Emerald Nursing & Rehab Columbus

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18ABased on observations, record review and interviews, the facility failed to ensure resident room walls were free from moisture and a black/gray substance in rooms B-4, B-6 and B-8; failed to ensure walls were free of gouges and bubbling paint in rooms B-2, B-6 and B-12; and failed to ensure walls in room B-10 were clean. The facility census was 69.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09Based on record reviews, observations and interviews, the facility failed to ensure that medications were administered as ordered by a health care provider for 1 of 3 sampled residents and failed to administer insulin injections per professional standards for 1 of 2 sampled residents The census at the time of the survey was 75.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18Based on observation, record review and interviews, the facility failed to ensure Enhanced Barrier Precautions (EBP - an infection control strategy that focuses on prevention of the spread of Multidrug Resistant Organisms (MDRO's) in nursing homes) were followed when cares were provided to 1 out of 3 sampled residents, and the facility failed to ensure hand hygiene with glove changes for 2 out of 3 sampled residents, and the facility failed to clean and sanitize glucose monitor machine when used between 2 residents. The facility census was 75.

Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure that the Daily Nurse Staff Posting was posted as required. This had the potential to affect all residents residing in the facility. The facility census was 75.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide comfortable and safe water temperatures in 4 shared bathroom sinks down East Hall. This had the potential to affect the 7 residents who live in rooms 1, 3,5, and 7. The facility census was 85. Licensure Reference Number 175 NAC 1-009.04 (D)(i) An observation and interview conducted with the Maintenance Director on 08/19/2025 at 7:28 AM using a thermometer supplied by the facility revealed water temperatures from the bathroom sinks to be more than 120 degrees Fahrenheit (F, a temperature scale where water freezes at 32 degrees and boils at 212 degrees) in the following bathrooms down East Hall: The shared bathroom between rooms [ROOM NUMBERS] revealed a water temperature of: 126.1 degrees F. The shared bathroom between rooms [ROOM NUMBERS] revealed a water temperature of: 126.9 degrees F. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.17 Based on observations, interview and record review, the facility failed to ensure the nasal cannula was not on the floor for 1 out of 8 sampled residents (Resident 51) to prevent cross contamination. The facility census was 85.

Inspectors wroteLicensure Reference Number: 175 NAC 12-006.09(H)(iii)(2) Based on observation, record review and interview; the facility failed to follow practitioner's orders regarding a dressing change for 1 (Resident 2) of 5 sampled residents. The facility census was 79.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18 Based on observation, record review, and interview; the facility failed to: 1) utilize the required Personal Protective Equipment (PPE-can include items such as gowns, gloves, masks, goggles, face shields, and foot coverings) when performing direct cares for Residents 3 and 4 who were on Enhanced Barrier Precautions; and 2) complete hand hygiene (hand washing using soap and water or an alcohol based hand rub) and gloving techniques during the provision of a treatment to prevent potential cross contamination during the provision of wound care for Resident 3. The sample size was 5 and the facility census was 79.

Inspectors wroteLicensure Reference Number NAC 175 12-006.18 Based on record review and interview; the facility failed to implement their legionella water management policy to prevent the potential for water-borne illness. This had the potential to affect all residents. The facility census was 73.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.19 (A) Based on observation, and interview, the facility failed to maintain the cleanliness and condition of walls, floors, and a baseboard in 5 (rooms: Northwest 7 and 10, Northeast 4, East 7 and [NAME] 5) of 68 occupied resident rooms and the Northwest corridor between rooms [ROOM NUMBERS]. The facility census was 73.

Inspectors wroteLicensure Reference Number 175 12-006.04(H) Based on observation, interview, and record review; the facility failed to ensure they employed a Certified Dietary Manager (CDM) and staffing sufficient to clean the kitchen environment, food preparation equipment and storage equipment in a manner to prevent potential food borne illness. This had the potential to affect all residents who ate food prepared by the facility. The facility census was 73.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(E) Based on observation, interview, and record review; the facility failed to ensure the kitchen environment, food storage, and preparation equipment were maintained in a manner to prevent the potential for food borne illness. This had the potential to affect all facility residents who ate food prepared by the facility kitchen. The facility census was 73.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(l)(i) Based on observations, record review and interviews; the facility failed to implement fall interventions and to revise current interventions and/or develop new intervention to prevent ongoing falls for Resident 69. The sample size was 5 and the census was 73.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.12(A)(vi) Based on record review and interview, the facility failed to ensure residents were free from unnecessary medications related to long term use of an antibiotic medication for Resident 22. The antibiotic did not specify a duration and had no supporting documentation for clinical use based on laboratory results. The sample size was 2 and the facility census was 73.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.10D Based on observation, record review and interview; the facility staff failed to ensure a medication error rate of less than 5 percent (%). Observations of 27 medications administered revealed 6 errors resulting in an error rate of 22.22%. The medication errors were related to 3 (Residents 5, 19 and 68) of 6 residents. The facility staff identified a census of 73.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.11D Based on observation, record review and interview; the facility failed to ensure room trays were palatable and served at the proper temperature. This affected 2 (Residents 34 and 66) of 4 residents served a breakfast room tray. The facility staff identified a census of 73.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D1c Based on record review and interview; the facility failed to provide bathing services for Residents 1, 4, and 5. The sample size was 3 and the facility census was 73. This had the potential to affect all residents.

Inspectors wroteLicensure Reference Number NAC 175 NAC 12-006.04C Based on record review and interview; the facility failed to provide sufficient nursing staff for the provision of bathing for Residents 1, 4, and 5. The sample size was 3 and the facility census was 73. This had the potential to affect all residents.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D7 Based on observations, record review and interview, the facility failed to ensure interventions were implemented to prevent a potential burn injury from a hot liquid spill for 2 residents (Resident 1 and 2). The sample size was 3 and the facility census was 77.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on record reviews, interviews, and record review, the facility failed to provide a safe environment to prevent resident-to-resident abuse which involved 2 (Resident #44 and Resident #45) of 4 residents reviewed for abuse.

Inspectors wroteLicensure Reference 175 NAC 12-006.02 (8) Based on interview, and record reviews, the facility failed to timely report an allegation of abuse to the State Agency which involved 2 (Resident #44 and Resident #45) of 4 residents reviewed for abuse.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D(1) Based on interviews and record review, the facility failed to ensure 1 (Resident #275) of 3 residents reviewed for activities of daily living received a shower as preferred.