Columbia Manor Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Columbia Manor Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF880Mar 13, 2023

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to provide a safe and sanitary environment to help prevent potential spread of COVID-19 (an acute respiratory illness in humans caused by the coronavirus, SARS-CoV-2) and other infections, when staff failed to protect residents in the facility by not following acceptable infection control practices for COVID-19. The facility failed to separate seven residents who tested positive for COVID-19 from residents who had tested negative for COVID-19. Residents (Resident #2, Resident #4, Resident #6, Resident #8, Resident #10, Resident #12 and Resident #14) were at an increased risk of contracting COVID-19 due to prolonged exposure. […]

• No harm, potential for more than minimal, widespreadF812Aug 7, 2025

  Based on observation, interview and record review, facility staff failed to allow sanitized dishes to air dry prior to stacking in storage to prevent the growth of food-borne pathogens. This failure has the potential to affect all residents. The facility census was 38.1.Review of the facility's policy titled Cleaning Dishes/Dish Machine, dated 2021, showed the policy directed staff to air dry washed dishes on dish racks and to inspect the dishes for cleanliness and dryness before they are put away. Review showed Dishes should not be nested unless they are completely dry. Observation on 08/05/25 at 10:10 A.M., showed wet six plates stacked together on a service cart in the mechanical dishwashing area. […]

• No harm, potential for more than minimal, widespreadF880May 31, 2024

  45564 Based on observation, interview and record review, the facility staff failed to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD- a serious type of pneumonia (lung infection) caused by Legionella bacteria. Facility staff failure to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems has the potential for the failure of staff to identify and mitigate the presence of waterborne pathogens, which places all residents of the facility at risk of exposure which could lead to illness. […]

• No harm, potential for more than minimal, widespreadF812May 12, 2023

  Based on observation, interviews, and record reviews, the facility staff failed to perform hand hygiene as often as necessary. Facility staff failed to use the sanitizing solution according to facility policy and manufacturer's instructions. This failure had the potential to affect all facility occupants. The census was 38 1. Review of the 2017 Food and Drug Administration's (FDA) Food Code showed: -Food employees shall clean their hands and exposed portions of their arms immediately before engaging in food preparation including working with exposed food, clean equipment and utensils and after handling soiled equipment or utensils; -To avoid re-contaminating their hands or surrogate prosthetic devices, food employees may use disposable paper towels or similar clean barriers when touching… […]

• No harm, potential for more than minimal, widespreadF812Jul 15, 2021

  Based on observation, interviews, and record review, the facility staff failed to perform hand hygiene appropriately when moving from a dirty task to a clean task, to store a cleaning rag submerged in sanitation solution between uses, to ensure food preparation areas and equipment remained free of crumbs and spills, and to store staff food in designated areas. This failure had the potential to affect all residents who ate at the facility. The census was 39. 1. Review of the facility's Handwashing/Hand Hygiene policy, dated 8/2015, showed the policy did not address hand hygiene in the kitchen. Review of the facility's Glove Use and Hand Washing Monitoring Sheet, undated, showed staff are directed to wash their hands after they touch their clothing, face, trash, pans, drawers, and stock. […]