Columbia Rehabilitation and Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF640Sep 11, 2025

  Based on record review, facility policy review, and interview, the facility failed to complete and submit a Minimum Data Set (MDS) discharge assessment in a timely manner in two (2) of (2) discharged residents reviewed. Findings include:On 09/11/2025 at 9:58 AM, during a record review and interview with Registered Nurse (RN) #2/ MDS nurse, it was revealed that Resident #98 was admitted on [DATE] and discharged home on [DATE]. The discharge assessment with an Assessment Reference Date (ARD) of 06/14/2025, was submitted on and accepted on 07/09/2025, which is 25 days after the discharge date . […]

• No harm, potential for more than minimal, isolatedF656Sep 11, 2025

  Based on observations, interviews, record reviews and facility policy review the facility failed to follow the comprehensive care plan related to Percutaneous Endoscopic Gastrostomy (peg) tube medication for one (1) of (1) peg tube medication observations. Resident #16Findings Include:A record review of the facility's Care Plans, Comprehensive Person-Centered last review date 1/2023, revealed A comprehensive person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychological and functional needs is developed and implemented for each resident.A record review of Resident #16 comprehensive care plan created on 8/19/25 included interventions Administer (proper name of each medication) as ordered.During an observation on 09/10/25 at 9:00… […]

• No harm, potential for more than minimal, isolatedF658Sep 11, 2025

  Based on observations, interviews, record reviews and facility policy review the facility failed to administer medications by Percutaneous Endoscopic Gastrostomy (peg) tube according to physician orders for one (1) of four (4) medication observations. Resident #16.Findings Include:A record review of the facility's Administrating Medication through an Enteral Tube last reviewed date of 6/2025 revealed .General Guidelines.3. Administer each medication separately and flush between medications.On 09/10/25 at 9:00 AM, during an observation morning med administration by Licensed Practical Nurse (LPN) #2 revealed LPN#2 crushed the medications and placed each medication separately in a dispense cup with 5 cubic centimeters (cc) water. […]

• No harm, potential for more than minimal, isolatedF677Sep 11, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to provide daily oral care for over three weeks for a resident who was totally dependent on staff for personal hygiene and oral care. This failure resulted in visible plaque buildup and placed the resident at risk for oral infection, discomfort, and diminished quality of life for one (1) of five (5) residents reviewed for activities of daily living (ADLs). Resident #43. Findings include: A record review of the facility policy Activities of Daily Living (ADL) Supporting revised 3/2018 revealed, Policy Statement .Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene On… […]

• No harm, potential for more than minimal, isolatedF804Sep 11, 2025

  Based on observation, interview, and facility policy review the facility failed to ensure that food was palatable, attractive, and served at a safe and appetizing temperature for five (5) of (5) sampled food items. Specifically, the facility failed to ensure that meals were maintained at appropriate temperatures prior to service, which had the potential to affect the taste, safety, and nutritional value of meals served to residents.Findings include:A record review of the facility policy titled Food: Quality and Palatability, dated 2/2023, revealed .Food will be prepared by methods that conserve nutritive value, flavor, and appearance. Food will be palatable, attractive, and served at a safe and appetizing temperature.Definitions.Proper (safe and appetizing) temperature. […]