Lorien Health Systems - Columbia

In the surveyor’s words

From the most serious findings on record at Lorien Health Systems - Columbia, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 12, 2024

  Based on a review of the facility investigation, resident medical records, other pertinent documentation, interviews, and observations, it was determined that the facility failed to provide ongoing supervision/intervention to address a resident who was known to have exit-seeking/elopement behaviors. This was evident for 1 (Resident #109) of 2 residents reviewed for elopement during the survey. The Maryland Office of Health Care Quality (OHCQ) determined that this concern met the Federal definition of Immediate Jeopardy. After the incident, the facility implemented effective and thorough corrective measures. The facility's plan and action were verified during this survey; therefore, this deficiency will be cited as past noncompliance. […]

• No harm, potential for more than minimal, widespreadF812Jan 14, 2026

  Based on observations, interviews, and record reviews, it was determined that the facility failed to ensure proper kitchen and dining practices. Specifically, the facility failed to label and date food items; monitor refrigerator and freezer temperatures; monitor safe food temperatures; discard expired food items; maintain an ice cream freezer to ensure it remained free from excessive frost buildup; and ensure residents were served the foods listed on their meal tickets. This was evident in 1 of 1 kitchen, 2 of 3 food pantries observed, and 1 of 2 test trays audited during the Kitchen and Dining task conducted as part of the facility's annual survey. The findings include: On 1/5/26 at 8:51 AM, the surveyor toured the kitchen with the Dietary Manager (DM) and the Dietary Director (DD). […]

• No harm, potential for more than minimal, widespreadF730Jul 12, 2024

  Based on record review and interview with the facility staff, it was determined that the facility failed to complete a performance review of every nurse aide at least once every 12 months. This was evident for 5 Geriatric Nursing Assistant, (GNA #26, GNA #27, GNA #28, GNA #29 and GNA #30) of the 5 GNAs reviewed for performance evaluations. The findings include: On 7/03/24 at 12:52 PM, review of staff personnel records revealed that GNA #26, GNA #27, GNA #28, GNA #29, GNA #30 had no performance evaluations. On 7/03/24 at 1:09 PM an interview with the Nursing Home Administrator (NHA) was conducted. […]

• No harm, potential for more than minimal, widespreadF812Jul 12, 2024

  Based on interview, observation and record review it was determined that the facility staff failed 1) to prevent bare hands contact of ready-to-eat food (toast). This was observed while conducting an in-room interview with resident #49, and 2) to ensure: kitchen staff use of hair coverings, clean and appropriate dating and storage of food items, maintenance of kitchen equipment, cold food storage free from ice accumulation, tray line accuracy, sanitary food prep surfaces free from personal items, and ensure monitoring of required dishwashing sanitization temperature levels. All residents have the potential to be affected by these practices. The findings include. 1) Resident #49 was interviewed on 6/21/24 at 8:49AM. […]

• No harm, potential for more than minimal, widespreadF941Jul 12, 2024

  Based on record review and interview it was determined that the facility failed to ensure all staff received training in effective communication. This was evident for all staff during the Extended Survey investigation portion of the recertification survey. The findings include: On 7/05/24 at 11:19 AM an interview with the Human Resources Director (Staff #31) was conducted. She brought the annual training plan that the facility's corporate office required to be completed by nurses and Geriatric Nursing Assistants (GNAs). It did not include any training about effective communication. […]