Columbus Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Jun 22, 2022

  Based on medical record review, review of hospital records, review of the guidance on Medscape.com, review of the death certificate, review of the facility's policy, and staff interviews, the facility failed to provide a resident with timely care and treatment when a resident had a change in condition. This resulted in Immediate Jeopardy when one resident (#94) was placed at potential risk for serious life-threatening harm injuries and/or death when he developed hematuria (blood in the urine) and had three separate occasions of mild abdominal pain, burning, and right flank pain on [DATE]. There was no follow up after Certified Nurse Practitioner (CNP) #450 evaluated Resident #94 on [DATE]. […]

• Actual harm, isolatedF689May 4, 2026

  Based on medical record review, staff interview, review of the fall investigation, review of hospital records, hospital staff interview, and review of facility policy, the facility failed to ensure that staff followed the established care plan and safety protocols for Resident #99 during the provision of care to prevent an incident/accident resulting in the resident falling from the bed to the floor sustaining serious injuries. This resulted in Actual Harm on 03/26/26 when Certified Nursing Assistant (CNA) #333 had provided perineal care independently to Resident #99 while the resident was in bed. […]

• Actual harm, isolatedF684Nov 5, 2025

  Based on closed medical record review, hospital record review, staff interview and policy review, the facility failed to provide timely, necessary and adequate care and services following an acute change in condition involving Resident #88. The facility failed to ensure changes in the resident's medical condition were comprehensively assessed, that high blood glucose levels were communicated to the medical provider, and individualized interventions were implemented. This resulted in Actual Harm with subsequent hospitalization when on 06/23/25 Resident #88 had a high blood glucose reading of 471 milligrams per deciliter (mg/dL) (normal ranges from 80 to 130 mg/dL in adults with type two diabetes) requiring notification to a medical provider, which was not completed. […]

• Actual harm, isolatedF686Aug 22, 2024

  Based on observations, record review, policy review, and staff interview the facility failed to implement a comprehensive and individualized pressure ulcer prevention program to ensure adequate interventions were in place to promote healing and prevent new ulcers from developing. Actual Harm occurred on 08/13/24 when Resident #57, who exhibited severe cognitive impairment, had a current pressure ulcer present and required substantial/maximal assistance for bed mobility was assessed to have a new in-house developed pressure ulcer. […]

• Actual harm, isolatedF692Jun 17, 2024

  Based on medical record review, staff interview, family interview, and review of the facility policy, the facility failed to ensure staff monitored resident nutritional status to prevent unplanned weight loss during a tube feed discontinuation trial. This resulted in Actual Harm for one (Resident #88) who experienced an unplanned weight loss of 4.6 percent (%) in three weeks and had ongoing severe weight loss of 8.5% over less than three months. The facility also failed to monitor weights and nutritional supplements for three (Residents #14, #20, and #56) of seven residents reviewed for nutrition. The facility census was 96 residents. […]