Columbia Health Care Center

In the surveyor’s words

From the most serious findings on record at Columbia Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 13, 2021

  Based on observation, staff interviews, and record review the facility did not ensure food was stored and prepared in a safe and sanitary manner which had the potential to affect all 66 residents at the facility. Unit and Kitchen refrigerator temperature monitoring logs were incomplete. Foods in refrigerators and coolers were not labeled per regulation and/or were expired. Findings include: Missing Temperatures Facility policy titled, Refrigerators and Freezers indicated: Policy Statement: The facility will ensure safe refrigerator and freezer maintenance, temperatures, and sanitation, and will observe food expiration guidelines. Policy interpretation and implementation: 2. Monthly tracking sheets for all refrigerators and freezers will be posted to record temperatures. 4. […]

• No harm, potential for more than minimal, isolatedF690Feb 19, 2025

  Based on interview and record review the facility did not ensure that a resident who enters the facility with an indwelling catheter receives appropriate treatment and services 1 of 1 residents (R32) reviewed for indwelling catheters. R32 has an indwelling catheter, and a provider was not notified timely when the resident presented with urethral bleeding around the catheter tubing following catheter insertion. R32's catheter was advanced into the bladder and not changed with a new sterile catheter when R32 had no urine output noted 2 hours after insertion. This is evidenced by: Facility policy entitled, Catheter Care, Urinary, dated 9/2014, states, in part: Purpose: The purpose of this procedure is to prevent catheter-associated urinary tract infections . Changing Catheters 1. […]

• No harm, potential for more than minimal, isolatedF609Jan 5, 2023

  Based on interviews, record review, and facility policy review, it was determined the facility failed to ensure that misappropriation/exploitation of resident and or property does not occur or 1 of 3 sampled residents. (R47). Registered Nurse (RN) D admitted having been aware of CNA E having the resident's debit card in her possession for several months but did not report this to administration, which placed the resident at risk for misappropriation/exploitation. While the card was in her possession, CNA E used the card to purchase items for her own use, without the resident's knowledge or consent. Findings included: Review of a Face Sheet revealed the facility admitted Resident 47 on 08/04/2020. […]

• No harm, potential for more than minimal, isolatedF656Jan 5, 2023

  Based on interview, record review, and facility policy review, it was determined that the facility failed to ensure a care plan was developed to address the necessary monitoring for therapeutic and potential adverse effects from high-risk medications for 2 (Resident 5 and Resident 10) of 5 residents reviewed for unnecessary medications. Findings included: A review of a facility policy titled, Care Planning, dated 12/31/2019, revealed, The care plan should address the key areas of importance for the new admit - for example: hip fracture - focus on transferring, positioning, pain, etc. [et cetera]. As well as any other significant issues, i.e. [such as] blind, diabetic, fall risk, cancer, etc. […]