All citations for Columbia Manor Health & Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Columbia Manor Health & Rehabilitation

Last standard health inspection on record

August 7, 2025

Showing 1 to 25 of 44 citations

No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
A waiver was granted (June 15, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 2023).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 2023).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of August 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Pattern (more than a few residents). CMS level E.
Health citation F-0919, Environmental Deficiencies. Inspection of August 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 5, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of February 26, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 28, 2025).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Pattern (more than a few residents). CMS level E.
Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pattern (more than a few residents). CMS level E.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Pattern (more than a few residents). CMS level E.
Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Pattern (more than a few residents). CMS level E.
Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pattern (more than a few residents). CMS level E.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.