Medicalodges Columbus

Inspectors wroteThe facility reported a census of 29 residents, with three residents sampled and one resident reviewed for food served in a form that met the resident's individual needs. Based on interview and record review, the facility failed to provide Resident (R) 1 with the physician-ordered diet of mechanical soft food (a modified diet that consists of soft, easy-to-chew foods that require minimal chewing) on 02/08/26, when staff served R1 a whole chicken strip instead of ground meat per her orders. R1 consumed the chicken strip and began to choke. Staff performed the Heimlich maneuver (abdominal thrusts - a technique used to clear a blocked airway in conscious individuals) on R1 to dislodge the food. This deficient practice placed R1 in Immediate Jeopardy. [...]

Inspectors wroteThe facility reported a census of 29 residents. Based on interview and record review, the facility failed to complete an annual performance review at least once every 12 months for two of the five Certified Nurse Aides (CNA) reviewed, CNA M and O, to ensure adequate appropriate cares and services provided to the residents of the facility.

Inspectors wroteThe facility reported a census of 29 residents. The sample included 15 residents. Based on observation, interview, and record review, the facility failed to maintain an effective infection control program related to the staff improper hand hygiene with wound dressing changes and catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid) care. The facility failed to follow enhanced barrier precautions (a set of infection control measures that use gowns and gloves to reduce the spread of multidrug-resistant organisms (MDROs) in nursing homes) (EBP). This deficient practice had the potential to spread possible infections to the residents in the facility.

Inspectors wroteThe facility reported a census of 29 residents. The sample included 15 residents. Based on observation, interview, and record review the facility failed to maintain a functional emergency call system, which allowed residents to call for staff assistance from each resident's room, bedside, bathroom area, and/or bathing facilities and alarmed at a centralized staff work area.

Inspectors wroteThe facility reported a census of 29 residents with 15 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately complete the [NAME] Data Set for three residents: Resident (R) 15 and R20 related to falls; R18 related to antidepressant medication. This placed the residents at risk for uncommunicated care needs.

Inspectors wroteThe facility reported a census of 29 residents with 15 residents selected for review. Based on observation, interview, and record review, the facility failed to identify, implement, and reevaluate fall prevention interventions to prevent falls including failing to provide a call light within reach for Resident (R) 15, when staff preformed unsafe transfers and failed to follow the care plan for R20, and failed to follow the care plan by failing to provide the call light within reach R17 and R18. This placed the residents at risk for falls with injury.

Inspectors wroteThe facility reported a census of 29 residents with 15 residents sampled including five residents reviewed for unnecessary medications. Based on observation, record review and interview, the facility failed to monitor four Residents (R)12, R 17, R 18, and R 30, for use of antipsychotic medications (drugs used to treat psychosis-related conditions and symptoms), regarding the facility's failure to complete informed consents for the use of psychotropic (medications used to treat mental illnesses by affecting the chemical makeup of the brain and nervous system) and antipsychotic medications. Furthermore, the facility failed to monitor the use of an antianxiety (a class of medications used to treat anxiety disorders and related symptoms like excessive worry, fear, and tension) medication.

Inspectors wroteThe facility reported a census of 29 residents with 15 residents included in the sample. Based on observation, record review and interview, the facility failed to develop and implement a comprehensive person-centered care plan for one Resident (R)20, regarding the use of an electric recliner.

Inspectors wroteThe facility reported a census of 29 residents with 15 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately revise Resident (R) 15's care plan after falls and failed to revise R 11's care plan for pressure ulcer care. This placed the residents at risk for uncommunicated care needs.

Inspectors wroteThe facility reported a census of 29 residents with 15 residents sampled, including two residents reviewed for skin issues. Based on observation, interview and record review, the facility failed to leave the shoes off one Resident (R)13, regarding the resident having abrasions (process of scraping or wearing something away) on the second toe of the right foot and the second and third toe of the left foot.

Inspectors wroteThe facility reported a census of 29 residents with 15 residents sampled, including four residents reviewed for pressure ulcers (PU). Based on interview, record review and observation, the facility failed to care and services to promote the healing of an existing PU for one Resident (R)13, regarding a stage II (partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed) PU behind the left ear and R 11, for failure of ensuring the resident had a pressure reducing cushion to his wheelchair.

Inspectors wroteThe facility reported a census of 29 residents with 15 residents selected for review. Based on observation, interview, and record review, the facility failed to keep the residents free from unnecessary drugs when they gave an excessive dose of a medication without provider notification that medications were held, this caused adverse complications for resident (R) 17 and R134. This placed the residents at risk for future adverse complications. - Resident (R) 17's Electronic Health Record (EHR) revealed diagnoses, which included hypertension (HTN-elevated blood pressure) and dementia (progressive mental disorder characterized by failing memory, confusion). The 01/16/25 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of five, which indicated severely impaired cognition. [...]

Inspectors wroteThe facility reported a census of 30 residents. The sample included three residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to ensure dependent Resident (R) 1 remained free from accidents when Certified Nurse Aide (CNA) M transferred R1 without a second staff member present to assist in a mechanical lift transfer. CNA M further failed to secure one of the leg straps to the mechanical lift, which caused R1 to fall from the lift, face forward onto the floor. [...]

Inspectors wroteThe facility reported a census of 32 with 14 residents selected for review which included two residents reviewed for dressing changes. Based on observation, interview and record review, the facility failed to ensure timely dressing changes for one, resident (R)4, of the two residents reviewed.

Inspectors wroteThe facility reported a census of 32 residents with 14 residents sampled. Based on observation, interview and record review, the facility failed to serve one Resident (R)26 the physician ordered diet.

Inspectors wroteThe facility reported a census of 30 residents. Based on observation and interview, the facility failed to ensure sanitary food preparation and storage for the residents of the facility.

Inspectors wroteThe facility reported a census of 30 residents with 15 residents sampled, including six residents reviewed for activities. Based on observation, interview, and record review, the facility failed to provide an ongoing program of individualized activities for five Residents (R)5, R 8, R 15, R 23, R 79, of the six sampled residents.

Inspectors wroteThe facility reported a census of 30 residents with 15 residents sampled, including one resident reviewed for dignity. Based on observation, interview, and record review, the facility failed to provide dignity for one Resident (R)8, by failure to cover his indwelling urinary catheter bag (tube placed in the bladder to drain urine into a collection bag), leaving it exposed for others to see.

Inspectors wroteThe facility reported a census of 30 residents with 15 selected for review. Based on observation, interview and record review, the facility failed to ensure the development of an individualized comprehensive care plan for activities for three sampled residents (R)79, R 23 and R15.

Inspectors wroteThe facility reported a census of 30 residents with 15 residents sampled, including two residents sampled for bowel and bladder incontinence. Based on observation, interview, and record review, the facility failed to provide appropriate peri-care (cleansing of genitals and anal area) to prevent urinary tract infections for one of the two sampled residents, Resident (R)5.

Inspectors wroteThe reported a census of 30 resident with 15 selected for review, which included five residents reviewed for unnecessary medications. Based on observation, interview and record review, the facility failed to ensure monitoring and diagnoses for resident (R)79's antipsychotic and anxiolytic (medication used for anxiety) medication and failed to ensure one resident R80 received reevaluation for as needed doses of Ambien and Valium, which continued past the 14-day limitation as required, to ensure the residents did not received medications with adverse side effects.