Nexus at Columbia

In the surveyor’s words

From the most serious findings on record at Nexus at Columbia, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Apr 30, 2026

  Based on interview and record review the facility failed to initiate Cardiopulmonary Resuscitation (CPR) to an unresponsive resident for 1 of 1 (R2) resident reviewed for CPR in the sample of 6.This failure resulted in an Immediate Jeopardy that began on [DATE] and resulted in the death of R2, who had an unknown code status and was found breathless and unresponsive and did not receive lifesaving Cardiopulmonary Recusation efforts.On [DATE] at 11:39 AM V1, Administrator, V2, Director of Nursing (DON), and V9, [NAME] President of Clinical Operations, were notified of the Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF600Jan 13, 2025

  Based on interview and record review, the facility failed to prevent resident verbal and physical abuse for 1 of 8 residents (R2) reviewed of abuse in a sample of 8. This failure resulted in an Immediate Jeopardy on 12/19/24, when V6, R2's brother, who was known to have a history of abusing R2, was allowed to have unsupervised visits with R2 and verbally abused her. Subsequently, on 12/29/24, V6 verbally and physically abused R2. Using a reasonable person concept, this would have caused psychosocial harm resulting in feelings of being unsafe, sadness, fear, and humiliation. The Immediate Jeopardy began on 12/19/24, when the facility failed to prevent V6 from verbally abusing R2 and implement interventions to prevent future abuse. On 12/29/24, V6 again verbally and physically abused R2. […]

• Actual harm, isolatedF684Aug 14, 2026

  Based on interview, observation, and record review, the facility failed to perform proper wound care to promote healing and to prevent infection for 1 of 3 residents (R3) reviewed for proper wound care in the sample of 11. This failure caused a delay in R3's wounds healing and/or the worsening of R3's wounds.Findings Include: R3's admission Record, dated 8/4/26, documents R3 was admitted to the facility on [DATE] with diagnosis of Acute Transverse Myelitis in demyelinating disease of central nervous system, Osteomyelitis, Type 2 Diabetes Mellitus (DM), Obesity, Chronic Obstructive Pulmonary Disease (COPD), Chronic Pressure Ulcers (PU), Obstructive and Reflux Uropathy, Anemia, Major Depressive disorder, Polyneuropathy, Hypertension (HTN), Atrial-Fibrillation, Congestive Heart Failure (CHF),… […]

• Actual harm, isolatedF689Aug 14, 2026

  Based on interview and record review, the facility failed to maintain resident safety during a transfer involving a broken shower chair for 1 of 6 residents (R3) reviewed for resident safety in the sample of 11. This failure resulted in R3 being sent to the emergency room (ER) for x-rays and sutures placed and causing R3 pain and suffering. The findings include:R3's admission Record, dated 8/4/26, documents R3 was admitted to the facility on [DATE] with diagnosis of Acute Transverse Myelitis in demyelinating disease of central nervous system, Osteomyelitis, Type 2 Diabetes Mellitus (DM), Obesity, Chronic Obstructive Pulmonary Disease (COPD), Chronic Pressure Ulcers (PU), Obstructive and Reflux Uropathy, Anemia, Major Depressive disorder, Polyneuropathy, Hypertension (HTN),… […]

• Actual harm, isolatedF600Jul 8, 2025

  Based on interview and record review, the facility failed to prevent resident-to-resident physical abuse in 1 of 4 residents (R2) reviewed for abuse in the sample of 5. This failure resulted in R2 feeling unsafe in the facility and being hit in the breast. Findings include: 1. R1's Undated Face Sheet documents R1 was admitted to the facility on [DATE], and has the following medical diagnoses: Metabolic Encephalopathy, Secondary Malignant Neoplasm of Liver and Intrahepatic Bile Duct, Secondary Malignant Neoplasm of Unspecified Site, and Generalized Anxiety Disorder. R1's Minimum Data Set (MDS), dated [DATE], documents R1 is cognitively intact. R1's Undated Care Plan documents R1 is at risk for abuse and neglect related to interaction with staff and peers and poly-medication use. […]