Trucare Living Centers-Columbus

Inspectors wroteBased on observation, interview record review the facility failed to ensure, based on the comprehensive assessment of a resident, that a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 5 residents (Resident #1) reviewed for pressure ulcers. The wound care nurse failed to clean Resident #1's pressure wound to coccyx (tailbone) before applying a wound dressing triad paste (a wound dressing that consists of zinc-oxide-based used to manage and protect minor or hard-to-dress wounds with light-to moderate moisture) to the resident wound bed on 07/21/26. This failure could place residents at risk for infections, delayed healing, and medication failure.

Inspectors wroteBased on observation, interview and record review the facility to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for food and nutrition services. 1. The facility failed to ensure divided plates, bowls, and cups with dried food particles and water were not stored with clean plates, bowls and cups. 2. The facility failed to ensure clean knives, fork and spoons were free of food dried food particles, and water stains. 3. The facility failed to ensure the dry storage room was free of dented cans.4. The facility failed to ensure the oil in the deep fat fryer was not black. 5. The facility failed to ensure the floor of the dry storage room was free of dust and black substance. These failures could place residents at risk of foodborne disease and other illnesses. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments for 2 0f 5 residents ( Resident #39's and Resident #9) reviewed for comprehensive care plans. 1. The facility failed to ensure Resident #39's care plans were revised to address her psychosocial well-being, communication and incontinence.2. The facility failed to incorporate Resident #9's immediate mental health needs, and diagnosis of depression, into the care plan. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to act upon pharmaceutical recommendation to assured the accurate acquiring, receiving, dispensing, and administering of medications for 1 of 6 residents (Residents #60) reviewed for pharmaceutical services. The facility failed to act upon pharmacy recommendations on 2/25/26 for Resident #60 on Calcium Carbonate (Antacid medication used for heartburn) to be given as needed. Calcium Carbonate was administered daily on 4/22/26. This failure could place residents at risk of adverse drug reaction and could result in diminished health and well-being.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 5%, based two errors out of 38 opportunities, which involved two of 2 residents (Residents #33 and #38) and 2 of 4 staff observed during medications administration reviewed for medication error. 1. The facility failed to ensure Medication Aide FF administered Resident #33 Prednisone (used to quickly reduce inflammation [swelling, heat and redness]) and suppress and overactive immune system, as ordered by the Physician on 4/22/26.2. The facility failed to ensure Medication Aide RR administered Resident #38's Finasteride (drug use for enlarge prostate) as ordered by the Physician on 4/22/26. These failures could place residents at risk of side effect and a decrease in quality of life.

Inspectors wroteBased on interview and record review the facility failed to ensure residents were free of significant medication errors for 1 of 19 residents (Resident #39) reviewed for medication. The facility failed to ensure Resident #39's thyroid medication was administered as ordered by the physician. This failure could place residents at risk of the body system slowing down resulting fatigue, weight gain, hair loss, fluid retention and decreased quality of life Record review of Resident #39's admission face sheet, dated 4/24/2026, revealed an [AGE] year-old female who was admitted to the facility on [DATE]. [...]

Inspectors wroteBased on interview and record review the facility failed to provide or obtain laboratory services to meet the needs of its residents for one of 6 residents (Resident #13) reviewed for laboratory services. The facility failed to ensure the facility followed the Pharmacy review recommended labs (Vitamin D level and Lipid panel) be drawn for Resident #13. 2. The facility failed to ensure the order for labs was forwarded to the lab services. These failures could place the resident at risk for staff not having diagnostic information, placing the resident at risk for decline in health.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents (Resident #8) observed for infection control. LVN A did not sanitize her hands before wearing gloves and wore gloves taken from her pocket before performing direct care for Resident #8 on 03/19/2026. These failures could place the residents at risk of cross-contamination and development of infection. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that each resident received adequate supervision to prevent accidents for 1 of 6 residents (Resident #55) reviewed for supervision. -Resident #55 was observed with a skin tear on 02/04/2025 which she stated resulted from a CNA transferring the resident into bed. This failure could place residents at risk of being injured from being improperly transferred.

Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that its medication error rate was less than 5 percent. The facility had a medication error rate of 10 % based on 2 errors out of 28 opportunities, which involved 3 of 4 residents (Resident # 47, #53 and Resident #63) reviewed for medication administration. 1. MA D failed to administer Citalopram (antidepressants is used to treat depression) to Resident #47, according to physician orders. 2. MA D failed to administer Refresh tear Ophthalmic solution (used to treat dry eyes) to Resident #53. MA D used Resident # 36's Systane ( eyedrop used to lubricate the eyes and treat symptoms of dry eyes) to Resident # 53 These failures could place residents at risk of incomplete therapeutic outcomes, increased negative side effects, and decline in health.

Inspectors wroteBased on observation and interview the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for and 1 (shared medication cart between Hall 100 and 300 ) of 4 medication carts reviewed for medication storage. - The facility failed to ensure the back of 100 and 300 hall medication carts did not contain eyedrops and nasal spray that were opened but not labeled with the resident's name and not dated. This failure could place residents at risk of adverse medication reactions and infections. Findings Include: During observation on 02/05/25 at 9:49 AM, the following medications were found in the medication carts for back of 100 and 300 hall with MA A: 1. Timolol ophthalmic solution USP 0.5% eyedrop open not dated 2. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain medical records in accordance with accepted professional standards and practices for 1 of 6 residents (Resident #55) reviewed for resident assessments. -RN A failed to document pain level for Resident #55 on 1/30/2025 during the 2pm to 10pm shift. -Resident #55 was observed with a skin tear on 02/04/2025 that was not documented in her medical records. -Resident #55's Physician Orders for Calcium + Vitamin D (Calcium = used to help build and maintain bones and teeth. Vitamin D (Cholecalciferol = used for vitamin D deficiency = also used with calcium to maintain bone strength) did not match with their MAR when MA A failed to administer this medication according to Physician Orders. [...]

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for 1 of 1 resident (Residents #49) reviewed for indwelling catheters. -The facility failed to ensure Resident #49's Foley catheter (F/C) (tubing inserted into the bladder to drain urine) was placed below the bladder during incontinent care. These failures could place residents at risk for discomfort and urinary tract infections.

Inspectors wroteBased on observation, interview and record review, the facility must dispose of garbage and refuse properly for 1 of 1 dumpster reviewed for garbage disposal. -The facility failed to ensure the dumpster lids and doors were secured. This failure could place residents at risk of infection from improperly disposed garbage.