Four Seasons Retirement Center
Columbus, Indiana · CCN 155471
13 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 41
- Surveys
- 13
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 30
- Ownership
- Non profit - Corporation
- Chain
- BHI SENIOR LIVING
- County
- Bartholomew
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 5
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=17, floor 20).
Last survey on record
Jul 9, 2026
123 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.00 | 4.42 |
| Registered-nurse hours per resident day | 1.98 | — |
| Annual nurse turnover | 20.0% | 45.2% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1285.7% | E17.1% | F— |
| No harm, potential for minimal | A— | B17.1% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7112×
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F7702×
Provide timely, quality laboratory services/tests to meet the needs of residents.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Four Seasons Retirement Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF580Jul 9, 2026
Based on record review and interview, the facility failed to notify the physician of residents' changes in condition related to blood glucose levels and weights for 4 of 10 residents reviewed for notification of change. (Residents 9, 2, 1, and 3)Findings include: 1. The clinical record for Resident 9 was reviewed on 07/07/2026 at 10:00 A.M. An admission Minimum Data Set (MDS) assessment, dated 06/10/2026, indicated the resident was moderately cognitively impaired. The resident's diagnosis included, but was not limited to, diabetes (high blood sugar). A physician's order, dated 06/05/2026 through 07/02/2026, indicated the staff were to check the resident's blood glucose level four times a day. […]
- No harm, potential for more than minimal, isolatedF656Jul 9, 2026
Based on observation, record review, and interview, the facility failed to implement a resident's care planned intervention following a fall for 1 of 10 residents' care plans reviewed. (Resident 2)Findings include:The clinical record for Resident 2 was reviewed on 07/07/2026 at 1:46 P.M. An admission Minimum Data Set (MDS) assessment, dated 04/11/2026, indicated the resident was cognitively intact. The resident's diagnosis included but was not limited to, a hip fracture.A Progress Note, dated 05/01/2026 at 7:45 A.M., indicated the resident had an unwitnessed fall in her room. The resident was trying to reposition herself for breakfast using her walker. The walker slid to the side and she lost her balance, falling to the left. She put her left hand out to catch herself. […]
- No harm, potential for more than minimal, isolatedF684Jul 9, 2026
Based on record review and interview, the facility failed to follow physician's orders related to hold parameters for a cardiac medication for 1 of 10 residents reviewed for quality of care. (Resident 14)Findings include:Resident 14's clinical record was reviewed on 07/06/2026 at 2:24 P.M. A 5-day Minimum Data Set (MDS) assessment, dated 06/25/2026, indicated the resident was cognitively intact. The resident's diagnosis included, but was not limited to, high blood pressure. A current, open-ended physician's order, with a start date of 06/24/2026, indicated the resident was to receive atenolol 25 mg (milligrams), one time a day for high blood pressure. […]
- No harm, potential for more than minimal, isolatedF692Jul 9, 2026
Based on record review and interview, the facility failed to follow physician's orders related to obtaining residents' weights for 2 of 3 residents reviewed for nutrition. (Residents 2 and 3) Findings include: 1. The clinical record for Resident 2 was reviewed on 07/07/2026 at 1:46 P.M. An admission Minimum Data Set (MDS) assessment, dated 04/11/2026, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, hypertension (high blood pressure) and a hip fracture. A current physician's order, with a start date of 06/04/2026, indicated the staff were to weigh the resident daily on day shift. […]
- No harm, potential for more than minimal, isolatedF695Jul 9, 2026
Based on interview, observation, and record review, the facility failed to appropriately manage a resident's respiratory needs for 1 of 1 resident reviewed for respiratory care. (Resident 10)Findings include:During an interview and observation, on 07/06/2026 at 11:10 A.M., Resident 10 indicated she required supplemental oxygen. She used it at home before she came to the facility and wore it all the time in the facility. The resident was sitting in a chair in her room. Oxygen tubing was in place under the resident's nose and connected to an oxygen concentrator set to administer three liters of oxygen per minute. An undated humidifier bottle was attached to the concentrator. The resident was not sure how often staff changed her oxygen tubing or the humidifier bottle. […]
Read 20 findings in full →The most serious and the most recent: 20 of 41 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 9, 2026Standard6 findings
- Jun 23, 2025Standard2 findings
- Apr 5, 2024Standard2 findings
- Feb 7, 2023Standard4 findings
- Feb 18, 2022Standard3 findings
- Oct 21, 2019Standard1 finding
- Oct 22, 2018Standard2 findings
- Dec 11, 2017Standard3 findings
Show the 5 earlier surveys
- Jan 7, 2016Standard1 finding
- Feb 18, 2015Standard3 findings
- Dec 20, 2013—5 findings
- Sep 25, 2012—5 findings
- Jul 29, 2011—4 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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