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Colonial Columns Nursing Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 80
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 01/11/2012

Date of last standard health inspection: 01/11/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 4
Average number of Health Deficiencies in CO: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in CO: 0 - 12
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/00/2012 03/01/2001 3 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2012 03/01/2001 2 Few
Assist those residents who need help with eating/drinking 02/00/2012 03/01/2001 Few grooming and personal and oral hygiene.
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/00/2012 03/01/2001 2 Many

Inspection, 02/00/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/00/2012 03/01/2001 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/00/2012 03/01/2001 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/00/2012 03/01/2001 2 Some
Maintain comfortable and safe temperature levels. 02/00/2012 03/01/2001 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/00/2012 03/01/2001 3 Few
Have a program that investigates, controls and keeps infection from spreading. 02/00/2012 02/07/2002 2 Many
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/00/2012 03/01/2001 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/00/2012 03/01/2001 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 02/00/2012 03/01/2001 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/00/2012 03/01/2001 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/00/2012 02/08/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/00/2012 03/01/2001 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2012 03/01/2001 2 Few
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. 02/00/2012 03/01/2001 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/00/2012 03/01/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/00/2012 00/05/2002 2 Some
Ensure residents maintain acceptable nutritional status. 02/00/2012 03/01/2001 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/00/2012 03/01/2001 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/00/2012 03/01/2001 2 Many
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 02/00/2012 03/01/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/00/2012 03/01/2001 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/00/2012 02/08/2002 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. 02/00/2012 00/05/2002 2 Some
Give residents a notice of rights, rules, services and charges. 02/00/2012 03/01/2001 2 Few
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 02/00/2012 02/07/2002 2 Few

Inspection, 03/00/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 03/00/2008 00/04/2010 Few complete and organized clinical records on each re
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide food in a way that meets a resident's needs. 03/00/2008 00/04/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 03/00/2008 00/04/2010 2 Some
Assist those residents who need help with eating/drinking 03/00/2008 00/04/2010 Few grooming and personal and oral hygiene.
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia 03/00/2008 00/04/2010 vomiting diarrhea

Inspection, 02/01/2008

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/01/2008 01/09/2009 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/01/2008 01/09/2009 2 Few

Inspection, 01/07/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/07/2006 01/09/2007 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2006 01/09/2007 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/07/2006 01/09/2007 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/07/2006 01/09/2007 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/07/2006 01/09/2007 2 Few
Ensure that residents are safe from serious medication errors. 01/07/2006 01/09/2007 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/07/2006 01/09/2007 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/07/2006 01/09/2007 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/07/2006 01/09/2007 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/07/2006 01/09/2007 2 Some
Provide activities to meet the interests and needs of each resident. 01/07/2006 00/00/0000 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/07/2006 01/09/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 01/07/2006 01/09/2007 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/07/2006 00/00/0000 2 Few

Inspection, 00/01/2005

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide timely notification to the resident before transfer or discharge. 00/01/2005 02/04/2005 2 Few

Inspection, 01/01/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure the activities program is directed by a qualified professional. 01/01/2001 01/05/2002 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/01/2001 01/05/2002 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/01/2001 01/05/2002 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/01/2001 01/05/2002 2 Some
Provide bedrooms that don't allow residents to see each other when privacy is needed. 01/01/2001 01/05/2002 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/01/2001 01/05/2002 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/01/2001 01/05/2002 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/01/2001 01/05/2002 2 Some
1) Hire only people with no legal history of abusing 01/01/2001 01/05/2002 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 01/01/2001 01/05/2002 2 Some
Provide special eating equipment and utensils for each resident who needs them. 01/01/2001 01/05/2002 2 Few
Store, cook, and serve food in a safe and clean way. 01/01/2001 01/05/2002 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/01/2001 01/05/2002 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/01/2001 01/05/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/01/2001 01/05/2002 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2001 01/05/2002 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 01/01/2001 01/05/2002 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/01/2001 01/05/2002 2 Some
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/01/2001 01/05/2002 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 01/01/2001 01/05/2002 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 01/01/2001 01/05/2002 2 Few
Provide or obtain dental services for each resident. 01/01/2001 01/05/2002 2 Few
Assist those residents who need help with eating/drinking 01/01/2001 01/05/2002 Some grooming and personal and oral hygiene.
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/01/2001 01/05/2002 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 01/01/2001 01/05/2002 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 01/01/2001 01/05/2002 2 Few
Give residents a notice of rights, rules, services and charges. 01/01/2001 01/05/2002 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/01/2001 01/05/2002 2 Few
Try to resolve each resident's complaints quickly. 01/01/2001 01/05/2002 2 Few
Provide residents with private access to a telephone. 01/01/2001 01/05/2002 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/01/2001 01/05/2002 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/01/2001 01/05/2002 2 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in CO Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 73 63
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 17 hours 54 minutes 1 hour 48 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 17 hours 10 minutes 1 hour
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 58 minutes 47 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 18 hours 39 minutes 1 hour 35 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/01/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/01/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in CO: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in CO: 0 - 0

Inspection, 00/07/2007

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/07/2007 00/04/2008 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/07/2007 00/04/2008 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/07/2007 00/04/2008 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/07/2007 00/04/2008 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 00/07/2007 00/04/2008 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/07/2007 00/04/2008 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/07/2007 03/00/2007 2 Some

Inspection, 00/01/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/01/2002 00/01/2003 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/01/2002 00/01/2003 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/01/2002 00/01/2003 2 Few
Properly installed electrical wiring and equipment. 00/01/2002 00/01/2003 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/01/2002 00/01/2003 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/01/2002 00/01/2003 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/01/2002 00/01/2003 2 Few

Inspection, 01/07/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/07/2001 02/06/2002 2 Some
Portable fire extinguishers. 01/07/2001 02/06/2002 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/07/2001 02/06/2002 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 01/07/2001 02/06/2002 2 Some
Properly protected cooking facilities. 01/07/2001 02/06/2002 2 Some
Restrictions on the use of portable space heaters. 01/07/2001 02/06/2002 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/07/2001 02/06/2002 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/07/2001 00/06/2002 2 Some
Properly installed electrical wiring and equipment. 01/07/2001 02/07/2003 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/07/2001 03/00/2001 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 01/07/2001 02/06/2002 2 Some
Exits that are accessible at all times. 01/07/2001 02/06/2002 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/07/2001 02/06/2002 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 01/07/2001 02/07/2003 2 Some
Restrictions on the use of flammable curtains. 01/07/2001 02/07/2003 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/07/2001 02/07/2003 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 01/07/2001 02/06/2002 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/07/2001 00/06/2002 2 Some
 

1340 East Fillmore Street
Colorado Springs, CO 80907

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