All citations for Waters of Columbia City Skilled Nursing Facility

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 Waters of Columbia City Skilled Nursing Facility

Last standard health inspection on record

December 12, 2025

Showing 1 to 25 of 40 citations

  1. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

  2. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

  3. 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 December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

  4. 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 December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 29, 2026).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 29, 2026).

  6. 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 December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 29, 2026).

  7. 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 December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 29, 2026).

  8. 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 October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

  12. 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 September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  13. 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 September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

  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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  16. 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 October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  17. 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 October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

  18. 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 October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  24. 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 September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  25. 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 September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

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.