Columbia Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF684Nov 1, 2024

  Based on interview and record review, the facility failed to ensure effective services to treat elevated blood glucose levels were provided in accordance with the physician and Nurse Practitioner (NP) orders for 1 of 2 residents reviewed for insulin administration. (Resident 59) This deficient practice resulted in the resident requiring emergent transport to an acute care hospital intensive care unit for the treatment of diabetic ketoacidosis (DKA) (a life-threatening complication of diabetes that occurs when the body doesn't have enough insulin to use blood sugar for energy.) Finding includes: On 10/29/24 at 12:59 P.M., Resident 59's clinical record was reviewed. Diagnoses included, but were not limited to, diabetes mellitus. […]

• No harm, potential for more than minimal, patternF812Apr 1, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was stored and labeled appropriately in 1 of 1 kitchen tours. Food packages were not dated with an open date and use by date, and expired food was not disposed of. (Kitchen)Finding includes:During a tour of the kitchen on 4/1/26 at 8:49 A.M., the following was observed:Reach-in refrigerator:1 bottle of mayonnaise with an expiration date of 3/27/261 bottle of grape jelly with no open date or use by date with an expiration date of 2/11/26 1 bottle of caramel syrup with no open date or use by date1 bottle of chocolate syrup with no open date or use by date1 bottle of ketchup with an open date of 9/11/25 and expiration date of 3/11/261 container of Worcestershire sauce with an open date of 1/26/26 and a use… […]

• No harm, potential for more than minimal, patternF677Sep 8, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents dependent on staff for ADLs (activities of daily living) were showered for 7 of 8 residents reviewed for ADL care. (Resident B, Resident C, Resident D, Resident E, Resident F, Resident H, and Resident J)Findings include: 1. On 9/3/25 at 8:53 A.M., Resident E indicated that she didn't always get showers twice a week. She indicated that sometimes she would go two to three weeks without a shower, and if she refused a shower, staff did not allow her to have it at a different time. On 9/3/25 at 1:17 P.M., Resident E's clinical record was reviewed. […]

• No harm, potential for more than minimal, patternF921Feb 13, 2025

  Based on observation, interview, and record review, the facility failed to ensure a safe, sanitary environment during 2 of 2 days of the survey. Resident room halls had a build up of dust/dirt on 2 of 3 units observed, linen closets were not clean, 2 of 2 shower rooms were unclean or not maintained, urinals were not stored properly in a shared restroom, and urine odors were present throughout the survey. (First floor unit, Second floor unit, Hall 1100, 1200, 1400, 1500, 2100, 2200, 2400, 2500, room [ROOM NUMBER], 1208, 12010, room [ROOM NUMBER], 2100 Shower room, 2500 shower room, Resident D) Findings include: 1. A review of a facility concern/grievance form, dated 11/4/24, indicated a resident in room [ROOM NUMBER] had a concern, [Third] time no housekeeping on weekends . […]

• No harm, potential for more than minimal, patternF842Dec 31, 2024

  Based on interview and record review, the facility 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. (Resident C, Resident O, Resident M, Resident U) Findings include: 1. On 12/30/24 at 10:32 A.M., Resident C's clinical record was reviewed. Diagnoses included, but were not limited to, diabetes mellitus. The most current Quarterly Minimum Data Set (MDS) Assessment, dated 12/6/24, indicated Resident C had moderate cognitive impairment, required substantial to maximal assistance from staff (staff did more than half) for bathing, and received insulin seven out of seven days during the lookback period. […]