicare: 1
Census Payor Type - Medicaid: 96
Census Payor Type - Other: 17
Inspection Report
Complaint Investigation
Census: 114
Capacity: 114
Deficiencies: 0
Dec 12, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00447581 and was conducted in conjunction with the Post Survey Revisit to the Recertification and State Licensure Survey completed on November 1, 2024.
Findings
No deficiencies related to the complaint allegations were cited. Columbia Healthcare Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the complaint investigation.
Complaint Details
Complaint IN00447581 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census: 114
Total Capacity: 114
Payor Type Census: 1
Payor Type Census: 96
Payor Type Census: 17
Inspection Report
Life Safety
Census: 109
Capacity: 171
Deficiencies: 0
Nov 20, 2024
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a).
Findings
The facility was found in compliance with Emergency Preparedness Requirements and Life Safety Code requirements for Medicare and Medicaid Participating Providers and Suppliers. The facility is a two-story, fully sprinklered building with a fire alarm system and smoke detectors in corridors and resident rooms, except for one detached wood shed used for storage.
Report Facts
Facility capacity: 171
Census: 109
Inspection Report
Annual Inspection
Census: 111
Capacity: 111
Deficiencies: 9
Nov 1, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, including the Investigation of Complaints IN00440519, IN00440582, IN00441713, and IN00445070.
Findings
The facility was found deficient in multiple areas including failure to notify physicians of abnormal blood glucose levels, incomplete care plans for residents with frequent UTIs, inadequate treatment of elevated blood glucose resulting in hospitalization, failure to monitor skin under immobilizers leading to pressure ulcers, inadequate pain management prior to wound care, medication administration errors including failure to prime insulin pens, improper medication storage and labeling, incomplete documentation of insulin use, and lapses in infection prevention and control practices.
Complaint Details
This visit included the investigation of complaints IN00440519, IN00440582, IN00441713, and IN00445070. No deficiencies related to the allegations were cited for these complaints.
Severity Breakdown
SS=D: 8
SS=E: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Failed to notify physician of blood glucose levels outside parameters for 1 of 2 residents reviewed for insulin administration. | SS=D |
| Failed to ensure a resident had a care plan implemented related to frequent urinary tract infections with multidrug resistant organisms. | SS=D |
| Failed to ensure effective services to treat elevated blood glucose levels were provided in accordance with physician orders, resulting in hospitalization for diabetic ketoacidosis. | SS=D |
| Failed to monitor skin for pressure ulcers under a knee immobilizer for 1 of 3 residents reviewed. | SS=D |
| Failed to administer pain interventions prior to wound care for 1 of 2 residents observed. | SS=D |
| Failed to prime insulin injection pens prior to administration for 1 of 5 residents observed during medication pass. | SS=D |
| Failed to ensure medications were properly dated, labeled, and not expired in multiple medication and treatment carts. | SS=E |
| Failed to ensure documentation was complete and accurate for insulin use for 1 of 2 residents reviewed. | SS=D |
| Failed to ensure infection control practices including hand hygiene, glove changes, and use of enhanced barrier precautions during wound and incontinence care. | SS=D |
Report Facts
Survey dates: 7
Census: 111
Total capacity: 111
Medication administration opportunities: 26
Blood glucose levels: 600
Pressure ulcer size: 8.8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 6 | LPN | Named in failure to notify physician of critical blood glucose level and insulin administration documentation. |
| Licensed Practical Nurse 13 | LPN | Named in medication administration error for failure to prime insulin pens. |
| Registered Nurse 12 | RN | Observed administering wound care without adequate pain management. |
| Registered Nurse 15 | RN | Named in incomplete documentation of insulin administration. |
| Director of Nursing | DON | Provided interviews regarding insulin administration, documentation, and care plan expectations. |
| Nurse Practitioner | NP | Interviewed regarding communication and orders for elevated blood glucose levels. |
| Certified Nurses Aide 3 | CNA | Observed failing to change gloves and sanitize hands during incontinence care. |
| Certified Nurses Aide 7 | CNA | Observed failing to change gloves and sanitize hands during incontinence care. |
| Qualified Medication Aide 5 | QMA | Observed failing to change gloves and sanitize hands during incontinence care. |
| Licensed Practical Nurse 4 | LPN | Observed performing wound care without wearing gown as required by enhanced barrier precautions. |
Inspection Report
Plan of Correction
Deficiencies: 0
Jun 14, 2024
Visit Reason
Paper compliance review related to the Investigation of Complaints IN00432722 survey ending on May 9, 2024.
Findings
Columbia Health Care Center was found to be in compliance with 42 CFR Part 483 Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review of the Investigation of Complaints IN00432722 survey.
Complaint Details
Investigation of Complaints IN00432722 survey was reviewed for paper compliance.
Inspection Report
Complaint Investigation
Census: 116
Capacity: 116
Deficiencies: 1
May 8, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00434200, IN00433145, and IN00432722. Deficiencies related to complaint IN00432722 were cited at F660, while no deficiencies were cited for the other complaints.
Findings
The facility failed to ensure the proper implementation of the discharge planning process for one resident (Resident B) who was discharged home without arrangements for home health services and without proper documentation according to facility policy. Resident B left the facility against medical advice without appropriate education or documentation, and the facility did not contact Adult Protective Services despite concerns about the resident's safety.
Complaint Details
Complaint IN00432722 was substantiated with deficiencies cited related to discharge planning. Complaints IN00433145 and IN00434200 had no deficiencies related to the allegations.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to implement the resident's discharge process for 1 of 3 residents reviewed, including discharging a resident home without arranging home health services and without proper documentation. | SS=D |
Report Facts
Census SNF/NF beds: 116
Census total residents: 116
Medicare residents: 3
Medicaid residents: 91
Other payor residents: 22
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Beran | Administrator | Administrator interviewed regarding Resident B's discharge and facility policies |
| SS 4 | Social Service | Social Service staff interviewed regarding discharge process and Resident B's case |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 117
Deficiencies: 1
Mar 26, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00429431 regarding allegations of deficient care related to resident rights and dignity.
Findings
The facility failed to ensure dignity and timely care for 3 of 3 residents reviewed. Residents were not assisted promptly, call lights were ignored or turned off without providing care, and residents were treated without respect.
Complaint Details
Complaint IN00429431 was substantiated with federal/state deficiencies cited at F550 related to resident rights and dignity. The complaint included reports of residents waiting hours for care, call lights being turned off without care, and disrespectful staff behavior.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure dignity and timely assistance for residents, including ignoring call lights and disrespectful treatment. | SS=D |
Report Facts
Census: 117
Total Capacity: 117
Residents affected: 3
Survey dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Beran | Administrator | Signed the report and provided statements regarding complaint handling |
| LPN 1 | Licensed Practical Nurse | Provided information on call light response procedures |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 26, 2024
Visit Reason
The inspection was conducted as a paper compliance review related to the Investigation of Complaints IN00429431 survey ending on March 26, 2024.
Findings
Columbia Health Care Center was found to be in compliance with 42 CFR Part 483 Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review of the Investigation of Complaints IN00429431 survey.
Complaint Details
Investigation of Complaints IN00429431; paper compliance review; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 115
Capacity: 115
Deficiencies: 0
Feb 8, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00427810.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00427810 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Census SNF/NF: 115
Total Capacity: 115
Medicare Census: 1
Medicaid Census: 92
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 29, 2023
Visit Reason
Paper compliance review to the Investigation of Complaints IN00420692, IN00422524, and IN00422380 survey ending on November 28, 2023.
Findings
Columbia Health Care Center was found to be in compliance with 42 CFR Part 483 Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review of the investigations.
Complaint Details
Investigation of Complaints IN00420692, IN00422524, and IN00422380; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 114
Capacity: 114
Deficiencies: 2
Nov 28, 2023
Visit Reason
This visit was conducted for the investigation of three complaints (IN00420692, IN00422524, and IN00422380) related to allegations of deficiencies in medication notification and ADL care.
Findings
The facility failed to notify the physician of unavailable or not administered medications for Resident B and failed to provide bathing care to Resident D. Deficiencies were cited related to notification of changes and ADL care for dependent residents.
Complaint Details
The investigation was triggered by complaints IN00420692, IN00422524, and IN00422380. Deficiencies related to these complaints were substantiated with citations at F580 (Notification of Changes) and F677 (ADL Care Provided for Dependent Residents).
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to notify the physician of medications not available or given as ordered for Resident B. | SS=D |
| Failed to provide activities of daily living (ADL) care, specifically bathing, to Resident D. | SS=D |
Report Facts
Census: 114
Total Capacity: 114
Medicare Census: 2
Medicaid Census: 94
Other Payor Census: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert O'Niones | Health Facility Administrator/ED | Signed the report |
| Director of Nursing (DON) | Interviewed regarding medication administration and bathing care | |
| Administrator in Training | Provided pharmacy services document and interview about policies | |
| CNA 1 | Interviewed regarding bathing procedures and documentation |
Inspection Report
Re-Inspection
Census: 121
Capacity: 171
Deficiencies: 0
Nov 6, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 09/18/23 was performed to verify compliance with life safety and state licensure requirements.
Findings
The facility was found in compliance with the Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 edition of the NFPA 101 Life Safety Code. The facility was fully sprinklered except for one detached wood shed used for storage.
Report Facts
Facility capacity: 171
Census: 121
Inspection Report
Complaint Investigation
Census: 117
Capacity: 117
Deficiencies: 0
Oct 10, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00415871.
Findings
No deficiencies related to the allegations in Complaint IN00415871 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Investigation of Complaint IN00415871 found no deficiencies related to the allegations.
Report Facts
Medicare census: 3
Medicaid census: 97
Other payor census: 17
Inspection Report
Renewal
Deficiencies: 0
Oct 3, 2023
Visit Reason
Paper compliance review to the Recertification and State Licensure Survey ending on August 14, 2023.
Findings
Columbia Health Care Center was found to be in compliance with 42 CFR Part 483 Subpart B and 410 IAC 16.2-3.1 in regard to the paper compliance review to the Recertification and State Licensure Survey.
Inspection Report
Life Safety
Census: 121
Capacity: 171
Deficiencies: 9
Sep 18, 2023
Visit Reason
Life Safety Code Recertification and State Licensure Survey conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
The facility was found not in compliance with Medicare/Medicaid participation requirements related to Life Safety from Fire and the 2012 NFPA 101 Life Safety Code. Deficiencies included lint accumulation in laundry dryer enclosure, fire rating tags obscured by paint on stairway doors, missing self-closing devices on hazardous area doors, cooktop not deactivated when not in use, fire alarm system trouble light, incomplete sprinkler coverage, sprinkler heads covered with foreign substances, combustible decorations without fire retardant treatment, and missing annual inspection documentation for stairway and laundry chute fire door assemblies.
Severity Breakdown
SS=E: 7
SS=F: 2
Deficiencies (9)
| Description | Severity |
|---|---|
| Laundry area dryer room enclosure was substantially covered with dryer lint. | SS=E |
| One stairway door's fire rating tag was covered with paint. | SS=E |
| One hazardous area door (Central Supply Room) lacked a self-closing device. | SS=E |
| Cooktop stove/oven in The Cottage was not shut off at the switch when not in use. | SS=E |
| Fire alarm control panel had a 'Supervisory' yellow trouble light indicating dialer trouble. | SS=F |
| Sprinkler system failed to provide complete coverage in a storage area behind walk-in cooler. | SS=E |
| Sprinkler heads in maintenance shop and laundry dryer enclosure were covered with foreign substances. | SS=E |
| Combustible decorations (picture collage and coloring pictures) in 2300 Unit corridors lacked fire retardant treatment. | SS=E |
| Annual inspection and testing documentation missing for 15 stairway fire door assemblies and 3 laundry chute fire door assemblies. | SS=F |
Report Facts
Deficiency count: 9
Facility capacity: 171
Census: 121
Storage area size: 10
Storage area size: 3
Picture collage size: 12
Picture collage size: 3
Coloring picture size: 10
Coloring picture size: 2
Number of stairway fire door assemblies: 15
Number of laundry chute fire door assemblies: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert O'Niones | Health Facility Administrator/ED | Signed the report |
| Maintenance Supervisor | Interviewed and involved in observations and findings | |
| Maintenance Assistant | Interviewed and involved in observations and findings | |
| Senior Maintenance Supervisor | Interviewed and involved in observations and findings | |
| Administrator-in-Training | Present during exit conference and findings review |
Inspection Report
Annual Inspection
Census: 116
Capacity: 116
Deficiencies: 14
Aug 14, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from August 7 to August 14, 2023.
Findings
The facility was found deficient in multiple areas including reasonable accommodations for residents, ADL care for dependent residents, fall prevention, catheter care, urostomy care, respiratory care, medication administration, medication storage, dietary support and food safety, meal/snack provision, and environmental conditions on the dementia unit.
Severity Breakdown
SS=D: 8
SS=C: 1
SS=E: 5
Deficiencies (14)
| Description | Severity |
|---|---|
| Failed to accommodate residents with call lights within reach for 4 of 4 residents reviewed. | SS=D |
| Failed to ensure dependent residents received necessary services to maintain grooming and personal hygiene for 3 of 4 residents reviewed. | SS=D |
| Failed to provide adequate supervision and assistance devices to prevent falls for 2 of 3 residents reviewed. | SS=D |
| Failed to ensure residents with catheters received appropriate treatment to prevent urinary tract infections; catheter bag observed on floor. | SS=D |
| Failed to provide urostomy care consistent with professional standards for 1 resident with a urostomy. | SS=D |
| Failed to provide respiratory care consistent with professional standards for 1 resident requiring oxygen therapy. | SS=D |
| Failed to post accurate nurse staffing data including total number and actual hours worked for licensed and unlicensed nursing staff for 6 of 6 days reviewed. | SS=C |
| Medication error rate exceeded 5% with 3 errors observed during 35 medication administration opportunities for 1 resident. | SS=D |
| Failed to properly label and store drugs and biologicals; loose pills and unlabeled medications found in multiple medication and treatment carts. | SS=D |
| Failed to employ staff with appropriate competencies and skills to prepare pureed diets according to dietician's nutritional requirements. | SS=E |
| Failed to provide food and drink that are palatable, attractive, and at a safe and appetizing temperature; residents complained of cold food and poor quality. | SS=E |
| Failed to provide nourishing bedtime snacks for 5 residents and failed to provide meals at times comparable to normal mealtimes in the community. | SS=E |
| Failed to store, prepare, distribute, and serve food in accordance with professional food service safety standards; issues with cleanliness, expired and unlabeled food items, and damaged kitchen infrastructure. | SS=E |
| Failed to maintain a safe, clean, comfortable, and homelike environment on the locked dementia unit; multiple maintenance and cleanliness issues observed. | SS=E |
Report Facts
Survey dates: August 7-14, 2023
Census: 116
Total capacity: 116
Medication error rate: 8.57
Fall count: 13
Audit frequency: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| QMA 10 | Qualified Medication Aide | Named in medication administration error finding |
| LPN 5 | Licensed Practical Nurse | Named in urostomy care deficiency and medication storage |
| LPN 11 | Licensed Practical Nurse | Named as wound nurse observing urostomy care |
| Director of Nursing | Director of Nursing | Interviewed regarding multiple deficiencies including falls, urostomy care, oxygen therapy, and medication policies |
| Dietary Manager | Dietary Manager | Interviewed regarding food service deficiencies and meal/snack provision |
| Assistant Dietary Manager | Assistant Dietary Manager | Interviewed regarding kitchen sanitation and food storage |
| RN 12 | Registered Nurse | Observed medication administration and interviewed about insulin storage |
| LPN 14 | Licensed Practical Nurse | Interviewed regarding dementia unit bathroom and bathtub conditions |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 115
Deficiencies: 0
May 4, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00399271.
Findings
No deficiencies related to the complaint allegation were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00399271 was investigated and found to have no deficiencies related to the allegation.
Report Facts
Census SNF/NF: 115
Census Medicare: 5
Census Medicaid: 101
Census Other: 9
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 15, 2022
Visit Reason
Paper compliance review to the Investigation of Complaint IN00393930 survey ending on December 15, 2022.
Findings
Columbia Health Care Center was found to be in compliance with 42 CFR Part 483 Subpart B and 410 IAC 16.2-3.1 in regard to the paper compliance review of the complaint investigation.
Complaint Details
Investigation of Complaint IN00393930; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 126
Capacity: 126
Deficiencies: 1
Dec 14, 2022
Visit Reason
This visit was conducted for the investigation of three complaints (IN00393930, IN00391496, and IN00378261) concerning resident care and rights at Columbia Healthcare Center.
Findings
The facility was found to have failed to ensure dignity for one resident (Resident B) by not taking him to the restroom and telling him to soil his brief, including taking his call light away. Complaint IN00393930 was substantiated with related federal/state deficiencies cited at F550. Two other complaints were unsubstantiated due to lack of evidence.
Complaint Details
Complaint IN00393930 was substantiated with federal/state deficiencies cited at F550. Complaints IN00391496 and IN00378261 were unsubstantiated due to lack of evidence.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure dignity for 1 of 3 residents reviewed for quality of care; resident was told to soil his brief and call light was taken from his hand. | SS=D |
Report Facts
Census: 126
Total Capacity: 126
Medicare Census: 5
Medicaid Census: 104
Other Payor Census: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lana Ballard | Executive Director | Signed the report and referenced in the document |
| CNA 1 | Staff member involved in the incident with Resident B; suspended and terminated for resident abuse | |
| CNA 2 | Staff member who stated she never told residents to soil briefs and takes residents to bathroom when needed |
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