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Inspection visit

Inspection

COLUMBUS ALZHEIMER'S CARE CTRCMS #36583928 citations on this visit
28 citations recorded

Citations

28 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0680GeneralS&S Fpotential for harm

    F680 - The activities program must be directed by a qualified professional

    Ensure the activities program is directed by a qualified professional.

  • 0684GeneralS&S Dpotential for harm

    F684 - Quality of care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0759GeneralS&S Epotential for harm

    F759 - Medication Errors

    Ensure medication error rates are not 5 percent or greater.

  • 0761GeneralS&S Fpotential for harm

    F761 - Labeling of Drugs and Biologicals

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • 0013GeneralS&S Fpotential for harm

    Develop Emergency Preparedness policies and procedures.

  • 0161GeneralS&S Epotential for harm

    Use approved construction type or materials.

  • 0211GeneralS&S Epotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0232GeneralS&S Epotential for harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  • 0271GeneralS&S Epotential for harm

    Have exits that are accessible at all times.

  • 0324GeneralS&S Fpotential for harm

    Provide properly protected cooking facilities.

  • 0353GeneralS&S Fpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0355GeneralS&S Epotential for harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

  • 0363GeneralS&S Epotential for harm

    Install corridor and hallway doors that block smoke.

  • 0711GeneralS&S Fpotential for harm

    F711 - Physician Visits

    Provide a written emergency evacuation plan.

  • 0741GeneralS&S Fpotential for harm

    F741 - The facility must have sufficient staff who provide direct services to

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0567GeneralS&S Dpotential for harm

    F567 - The resident has a right to manage his or her financial affairs

    Honor the resident's right to manage his or her financial affairs.

  • 0580GeneralS&S Dpotential for harm

    F580 - Notification of Changes

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • 0584GeneralS&S Epotential for harm

    F584 - Safe Environment

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • 0676GeneralS&S Dpotential for harm

    F676 - Based on the comprehensive assessment of a resident and consistent with

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  • 0679GeneralS&S Dpotential for harm

    F679 - Activities

    Provide activities to meet all resident's needs.

  • 0685GeneralS&S Dpotential for harm

    F685 - Vision and hearing

    Assist a resident in gaining access to vision and hearing services.

  • 0686GeneralS&S Dpotential for harm

    F686 - Skin Integrity

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0693GeneralS&S Dpotential for harm

    F693 - Assisted nutrition and hydration

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  • 0760GeneralS&S Dpotential for harm

    F760 - Residents are free of any significant medication errors

    Ensure that residents are free from significant medication errors.

  • 0812GeneralS&S Fpotential for harm

    F812 - Food safety requirements

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0838GeneralS&S Fpotential for harm

    F838 - Facility assessment

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

  • 0843GeneralS&S Cno actual harm

    F843 - Transfer agreement

    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

  • 0880GeneralS&S Epotential for harm

    F880 - Infection Control

    Provide and implement an infection prevention and control program.

FAQ · About this visit

Common questions about this visit

What happened during the August 27, 2024 survey of COLUMBUS ALZHEIMER'S CARE CTR?

This was a inspection survey of COLUMBUS ALZHEIMER'S CARE CTR on August 27, 2024. The surveyor cited 28 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at COLUMBUS ALZHEIMER'S CARE CTR on August 27, 2024?

Yes, 28 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Ensure the activities program is directed by a qualified professional."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.