Inspection Reports for Emerald Columbus

Issuance of a Skilled Nursing Facility/Nursing Facility license based on a request for a new license due to a change of ownership, with related documentation including licensure application, occupancy permit, and Alzheimer's Special Care Unit disclosure.

The document confirms the facility meets statutory requirements for licensure, provides details on ownership, capacity, and services, and includes official permits and certifications. No inspection findings or deficiencies are reported.

The document serves as a renewal application for the nursing home license of Emerald Nursing & Rehab Columbus, including verification of licensure and occupancy permit details.

The documents confirm the facility meets statutory requirements for licensure renewal, with no inspection findings or deficiencies reported.

This document is related to the renewal of the nursing home license for Emerald Nursing & Rehab Columbus, including submission of the renewal application and Alzheimer's Special Care Unit endorsement application.

The documents certify that the facility meets statutory requirements for licensure renewal and provide details on services offered, ownership, and special care endorsements. No inspection findings or deficiencies are reported.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide emergency basic life support according to resident's advance directives.

The facility was found to be in compliance with emergency basic life support according to residents' advance directives. Multiple deficiencies were identified in areas including environment maintenance, assessment accuracy, care planning, quality of care, safety hazards, respiratory care, pain management, infection control, fire safety, and equipment maintenance.

The complaint alleged the facility failed to provide emergency basic life support according to resident's advance directives. The investigation found the facility was in compliance with this allegation.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide emergency basic life support according to a resident's advance directives.

The facility was found to have provided emergency basic life support according to the resident's advance directives. Reviews of resident records, interviews with staff and residents, and policy assessments confirmed compliance with regulatory requirements.

The complaint alleged failure to provide emergency basic life support according to resident's advance directives. The complaint was not substantiated as the facility complied with relevant policies and standards.

The document is related to the issuance of a new Skilled Nursing Facility license due to a change of ownership and a DBA facility name change for Emerald Nursing & Rehab Columbus, effective April 16, 2019.

The license was issued based on the request for a new license due to ownership change and DBA name change. The facility meets statutory requirements as a Skilled Nursing Facility with 145 licensed beds and is certified for Medicare and Medicaid.

An unannounced visit was conducted to investigate a complaint and annual survey at Columbus Care And Rehabilitation Center, Llc on August 8, 2018-August 16, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found in violation for failing to ensure clean and groomed hair, skin, teeth and/or nails; failing to provide medications according to the five rights; failing to maintain nutritional interventions for residents with weight loss; medication error rate was 8%; food safety issues including improper food temperatures and unlabeled food items; failure to prevent potential cross contamination during incontinence care; and other deficiencies related to fire safety and infection control.

The complaint investigation included allegations of insufficient staffing, lack of supplies, failure to provide personal care, medication errors, call light accessibility, failure to identify changes in condition, lack of resident choice, physical restraints, and inaccurate Minimal Data Set documentation. The facility was found in violation related to personal care and medication administration.

The document is a Nursing Home Licensure Renewal Application and related certification for Columbus Care and Rehabilitation Center, LLC, verifying the facility's license renewal and compliance with statutory requirements.

The documents confirm the facility meets statutory requirements for licensure renewal as a Skilled Nursing Facility with special care and treatment for Alzheimer's and other cognitive disorders. No deficiencies or violations are noted in the provided materials.

An unannounced visit was conducted to investigate a complaint at Columbus Care And Rehabilitation Center, LLC on August 30, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found that the facility submitted investigations within five working days and protected residents from abuse. No violations were identified related to the allegations.

The complaint alleged the facility failed to submit investigations within 5 working days and failed to protect residents from abuse. Both allegations were found to be unsubstantiated.

The letter serves to amend the facility's Health Insurance Benefits Agreement to update the certified bed locations and counts effective July 1, 2017, as requested by the facility.

The letter confirms the updated certified bed locations and total of 145 Medicare certified beds at the facility, reflecting changes from the previous agreement effective June 14, 2012.

An unannounced visit was conducted to investigate a complaint and annual survey at Columbus Care And Rehabilitation Center, Llc on June 14, 2017-June 21, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to have multiple deficiencies including insufficient staffing leading to delayed call light response and inadequate resident care, failure to assess and monitor medication administration, failure to prevent resident abuse and ensure resident safety, inadequate infection control practices, environmental maintenance issues, and fire safety code violations.

The visit was complaint-related and substantiated. Allegations included failure to protect residents from abuse, insufficient staffing, failure to provide care and assistance, and failure to report and investigate incidents.

An unannounced visit was conducted to investigate a complaint at Columbus Care And Rehabilitation Center, Llc on April 3-4, 2017, by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found to be in compliance with regulatory guidelines for all allegations investigated, including care and treatment for bowel/bladder elimination, prompt response to calls for assistance, availability of transfer equipment, implementation of fall interventions, grooming, medication administration, housekeeping, and temperature maintenance.

The investigation addressed multiple allegations including failure to provide care for bowel/bladder elimination, prompt response to calls, availability of transfer equipment, fall interventions, grooming, medication administration, housekeeping, and temperature control. All allegations were found to be unsubstantiated with no violations identified.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to ensure all staff are trained to prevent falls and failure to follow the plan of care to prevent falls.

The facility was found to have ensured staff training to prevent falls and proper implementation of the plan of care to prevent falls, resulting in no violations related to the allegations.

The complaint alleged that the facility failed to ensure all staff were trained to prevent falls and failed to follow the plan of care to prevent falls. Both allegations were found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint that the facility fails to use fall interventions to prevent injuries.

The facility failed to consistently implement fall interventions for residents, specifically for one resident with a history of falls, dementia, and Parkinson's disease. Staff were not aware of or did not follow the new hourly check intervention, resulting in non-compliance with federal and state regulations regarding accident prevention.

The complaint alleged that the facility fails to use fall interventions to prevent injuries. The investigation substantiated this allegation, finding non-compliance with Federal regulation F323 and State regulation 175 NAC 12-006.09D7b regarding accident prevention.

An unannounced visit was conducted to investigate a complaint at Columbus Care And Rehabilitation Center, LLC on October 12-13, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found no violations related to the allegations including timely completion of written investigations, protection from residents with adverse behaviors, staff credentials, immediate reporting of abuse allegations, prompt answering of call notification systems, and identification of causal reasons for behaviors. The facility had a total census of 95 residents during the inspection.

The complaint allegations included failure to complete written investigations within five working days, failure to protect residents from residents with adverse behaviors, failure to ensure staff have required credentials, failure to immediately report allegations of abuse, failure to answer call notification systems promptly, and failure to look for causal reasons for behaviors. All allegations were found to be unsubstantiated with no violations.

An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Columbus on March 21, 2016-April 7, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in violation of multiple regulatory requirements including failure to protect a resident from abuse, failure to report abuse allegations timely, failure to ensure dignity and respect for residents, multiple life safety code violations including fire door maintenance, fire alarm system deficiencies, emergency lighting issues, and improper storage and labeling of oxygen cylinders.

Complaint investigation revealed allegations that two agency nursing assistants were rough, hurt, and rude to Resident 110 on 3/17/16 and 3/18/16. The facility failed to protect the resident from abuse and failed to report the allegations to the State Agency within 24 hours. The facility also failed to ensure residents were treated with dignity and respect, as privacy was not provided during personal care.

An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Columbus from March 2, 2015 to March 10, 2015.

The facility was found to have multiple deficiencies including failure to notify physicians timely about medication refusals, failure to deliver mail on Saturdays, failure to implement non-pharmacological interventions before administering psychotropic medications, improper infection control practices leading to potential cross-contamination, and several life safety code violations including obstructed fire doors, unsealed smoke barrier penetrations, obstructed kitchen hood suppression manual pull station, and uncovered electrical junction box.

The complaint investigation included allegations that the facility failed to ensure meals met nutritional needs, failed to act on resident grievances, failed to ensure residents were not chemically restrained, failed to provide routine dental services, failed to provide appropriate equipment, failed to give 30 day discharge notice, failed to provide adequate fluid intake, failed to notify healthcare practitioners of changes in condition, failed to ensure residents had clean and groomed hair, skin, teeth and nails, failed to provide staff assistance for food/fluid intake, and failed to provide care to prevent skin breakdown. The facility was found deficient only in failure to notify healthcare practitioners of changes and failure to ensure residents were not chemically restrained.

An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Columbus from February 3, 2014 to February 11, 2014.

The facility failed to maintain a clean environment and failed to perform proper hand sanitation during food service, which was a violation of federal and state regulations. Other allegations such as hand sanitation during resident care, food preparation, pest control, odor control, restraint use, discharge planning, and protection from adverse behavior were found to be compliant.

The complaint alleged failure to perform proper hand sanitation during resident care and food preparation, failure to ensure food is prepared in a sanitary manner, failure to protect residents from pest outbreaks, failure to ensure odor free environment, failure to maintain a clean environment, failure to ensure residents are not restrained, failure to provide appropriate discharge planning, and failure to protect residents from residents with adverse behavior. Findings substantiated failure in hand sanitation during food service and maintaining a clean environment.

Annual inspection of Golden Livingcenter - Columbus to assess compliance with state and federal regulations including resident care, housekeeping, maintenance, comprehensive care plans, treatment services, continence care, nutrition, and life safety code standards.

The facility was found deficient in multiple areas including failure to maintain resident dignity during meal assistance, housekeeping and maintenance issues in resident rooms, incomplete comprehensive care plans for dental concerns, failure to revise care plans for range of motion exercises, inadequate treatment to maintain eating ability, failure to prevent decline in continence, and food served at improper temperatures. Life safety code violations included missing self-closing devices on hazardous area doors, obstructed corridors, and improperly located smoke detectors.

The inspection was conducted due to an allegation of abuse involving Resident 7, which the facility failed to report and investigate within the required timeframe.

The facility failed to report an allegation of abuse to the State survey agency and did not conduct a timely investigation within 5 working days as required by regulation. The Director of Nursing investigated the allegation but did not report it to the Survey Agency.

The complaint involved an allegation of abuse for Resident 7. The facility did not report the allegation to the Survey Agency and did not complete the investigation within 5 working days as required. The allegation was initially reported to the Director of Nursing on 12/4/11, but no documentation showed reporting to the Survey Agency.

Routine inspection of Golden Livingcenter - Columbus to assess compliance with Nebraska Administrative Code and federal regulations related to skilled nursing facilities.

The facility was found deficient in multiple areas including failure to promptly resolve resident grievances related to missing laundry, inadequate housekeeping and maintenance with damaged dressers and broken tiles, failure to provide adequate ADL care for dependent residents, safety hazards related to falls and bed positioning, infection control breaches during wound care and hygiene, and multiple life safety code violations including fire safety, door integrity, fire alarm monitoring, kitchen hood inspections, and electrical safety.

Document contains licensing renewal application and detailed policies and procedures for the Alzheimer's Care Unit at Golden LivingCenter - Columbus, including admission criteria, assessment, training, environment, programming, and family involvement.

The document outlines the facility's mission, philosophy, admission and discharge criteria, assessment and transition plans, staff training requirements, physical environment design, and programming for residents with dementia. It emphasizes individualized care, safety, normalization, family involvement, and maintaining meaningful activities for residents.

This document serves as a licensure renewal application and verification for Golden LivingCenter - Columbus, confirming the facility's SNF/NF dual certification and renewal of license through the indicated expiration date.

The documents include the renewal application, ownership and officer information, occupancy permit with maximum capacity, and facility layout. No inspection findings or deficiencies are reported.

This document serves as a renewal application for the nursing home license of Columbus Care and Rehabilitation Center, LLC, including ownership disclosures, facility information, and Alzheimer's Care Unit endorsement.

The documents confirm the facility's licensure renewal application, ownership structure, maximum licensed capacity of 145 beds, and detailed information about the Alzheimer's Care Unit including philosophy, staffing, environment, and fees.

This document serves as a licensure renewal application and certification for Emerald Nursing & Rehab Columbus, including renewal of the SNF/NF dual certification and Alzheimer’s Special Care Unit endorsement.

The documents confirm the facility meets statutory requirements for licensure renewal, provide details on ownership, capacity, and services offered, and include disclosures about the Alzheimer’s Special Care Unit philosophy, criteria, staffing, environment, activities, family support, and fees.

The documents serve to verify licensing and renewal status, certify occupancy capacity, and provide disclosure information for the Alzheimer's Special Care Unit at Emerald Nursing & Rehab Columbus.

No inspection findings or deficiencies are reported. The documents include licensing renewal application details, occupancy permit information, and Alzheimer's care unit program disclosures.

The document serves as a Nursing Home Licensure Renewal Application for Emerald Nursing & Rehab Columbus, including certification of compliance with statutory requirements and Alzheimer's Special Care Unit Disclosure.

The documents confirm the facility's licensure renewal status, certification of services offered, ownership information, and special care unit endorsement. No inspection findings or deficiencies are reported.

The documents serve to renew the nursing home license, verify occupancy permit, and provide Alzheimer's special care unit disclosure and endorsement for Emerald Nursing & Rehab Columbus.

No inspection findings or deficiencies are reported. The documents include licensing renewal application, occupancy permit with maximum occupancy of 145 beds, and detailed Alzheimer's care unit disclosure and staffing information.

The documents pertain to the issuance of a Skilled Nursing Facility license due to a change of ownership, along with related ownership disclosures and occupancy permit information.

No inspection findings or deficiencies are reported. The documents confirm licensure status, ownership details, and facility capacity.

The documents pertain to the issuance and renewal of the Skilled Nursing Facility license for Columbus Care and Rehabilitation Center, LLC, including ownership change, facility capacity, and special care program details.

The documents confirm licensure and certification of the facility as a Skilled Nursing Facility with a licensed capacity of 145 beds, describe the Alzheimer's Care Unit program, and include occupancy permits issued by the Nebraska State Fire Marshal.