Colonial Manors of Columbus Community

In the surveyor’s words

From the most serious findings on record at Colonial Manors of Columbus Community, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF881May 12, 2022

  Based on interview, record review, and facility policy review, the facility failed to implement an ongoing facility wide system to monitor antibiotic use. The facility reported a census of 29 residents. Findings include: All infection control data compiled as part of the infection control program was requested from the facility for March and April 2022. The antibiotic logs/infection surveillance forms included in the facility's policy were also requested. Data for March 2022 and April 2022 provided by the facility included an Infection Control Monthly Report Sheet and an Antibiotic Days of Therapy Report (provided by pharmacy). Documentation provided by the facility lacked the antibiotic log which had been included as part of the facility's policy. […]

• No harm, potential for more than minimal, patternF636Aug 15, 2024

  Based on clinical record review, staff interview, and facility policy review the facility failed to ensure admission Minimum Data Set (MDS) assessments completed timely for four of four residents reviewed for completion of comprehensive assessments (Resident #5, Resident #13, Resident #26, Resident #29). The facility reported a census of 28 residents. Findings include: 1. Review of the electronic health record for Resident #26 revealed the resident admitted to the facility 12/27/23. Review of the resident's Admission MDS assessment with Assessment Reference Date (ARD) 1/9/24 revealed the assessment completed 1/19/24. The Facility Policy titled MDS-Resident Assessment Instrument (RAI) and Care Planning, undated, revealed the following: 1. […]

• No harm, potential for more than minimal, patternF657Aug 15, 2024

  Based on record review, staff interview, and facility policy review the facility failed to update the Care Plan following initiation of anticoagulant medication, failed to ensure updated fall interventions were included following resident falls, failed to include a wound, and failed to address Clostridium Difficile for four of thirteen residents reviewed for Care Plan revision (Resident #6, Resident #15, Resident #20, Resident #27). The facility reported a census of 28 residents. Findings include: 1. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was rarely to never understood, and further revealed the resident took anticoagulant medication. Review of the Care Plan for Resident #15 lacked a focus area for anticoagulant medication. […]

• No harm, potential for more than minimal, patternF883Oct 12, 2023

  Based on clinical record review, policy review, and staff interview, the facility failed to ensure 4 of 5 residents were offered up to date pneumococcal (referring to pneumonia) vaccinations (Residents #4, #10, #15, #16). The facility reported a census of 24 residents. Findings include: 1. Resident #4's Resident Detail report listed his admitted as 3/10/16 and his date of birth (DOB) as 1/14/36. The Immunization Registry Information System(IRIS) report for Resident #4 lacked documentation he received a pneumococcal vaccination. The Admission Checklist, dated 3/10/16, had a question mark next to the question which asked if the resident had a pneumococcal vaccine or would like to receive one. 2. Resident #10's Resident Detail report listed her admitted as 6/4/18 and her DOB as 1/14/26. […]

• No harm, potential for more than minimal, isolatedF578Jul 24, 2025

  Based on observation, clinical record review, facility policy review and staff interview, the facility failed to ensure accurate resident code status (resident decision to have cardiopulmonary resuscitation (CPR) performed or do not resuscitate (DNR) in the event of cardiac arrest) information recorded and readily available for 1 of 16 residents (Resident #24) reviewed for code status. The facility reported a census of 30 residents. The Minimum Data Set (MDS) assessment for Resident #17, dated [DATE], identified the resident had a diagnoses of cerebral vascular accident and dementia, and a Brief Interview for Mental Status score of 11 out of 15 (indicative of moderate mental impairment). […]