Columbine Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Oct 12, 2023

  Based on observations, record review and interviews, the facility failed to store, prepare and serve food in a sanitary manner. Specifically, the facility failed to: -Ensure potentially hazardous foods were monitored, held and cooled at appropriate temperatures; and, -Ensure dish room sanitation was maintained and dish room walls were a smooth cleanable surface. Findings include: I. Potentially hazardous foods monitored, held and cooled at appropriate temperatures A. Professional reference The Colorado Retail Food Regulations, effective 1/1/19, were retrieved 10/16/23 from https://cdphe.colorado.gov/environment/food-regulations. […]

• No harm, potential for more than minimal, widespreadF880Oct 12, 2023

  Based on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases. Specifically, the facility failed to: -Ensure the facility had a way to test water for the growth of Legionella by using expired Legionella test kits; -Ensure staff properly disposed of personal protective equipment (PPE) when the facility had an outbreak of COVID-19; and, -Ensure staff properly maintained respiratory supplies by failing to change oxygen cannulas weekly for two residents when the facility had an outbreak of COVID-19. Cross-reference F882 infection preventionist qualifications Findings include: I. […]

• No harm, potential for more than minimal, widespreadF882Oct 12, 2023

  Based on record review and interview, the facility failed to designate an interim infection preventionist (IP) that completed specialized training in infection prevention and control. Specifically, the full-time IP was on leave from the facility from 9/13/23 to 9/29/23 and 10/4/23 to 10/9/23. On 9/13/23 a resident tested positive for COVID-19, which led to a facility outbreak of COVID-19. From 9/13/23 to 10/2/23, twenty residents tested positive for COVID-19. The interim IP had not completed the education and training requirement prior to assuming the duties of the position. Findings include: I. Facility policy The Infection Prevention policy, dated 5/19/23, was received by the IP on 10/11/23 at 10:23 a.m. […]

• No harm, potential for more than minimal, widespreadF812Oct 20, 2022

  Based on observations, record review and staff interviews, the facility failed to ensure the dietary department followed safe practices to prevent the potential contamination of food and the spread of foodborne illness, in one of one kitchens Specifically the facility failed: -To ensure the food was stored and labeled properly, and to discard leftover food after the use by date; -To ensure jewelry was not worn during food serving; -To ensure appropriate hand hygiene by food service staff; and, -To ensure the dishwasher maintained sufficient levels of sanitizing solution. Findings include: I. Labeling food A. Professional reference According to the State Board of Health Colorado Retail Food Establishment Rules and Regulations (effective 1/1/19) 3-701, 4 a-d. pg. 104, 4 a-d. […]

• No harm, potential for more than minimal, patternF658Oct 12, 2023

  Based on record review and staff interviews, the facility failed to ensure four (#44, #103, #203 and #47) of seven out of 28 sample residents were provided services that meet professional standards of quality. Specifically, the facility failed to: -Clarify physician's orders and obtain dose information prior to administration of topical skin medication for Residents #44, #103 and #203; -Hold Digoxin (to treat heart failure) when Resident #47's heart rate was below 60; and, -Ensure consents and black box warnings were in place for the use of antidepressants before administration for Resident #47. Findings include: I. Topical skin medication orders A. […]