Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Columbiana Health And Rehabilitation, Llc during CMS and state inspections, most recent first.
A resident with a history of seizures did not receive their prescribed Oxcarbazepine 300 mg on multiple occasions, resulting in seizure activity and an emergency room visit. The error was traced to a clerical mistake where the medication start date was incorrectly entered into the system. Interviews with the RN, MD, and DON confirmed that the incorrect entry led to missed doses. The issue was further substantiated by the resident's responsible party and a Hospice agency member, emphasizing the importance of accurate medication administration for residents with seizure disorders.
A CNA failed to perform proper hand hygiene and use PPE correctly, leading to a risk of cross-contamination while providing incontinent care to a resident. The CNA admitted to not changing gloves as required, which was against the facility's hand hygiene policy.
Medication Administration Error Due to Clerical Mistake
Penalty
Summary
The facility failed to ensure that Resident Identifier (RI) #1, a resident with a history of seizures, received their Oxcarbazepine 300 mg as ordered by the physician. RI #1 did not receive the medication as prescribed on multiple occasions, leading to a significant medication error. This error resulted in RI #1 experiencing seizures on 05/13/2023 and subsequently being sent to the emergency room for evaluation. The deficiency was identified through a review of RI #1's medication administration records, which lacked documentation of the Oxcarbazepine doses being administered as ordered. The investigation revealed that the medication error was attributed to a clerical error in the facility's system. The start date for Oxcarbazepine was incorrectly entered as 5/18/2023 instead of 5/11/2023, leading to missed doses of the anticonvulsant medication. Interviews with the Registered Nurse (RN) #3 and the Medical Director (MD) indicated that the error in entering the medication order led to RI #1 not receiving the necessary seizure medications, resulting in the risk of seizure activity. The facility's Director of Nursing (DON) acknowledged the clerical error and the potential harm of residents not receiving their anticonvulsant medications as prescribed. The deficiency was further substantiated by interviews with RI #1's responsible party and a member of the Hospice agency, who both highlighted the impact of RI #1 not receiving their anticonvulsant medications as ordered. The investigation and interviews with facility staff and external healthcare providers emphasized the critical importance of accurate medication administration in preventing adverse outcomes for residents with seizure disorders like RI #1. The facility's failure to ensure the proper administration of Oxcarbazepine to RI #1 highlights the need for stringent medication management protocols to prevent significant medication errors in long-term care settings.
Improper Hand Hygiene and PPE Use by CNA
Penalty
Summary
The facility failed to ensure proper hand hygiene and use of Personal Protective Equipment (PPE) by Certified Nursing Assistant (CNA) #9, which led to a risk of cross-contamination. During an observation on 04/17/2024, CNA #9 did not perform hand hygiene after removing contaminated gloves and before handling clean linens while providing incontinent care for Resident Identifier (RI) #5. This action was against the facility's hand hygiene policy, which mandates handwashing between procedures with residents and after handling soiled or used linens. CNA #9 admitted to not changing gloves as often as required, acknowledging the risk of spreading germs and body fluids by handling clean materials with contaminated gloves. Interviews with the Infection Control Preventionist (IP) and the Staff Development Coordinator (SDC) confirmed that the facility's policy requires staff to wash hands before and after patient care, and to remove soiled gloves before touching clean items such as linens. Both the IP and SDC emphasized the risk of infection spread due to improper hand hygiene and glove use. The deficiency was observed to affect RI #5, who was receiving incontinent care at the time of the incident.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Columbiana
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shelby Ridge Nursing Home | 13.3 mi | ★★★★★ | 0 | 0 |
| The Healthcare Center At Buck Creek | 14.2 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Riverchase | 16.9 mi | ★★★★★ | 0 | 0 |
| Galleria Woods Skilled Nursing Facility | 17.7 mi | ★★★★★ | 0 | 0 |
| Aspire Physical Recovery Center At Cahaba River | 18.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.