All citations for Lorien Health Systems - Columbia

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 Lorien Health Systems - Columbia

Last standard health inspection on record

January 14, 2026

Showing 1 to 25 of 30 citations

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

    Observe each nurse aide's job performance and give regular training.

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

  2. 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 July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0941, Administration Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Widespread (many residents). CMS level F.

    Health citation F-0949, Administration Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  6. 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 July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

  9. 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 July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

  15. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of July 12, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

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

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

  22. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of July 12, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of July 12, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 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.