Inspection Reports for
Traditions of Columbus

The facility failed to follow the prescribed dose reduction for a resident's anticoagulant medication for 1 of 7 residents reviewed for pharmacy services, specifically Resident 8's Eliquis dose was not reduced as ordered until several months later.

Complaint IN00411523 was substantiated. The facility failed to protect resident rights related to misappropriation of medications for 1 of 3 residents reviewed. The nurse involved resigned, and the resident's family, physician, and police were notified.

The facility failed to protect resident rights related to misappropriation of medications for one resident. The investigation revealed that a nurse removed controlled medications from the medication cart improperly, resulting in missing medication. The nurse resigned, and corrective actions including audits, staff education, and policy enforcement were implemented.

Complaint IN00391651 was not corrected as of the revisit date.

The facility failed to provide a safe environment for one resident reviewed for elopement, with documented incidents of the resident leaving the secured unit and facility. The facility had not implemented an effective systemic plan of correction to prevent recurrence of elopement incidents.

Complaint IN00397222 was substantiated with no deficiencies cited. Complaint IN00391651 was substantiated with a state deficiency cited at R0052 related to residents' rights violations including neglect and failure to prevent elopement.

The facility failed to provide a safe environment and prevent an elopement for one of three residents reviewed for neglect. Resident B exited the memory care unit through an alarmed door and was found outside the building. The facility had multiple documented incidents of Resident B exhibiting exit-seeking behavior and wandering. The facility implemented corrective actions including 1:1 supervision, updating care plans, staff inservices, monthly elopement drills, and ongoing screening for residents at risk of elopement.

The facility was found to have deficiencies in infection control practices, specifically related to insulin pen usage and improper mask wearing by staff during food service. The facility failed to follow proper infection control protocols including cleansing the insulin pen and resident's skin prior to insulin administration and ensuring staff wore masks correctly.