Deficiency Index

Columbus Health and Rehab

Columbus, Wisconsin · CCN 525445

17 surveys since 2010. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
73
Surveys
17
Harm or worse
1
Immediate jeopardy
1
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
50
Ownership
For profit - Corporation
Chain
MISSION HEALTH COMMUNITIES
County
Columbia
Medicare-certified since
1989

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 92 for-profit facilities with fewer than 66 beds in Wisconsin.

Last survey on record

May 21, 2026

172 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.643.73
Registered-nurse hours per resident day0.77—
Annual nurse turnover47.8%45.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG14.5%H—I—
No harm, potential for more than minimalD1359.1%E29.1%F627.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 22 of the 73 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F5851×

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  • F6071×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Columbus Health and Rehab, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF686Mar 12, 2025

    Based on interview and record review, the facility did not ensure a resident received care, consistent with professional standards of practice, to prevent pressure ulcers and did not develop pressure ulcers unless the individual's clinical condition demonstrated that they were unavoidable for 1 of 2 residents reviewed for pressure injuries (R30). R30 was at risk for developing pressure injuries related to immobility and multiple fractures. The facility failed to implement aggressive pressure injury interventions; failed to complete weekly assessments per standard of practice; failed to provide risk and benefits despite knowledge of R30 refusing repositioning. Facility did not assess or measure R30's left gluteal pressure injury. […]

  • No harm, potential for more than minimal, widespreadF804May 21, 2026

    Based on observation, interview and record review, the facility did not ensure that each resident receives food and drink that is palatable and at a safe and appetizing temperature. This has the potential to affect 39 of 39 residents residing in the facility on 3 of 3 units. R12, R18, R7, R30, R39, R2, R42, and R17 voiced concerns to staff related to receiving hot foods at a cold and undesirable temperature. These residents reside on 3 of 3 units. Surveyor conducted a test tray, and the result was not palatable. R10, R23. R49 and R1 voiced concerns regarding cold food. Evidenced by: The facility did not provide a policy and procedure for food temperatures. Example 1 On 05/19/26 at 12:26 PM during initial screening, R10 stated the food is terrible. Everything is cold. […]

  • No harm, potential for more than minimal, widespreadF812May 21, 2026

    Based on observation, interview, and record review, the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect all 39 residents who reside in the facility.Surveyor observed 3 sprinklers and the surrounding ceiling to be covered in a layer of dust. The sprinklers are directly above food preparation area.Surveyor observed the facility's freezer to have frozen drips hanging from the ceiling and boxes that have ice buildup on and inside with food no longer sealed by the manufacturer.Surveyor observed [NAME] D serving food 2 days without donning a beard net.Surveyor observed 3 dented cans in circulation.Evidenced by:Example 1Facility policy, titled Sanitation, revised 10/22, includes: Kitchen and dining room… […]

  • No harm, potential for more than minimal, widespreadF812Mar 12, 2025

    Based on observation and interview, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This has the ability to affect all 38 residents. Food items were observed to be spoiled. Scoops were found in containers of sugar. Nutritional supplements were found without use by dates. Four Sysco Imperial Strawberry Shakes were found in the medication room refrigerator with no use by date. Findings include Example 1 On 2/24/25 at 9:24 AM, Surveyor observed in the facility kitchen's refrigerator, along with DM C (Dietary Manager), an unoppened and unchopped bag of fresh parsley with a received date of 1/21/25. Portions of the parsely were visbly brown and slimey. […]

  • No harm, potential for more than minimal, widespreadF838Mar 12, 2025

    Based on interview and record review, the facility did not ensure the facility wide assessment developed by the facility included all relevant details to ensure the facility provided care and services to residents to meet their individual needs within the facility's identified resources. This has the potential to affect all 38 residents residing in the facility. The Facility Assessment did not indicate: -the facility's resident capacity -the care required by the resident population considering the types of disease, conditions, physical and cognitive disabilities, overall acuity -Staff competencies that are necessary to provide the level and types of care needed for the resident population -Physical environment, equipment services, and physical plant considerations that are necessary for… […]

Read 20 findings in full →The most serious and the most recent: 20 of 73 on record.

Every survey on record

FindingsAt actual harm or above

  • May 21, 2026Standard and complaint8 findings
  • Mar 12, 2025Standard and complaint9 findings · 1 harm
  • Mar 7, 2024Standard and complaint5 findings
  • Feb 1, 2023Standard1 finding
  • Aug 26, 2022Complaint3 findings
  • Nov 10, 2021Standard5 findings
  • Jun 30, 2020Infection control1 finding
  • Aug 3, 2017Standard2 findings
Show the 9 earlier surveys
  • Aug 10, 2016Standard2 findings
  • Jun 9, 2015Standard5 findings
  • Apr 28, 2015Complaint3 findings
  • Feb 2, 2015Complaint2 findings
  • May 22, 2014Standard8 findings
  • Feb 18, 2014Complaint1 finding
  • Feb 12, 2013—3 findings
  • Dec 19, 2011—7 findings
  • Nov 30, 2010—8 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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