Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Trucare Living Centers-columbus during CMS and state inspections, most recent first.
A resident with a stage 2 coccyx wound and severe cognitive impairment did not receive ordered wound care as the Wound Care Nurse applied triad paste without first cleaning the wound bed. The resident was incontinent of urine and bowel, and the DON and Wound Care Doctor both stated the wound should have been cleaned before treatment was applied.
Kitchen sanitation and food storage deficiencies: Surveyors observed divided plates, cups, bowls, and utensils with dried food particles, water stains, and food residue, along with black fryer oil, a dented can in the pantry, and a pantry floor with dust and black substances. The Dietary Mgr stated the afternoon staff had cleaned the dishes and that the black floor substance was from condensation from the walk-in cooler and freezer; the facility policy stated utensils and equipment should be cleaned, sanitized, and air dried.
A facility failed to ensure care plans were reviewed and revised after assessments for two residents. One resident with DM, depression, malnutrition, and bowel/bladder incontinence had a care plan that did not address communication, incontinence, or psychosocial well-being, while another resident with dementia, adjustment disorder, and depression had a care plan that did not include her immediate MH needs or depression diagnosis. The MDS Coordinator said she missed the triggered areas, and the DON said it was the MDS Coordinator's duty to address new issues on the care plan.
A resident with GERD, gastric ulcer, and cognitive communication deficit had a pharmacy MRR recommendation to change Tums from scheduled dosing to PRN, but the recommendation was not acted on. The MAR still showed Tums 2 tabs PO daily along with Pantoprazole and Famotidine, and the medication was observed being administered as scheduled. The DON stated the missed follow-up was an oversight and that he and the ADON were responsible for monitoring pharmacy drug reviews.
Medication administration errors exceeded the allowed rate when two errors were found in 38 opportunities. One aide gave a resident Prednisone on an empty stomach despite the order to give it with food, and another aide administered Finasteride incorrectly by punching out two 5 mg tablets instead of one. The residents had multiple chronic conditions, including heart failure, CKD, BPH, HTN, and urinary retention, and the DON stated medications were expected to be given accurately and as ordered.
A resident with hypothyroidism and other chronic conditions had an order for levothyroxine 125 mcg PO daily at 5:30 AM, but the MAR did not document the dose as given for 3 consecutive days. The record also showed no reason the medication was held and no documentation that the MD was notified. The DON stated that if it is not documented, it was not given, and the facility policy required meds to be administered safely, timely, and as prescribed.
A resident with Alzheimer's Disease and severely impaired cognition had a pharmacy review recommending a Vitamin D level and lipid panel, and the physician agreed. Although an LPN documented that the labs were ordered, the orders were not forwarded to the lab company and no results were found in the chart; the DON noted that potentially critical lab levels could go unnoted.
A resident with multiple comorbidities, including lobar pneumonia and atherosclerotic heart disease on hospice and oxygen therapy via a pleural catheter, reported throat discomfort while in bed. An LVN, after being notified, removed gloves from a box on a med cart without performing hand hygiene, placed them in a pant pocket, donned a gown, then retrieved and donned the same pocketed gloves before entering the room. The LVN used these gloves to assist the resident in coughing up and wiping away greenish phlegm. In subsequent interviews, the LVN, IPN, DON, and Administrator acknowledged that gloves stored in pockets should not be used for care and that hand hygiene should occur before donning PPE, which was inconsistent with the facility’s PPE policies requiring single-use gloves and handwashing before gown use.
A resident with Parkinson's Disease and muscle weakness sustained a skin tear during a transfer by a CNA, which was not documented or treated beyond initial bandaging. Interviews revealed staff were unaware of the injury, and the facility lacked a policy on skin assessments, highlighting a gap in procedures for monitoring and documenting residents' conditions.
A LTC facility reported a 10% medication error rate, involving incorrect administration of Citalopram and ophthalmic solutions to residents with cognitive impairments and other health conditions. Errors were attributed to staff nervousness and failure to verify medications properly, contrary to facility policy requiring triple checks for accuracy.
A facility failed to properly label medications in shared carts between Hall 100 and 300, with opened eyedrops and nasal sprays not dated or labeled with residents' names. Staff interviews confirmed the practice of dating medications upon opening, but the facility could not provide a labeling policy. This oversight could risk adverse reactions and infections.
A facility failed to maintain proper medical records and medication administration for residents. A resident's pain level and skin tear were not documented, and another resident received medication that did not match the physician's order. Staff interviews revealed a lack of awareness and documentation, and the facility lacked a policy on skin assessments. The DON and Administrator acknowledged the importance of accurate documentation and medication administration.
Failure to Clean Coccyx Wound Before Applying Treatment
Penalty
Summary
The facility failed to ensure that a resident with a stage 2 coccyx wound received necessary treatment and services consistent with professional standards of practice to promote healing and prevent infection. The resident had multiple diagnoses including overactive bladder, muscle wasting and atrophy, contractures of multiple sites, osteoarthritis, heart failure, and cerebral infarction. The annual MDS reflected a BIMS score of 4, indicating severely impaired cognition, and the resident was always incontinent of urine and bowel. The care plan included treatment for the coccyx wound, and the physician ordered cleansing the coccyx with normal saline, patting it dry, and applying triad paste daily. During wound care observation, the Wound Care Nurse and Wound Care Doctor entered the resident's room, positioned the resident on his right side, and opened the brief. The wound area on the coccyx was described as a small open area that was pale pink in color. The Wound Care Nurse applied triad paste to the coccyx area without cleaning the wound bed first. In interview, the Wound Care Nurse stated she should have cleaned the wound before applying the paste and said not doing so placed the resident at risk for infection. The DON and Wound Care Doctor both stated the wound should have been cleaned before treatment was applied.
Kitchen sanitation and food storage deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one kitchen reviewed for food and nutrition services. During an initial tour of the kitchen, surveyors observed divided plates with water and food stains, and knives, forks, and spoons with dried food particles and water stains. Cups, bowls, and plates also had dried food particles and food stains on them. The oil in the deep fat fryer was observed to be black. In the food pantry, surveyors observed one dented can of 6.5 lbs sliced apples, and the floor had dust, dirt, and black substances in the corner. The Dietary Manager stated the afternoon staff had cleaned the dishes and said she was going to remove and clean the divided plates, and the dishes were brought to the dish room to be rewashed. The Dietary Manager later stated the black substances on the floor were due to condensation from the walk-in cooler and freezer, and the policy and procedure for sanitation and food handling stated that utensils and equipment should be cleaned and sanitized and allowed to air dry.
Care plans not updated for psychosocial, communication, incontinence, and depression needs
Penalty
Summary
The facility failed to ensure comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment for 2 of 5 residents reviewed. For Resident #39, the record showed diagnoses including hypertension, diabetes, depression, malnutrition, hyperlipidemia, and anemia. Her quarterly MDS coded her as cognitively aware with a BIMS score of 14, no behaviors, and dependence or assistance with several ADLs, including toileting, dressing, bathing, and footwear, and it also coded her as incontinent of bowel and bladder. Observation and interview showed she was alert, oriented, clean, groomed, and able to make her needs known. Her care plan, dated 1/27/2026, did not address triggered areas of communication, incontinence, or psychosocial well-being. For Resident #9, the record showed diagnoses including myopathy, unspecified dementia, adjustment disorder with depressed mood, epilepsy, hypertension, heart disease, and kidney disease. Her MDS indicated she needed supervision or touching assistance for most ADLs, and depression was listed as an active diagnosis within the last seven days. Her mood interview showed she had been feeling down, depressed, and hopeless for several days. Her care plan did not incorporate her immediate mental health needs or diagnosis of depression into the plan. The MDS Coordinator stated she was the only person who completed the MDS and care plans and said she had missed the triggered areas for Resident #39. The DON stated it was the MDS Coordinator's duty to assess triggered areas and address any new issues on the care plan.
Failure to Follow Pharmacy Recommendation for Calcium Carbonate
Penalty
Summary
The facility failed to act on a pharmacy recommendation for Resident #60 regarding Calcium Carbonate (Tums). Resident #60 was an [AGE]-year-old male with diagnoses including cognitive communication deficit, GERD, gastric ulcer, and hypertension. His quarterly MDS reflected a BIMS score of 11, indicating moderately intact cognition, and his care plan dated 04/16/26 identified him as at risk for discomfort and complications related to GERD. His physician orders included Tums 500 mg chewable tablets, 2 tablets by mouth one time a day for GERD. The facility’s drug regimen review dated 02/25/26 included a pharmacy recommendation to reduce Tums to PRN because calcium carbonate can cause acid rebound, but the recommendation was not acted upon. The resident’s April 2026 MAR showed Tums 2 tablets PO daily at 9:00 AM, along with Pantoprazole 40 mg daily and Famotidine 20 mg twice daily. During observation on 04/23/26 at 7:55 AM, MA FF administered Tums 2 tablets PO to Resident #60. In interview on 04/24/26, the DON stated the missed follow-up on the pharmacy recommendation was an oversight and said it was his and the ADON’s duty to monitor the pharmacy drug review.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility failed to ensure the medication error rate remained below 5 percent. Surveyors identified 2 medication errors out of 38 opportunities, involving two residents and two medication aides observed during medication administration. The report states these errors resulted in a 5% medication error rate and were associated with Resident #33 and Resident #38. Resident #33 was an older female with diagnoses including lobar pneumonia, heart failure, essential hypertension, and chronic kidney disease. Her care plan identified her as at risk for heart failure and included administering Prednisone per physician orders. The physician ordered Prednisone 2.5 mg by mouth once daily related to heart failure, with food in the stomach. During observation on 04/22/26 at 7:41 AM, Medication Aide FF administered Prednisone to Resident #33 on an empty stomach. Resident #33 stated she had not eaten breakfast, and the breakfast tray for the hall was not served until 8:16 AM. Resident #38 was an older male with diagnoses including spinal stenosis, hypertension, benign prostatic hyperplasia, and urinary retention. His care plan identified him as at risk for benign prostatic hyperplasia with lower urinary tract symptoms, and the physician ordered Finasteride 5 mg by mouth once daily. During observation on 04/23/26 at 9:05 AM, Medication Aide RR punched Finasteride 5 mg twice, placing 10 mg in the medication cup, along with other medications totaling 16 tablets, and administered them to Resident #38 by mouth. During interview, the aide denied the error and stated she was very careful, while the DON stated medication aides were expected to administer medications accurately and that not administering medications as ordered could cause serious side effects.
Missed Documentation of Ordered Thyroid Medication
Penalty
Summary
Resident #39, a cognitively aware female with diagnoses including hypertension, diabetes, depression, malnutrition, hyperlipidemia, hypothyroidism, and anemia, had a physician order for levothyroxine sodium 125 mcg by mouth daily at 5:30 AM for hypothyroidism. Review of the April 2026 MAR showed the levothyroxine was not documented as given at 5:30 AM on 4/2/2026, 4/3/2026, and 4/4/2026. Further review of the clinical record found no documented reason the medication was held and no documentation that the physician was notified that the medication had not been given for 3 days. During interview, the DON stated that if it is not documented, it was not given, and confirmed that medications were expected to be given as ordered by the physician. The facility policy stated medications are to be administered in a safe and timely manner and in accordance with prescriber orders.
Failure to Forward Ordered Labs and Obtain Results
Penalty
Summary
The facility failed to provide or obtain laboratory services to meet the needs of Resident #13, a female resident with diagnoses including Alzheimer's Disease, muscle wasting, and age-related physical debility. Her quarterly MDS showed a BIMS score of 7 out of 15, indicating severely impaired cognition. Her care plan directed nursing staff to obtain and monitor lab and diagnostic work as ordered and to report results to the MD and follow up as indicated. A pharmacy drug regimen review dated 03/26/2026 recommended a Vitamin D level and lipid panel, and the pharmacy recommendation log showed the physician agreed with those labs. A nurse note dated 04/10/2026 documented that the physician ordered CBC, CMP, lipid panel, and Vitamin D level labs, but the physician's orders in the chart did not include those labs and the electronic medical record contained no results for them after that date. During interviews, the LPN responsible for medical records stated the lab orders had not been forwarded to the lab company and she did not know why they were not sent. The DON stated that a negative outcome could be potentially critical lab levels going unnoted.
Improper Hand Hygiene and Glove Use During Direct Resident Care
Penalty
Summary
The deficiency involves a failure to maintain proper infection prevention and control practices during direct care for one resident. The resident was an older female with medical diagnoses including hypertension, lobar pneumonia, rheumatoid arthritis, and atherosclerotic heart disease, and was originally admitted with a UTI and lobar pneumonia. Her care plan identified her as being at risk for UTIs and upper respiratory infections, and she was receiving oxygen therapy via a pleural catheter to the right chest, with monitoring for signs and symptoms of respiratory distress. She was also on hospice services related to her atherosclerotic heart disease and was at risk for shortness of breath, anxiety, and pain, with interventions including medication administration and monitoring. On the day of the observation, the resident was in bed and reported that something felt stuck in her throat, using her hand to indicate the area of discomfort. LVN A was informed of the resident’s complaint while in the hallway. Without sanitizing her hands, LVN A took gloves from a box on her medication cart and placed them in her pant pocket. She then donned a gown and subsequently removed the same gloves from her pocket and put them on before entering the resident’s room. Once in the room, LVN A asked the resident about her discomfort, held a tissue near the resident’s mouth, and instructed her to try to expel what was stuck in her throat. The resident coughed up greenish phlegm, which LVN A wiped from the resident’s mouth with the tissue before discarding it. Interviews conducted after the observation confirmed that LVN A recognized she should not have used gloves that had been stored in her pocket for resident care and acknowledged this could be an infection control issue. She stated she believed it was less serious because the resident did not have a draining wound and was on hospice, and that she would have used fresh gloves from the cart for a resident with an open wound. The Infection Prevention Nurse (IPN) stated that LVN A should have discarded the gloves once they had been in her pocket and that she should have sanitized her hands before donning PPE, while also indicating she would look into whether pocketed gloves could be used. The DON and Administrator both stated that staff should sanitize hands before putting on gloves and should not use gloves that had been in their pockets, and that such practices could cause cross-contamination. Facility policies on PPE for gloves and gowns required the use of disposable single-use gloves when indicated and handwashing before putting on a gown.
Inadequate Supervision and Documentation of Resident Injury
Penalty
Summary
The facility failed to ensure adequate supervision to prevent accidents for a resident who was observed with a skin tear. The resident, who has a history of Parkinson's Disease, osteoarthritis, and muscle weakness, reported that the injury occurred during a transfer from a wheelchair to a bed by a CNA. The resident described the incident as occurring when the CNA instructed her to hug the aide during the transfer, resulting in a scratch from the aide's nails. Despite the resident's cognitive intactness, the incident was not documented in her medical records, and no treatment was administered beyond initial bandaging. Interviews with various staff members, including CNAs, LVNs, and the DON, revealed a lack of awareness and documentation regarding the resident's skin tear. The treatment nurse was unaware of the injury, and the CNAs responsible for the resident's care did not document any skin issues, despite the resident's report of the incident. The facility's documentation policy requires that all changes in a resident's condition be recorded, but this was not adhered to in this case. The facility's failure to document and address the resident's skin tear was acknowledged by the DON and the Administrator, who noted the risk of infection from unrecognized and undocumented injuries. The absence of a policy on skin assessments was also highlighted, indicating a gap in the facility's procedures for monitoring and documenting residents' conditions. This deficiency in supervision and documentation could potentially place residents at risk of injury and subsequent complications.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a 10% error rate based on 2 errors out of 28 opportunities. The errors involved three residents, with specific incidents involving incorrect medication administration. One medication aide (MA D) did not administer Citalopram as per the physician's orders to a resident diagnosed with acute on chronic systolic heart failure and cognitive decline. Instead, another medication aide (MA A) administered a higher dose of Citalopram than prescribed. Another incident involved MA D administering the wrong ophthalmic solution to a resident with multiple fractures, dry eyes, and glaucoma. Instead of using the prescribed Refresh tear ophthalmic solution, MA D used Systane Lubricant, which belonged to another resident. This error was acknowledged by MA D, who admitted to being nervous and failing to check the medication properly. Interviews with the Director of Nursing (DON) and the Administrator revealed expectations for medication administration to be accurate and timely, with zero errors. The DON noted that incorrect medication administration could lead to adverse side effects and a decline in residents' health. The facility's policy requires medications to be administered as prescribed, with the individual administering the medications checking the label three times to ensure the right resident, medication, dosage, time, and method of administration.
Improper Labeling of Medications in Shared Carts
Penalty
Summary
The facility failed to ensure that drugs and biologicals used in the facility were labeled in accordance with professional principles. Specifically, the medication carts shared between Hall 100 and 300 contained eyedrops and nasal sprays that were opened but not labeled with the resident's name or dated. This oversight was observed during a survey on February 5th, where several medications, including Timolol ophthalmic solution, Dorzol/Timolol solution, Brimonidine solution, and Fluticasone nasal spray, were found open and undated. Interviews with staff, including a medication aide (MA D) and the Director of Nursing (DON), confirmed that the facility's practice was to date medications upon opening to ensure their effectiveness for up to 30 days. However, the facility failed to provide a medication labeling policy when requested by the surveyors. This deficiency could place residents at risk of adverse medication reactions and infections due to the improper labeling and storage of medications.
Deficiencies in Documentation and Medication Administration
Penalty
Summary
The facility failed to maintain medical records in accordance with accepted professional standards and practices for a resident reviewed for assessments. Specifically, RN A did not document the pain level for the resident during a shift, and a skin tear observed on the resident was not documented in her medical records. Additionally, the resident's Physician Orders for Calcium and Vitamin D did not match with their Medication Administration Record (MAR), as MA A failed to administer the medication according to the Physician Orders. The resident, an elderly female with multiple medical diagnoses including Parkinson's Disease, osteoarthritis, and hypertension, was observed with a skin tear that was not documented. The resident reported that the injury occurred during a transfer from her wheelchair to the bed, but no treatment was documented after the initial bandaging. Interviews with various staff members revealed a lack of awareness and documentation regarding the resident's skin tear, and the facility did not have a policy on skin assessments. Furthermore, there was a discrepancy in the administration of medications for another resident, where the medication given did not match the physician's order. The DON and Administrator acknowledged the importance of administering medications as ordered and the potential risks of not doing so. The facility's policies on charting, documentation, and medication administration emphasize the need for accurate and timely documentation and administration, which were not adhered to in these instances.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 83 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Columbus Oaks Healthcare Community | 1.7 mi | ★★★★★ | 3 | 0 |
| Parkview Manor Nursing And Rehabilitation | 12.8 mi | ★★★★★ | 4 | 0 |
| Arbor Hills Rehabilitation And Healthcare Center | 14.9 mi | ★★★★★ | 0 | 0 |
| Schulenburg Regency Nursing Center | 20.5 mi | ★★★★★ | 9 | 0 |
| Paradigm At The Oak | 21.2 mi | ★★★★★ | 30 | 3 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Trucare Living Centers-columbus.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.