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 21 of 21 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. No harm, with potential for more than minimal harm

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0836, Administration Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2024).

  15. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, 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).

  16. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, 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).

  17. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, 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).

  18. No harm, with potential for more than minimal harm

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0627, Resident Rights Deficiencies. Inspection of September 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 22, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of April 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

  20. No harm, with potential for more than minimal harm

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, 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).

  21. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, 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).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.