Columbus Oaks Healthcare Community

In the surveyor’s words

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

• Actual harm, isolatedF697Jul 9, 2025

  Based on observation, interview and record review the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 6 Residents (Resident #20) whose records were reviewed for pain management. LVN H/Treatment Nurse, failed to ensure Resident #20 received a PRN pain medication prior to wound care. LVN H/Treatment Nurse failed to stop wound treatment when Resident #20 was grimacing and quizzing in pain on 7/8/25. […]

• Actual harm, isolatedF684Mar 17, 2023

  Based on interviews, record reviews, and observations, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one of three residents (Resident #1) reviewed for quality of care. - The facility failed to promptly identify skin redness to the peri area and buttocks, which had tiny openings on Resident #1, and failed to ensure interventions were implemented to treat and prevent skin deterioration. This failure could place residents at risk for a delay of care or treatment, pain, and suffering. Findings include: Record review of Resident #1's face sheet revealed a [AGE] year - old female who was admitted to the facility on [DATE] and readmitted on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Mar 17, 2023

  Based on observation, interview and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for the facility only kitchen, in that: The facility failed to ensure: One food item in the freezer was not secured in package. Several food items in the refrigerator were not secured in package. Several food items in the refrigerator were not labeled/had a use-by date. These failures have the potential to affect all residents who ate food from the facility's kitchen placing them at risk of foodborne illness. Findings included: During an observation of the kitchen on [DATE] at 6:40 AM the following was noted: Freezer: a. Frozen turkey breakfast patties in a plastic bag and box unsecured. Refrigerator: a. […]

• No harm, potential for more than minimal, patternF880Jul 9, 2025

  Based on observation, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 3 residents (Resident #20 and Resident #74) observed for infection control. 1. The facility failed to ensure TX Nurse used the required PPE for Resident #20, who was on enhanced barrier precautions on 7/8/25. 2. The facility failed to ensure CNA RS used the required PPE for Resident #74, who was on enhanced barrier precautions. […]

• No harm, potential for more than minimal, patternF755Apr 3, 2025

  Based on interview and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of 1of 5 residents (CR#1). The facility failed to ensure that CR#1's Lorazepam was ordered, received, and dispensed when CR#1 was admitted to the facility. This failure could place the residents at risk of not receiving the intended therapeutic benefit of the medications, decreased quality of life and hospitalization . Findings included: Record review of CR#1's admission face sheet, revealed he was a [AGE] year-old who was admitted on [DATE] and discharged on [DATE]. […]