The Columns Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at The Columns Rehabilitation and Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF865Dec 3, 2025

  Based on record review and interview the facility failed to ensure an effective Quality Assurance and Performance Improvement (QAPI) program was developed, implemented, and/or maintained in an effective and comprehensive manner for falls. The facility failed to provide documentation of evidence of its ongoing facility QAPI program. This deficient practice had the potential to affect 85 residents residing in the facility. Findings:A facility policy titled Quality Assurance and Performance Improvement (QAPI), with a revision date of 04/28/2025 revealed in part.It is the policy of this facility to develop, implement, and maintain an effective, comprehensive, data-driven QAPI program that focuses on indicators of the outcomes of care and quality of life and addresses all the care and unique… […]

• No harm, potential for more than minimal, patternF812Apr 22, 2026

  Based on observation and interview, the facility failed to maintain a clean and sanitary kitchen to prevent the likelihood of foodborne illnesses and failed to store food in accordance with professional standards for food service safety. The facility census was 93. Findings: Review of an undated facility policy on 04/21/2026 at 8:46 a.m. titled, Sanitation Inspection revealed the following in part.It is the policy of this facility, as part of the department's sanitation program, to conduct inspections to ensure food service areas are clean, sanitary and in compliance with applicable state and federal regulations. Review of an undated facility policy on 04/20/2026 at 2:50 p.m. […]

• No harm, potential for more than minimal, patternF761May 14, 2025

  Based on observations and interviews, the facility failed to ensure drugs and biologicals were stored in accordance with currently accepted professional principles. The facility failed to ensure: 1. Nursing carts were free of loose pills for 1 (Cart A) of 2 (Cart A and Cart B) carts reviewed, and 2. Nursing carts were free of expired supplies for 1 (Cart B) of 2 (Cart A and Cart B) carts reviewed. Findings: Review of the facility's policy entitled Storage of Medication Requiring Refrigeration revised on 09/01/2024 revealed, in part .the facility must provide safe and effective storage of all drugs and biologicals consistent with professional standards of practice. Staff should remove any expired medications from active stock and discard according to facility policy. […]

• No harm, potential for more than minimal, patternF761Feb 8, 2023

  Resident #71 Based on observation, record review, and interview, the facility failed to ensure medications were stored and labeled properly in accordance with currently accepted professional principles as evidence by medication being observed in 1 (Resident #71) resident's room without staff's knowledge out of a total of 34 sampled residents. Findings: Review of the Facility's Storage of Medications policy revealed the Facility stores all drugs and biologicals in a safe, secure, and orderly manner. […]

• No harm, potential for more than minimal, patternF812Jan 7, 2022

  Based on observation, record review, and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety by failing to: 1) store dishes and utensils under sanitary conditions and 2) ensure food preparation equipment was clean. This deficient practice had the potential to affect the 83 residents that received meals prepared in the kitchen. Findings: A copy of the following informational material was presented by S3DM on 01/03/2022 at 1:00 p.m. titled Cleaning instructions cabinet and drawers read in part: Equipment shall be maintained in a clean and sanitary condition. 1. Clean with mild detergent and water. 2. Removable should be removed and washed. […]