Columbus Alzheimer's Care CTR

In the surveyor’s words

From the most serious findings on record at Columbus Alzheimer's Care CTR, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 10, 2025

  Based on record review, review of the facility Self-Reported Incidents (SRI), review of the facility investigation, review of facility policy and procedure, resident interview, and staff interview, the facility failed to ensure Resident #100 was free from resident to resident physical abuse. Actual harm occurred on 02/03/25 when Resident #57, who had a history of resident altercations and impaired cognition, pushed Resident #100 causing a fall and a right femur fracture. This affected one (Resident #100) of six residents reviewed for abuse. The facility census was 98. Findings include: a. Review of a facility submitted SRI dated 02/03/25 for physical abuse revealed Resident #57 pushed Resident #100 to the ground when Resident #100 wandered into Resident #57's room. […]

• Actual harm, isolatedF689Mar 10, 2025

  Based on medical record review, review of a facility submitted Self-Reported Incident (SRI), hospital record review, interviews with staff, review of incident reports, and facility policy review, the facility failed to ensure care was delivered, as assessed and care planned for, utilizing the appropriate number of staff assistance during the provision of care for Resident #10. This resulted in actual harm when Resident #10 was provided care by one facility Certified Nursing Assistant (CNA) #100, who repositioned and provided incontinence care on 03/27/25 at approximately 10:00 A.M. and when Resident #10 was provided a bed bath and hair care on 03/27/25 at approximately 2:45 P.M. […]

• Actual harm, isolatedF689Mar 10, 2025

  Based on medical record review, review of a facility submitted Self-Reported Incident (SRI), hospital record review, interviews with staff, review of incident reports, and facility policy review, the facility failed to ensure care was delivered, as assessed and care planned for, utilizing the appropriate number of staff assistance during the provision of care for Resident #10. This resulted in actual harm when Resident #10 was provided care by one facility Certified Nursing Assistant (CNA) #100, who repositioned and provided incontinence care on 03/27/25 at approximately 10:00 A.M. and when Resident #10 was provided a bed bath and hair care on 03/27/25 at approximately 2:45 P.M. […]

• No harm, potential for more than minimal, widespreadF812Jul 9, 2026

  Based on observations, staff interview, and review of facility policies, the facility failed to store food and wash dishes in a safe and sanitary manner. This had the potential to affect all 99 residents in the facility who ate food from the kitchen. The facility census was 99 residents.1. Observations in the dry storage room on 07/06/26 at 8:51 A.M. revealed individual servings of sweet and sour sauce were labeled as opened on 06/06/26 and use by 06/26/26. Observations in the walk-in refrigerator on 07/06/26 at 8:58 A.M. revealed the following concerns:-A tray of diced peppers labeled best by 06/30/26.-A 5 pound tub of sour cream, opened and partially full with no open date. […]

• No harm, potential for more than minimal, widespreadF680Aug 27, 2024

  Based on personnel file review, staff interview and review of a job description, the facility failed to ensure a qualified Activity Director (AD) was in place to oversee the facility's overall activity services. This had the potential to affect all 99 resident residing in the facility. The census was 99. Findings include: Review of personnel files on 08/21/24 at 1:20 P.M. revealed Activities Director (AD) #608 was hired as activities aid 10/30/22 part-time. Staff #608 had a high school diploma and had attended some collage studying social work but did not graduate. Staff #608 resigned her part-time position 01/19/23 and became employed on an as needed or PRN basis. […]