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 23 of 23 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

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

    Have elevators that firefighters can control in the event of a fire.

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

    Fire safety citation K-0531, Services Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of December 12, 2025. Found during a standard inspection.

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

  18. 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.

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

    Fire safety citation K-0321, 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).

  19. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, 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).

  20. No harm, with potential for minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0013, 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).

  21. No harm, with potential for minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0029, 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).

  22. No harm, with potential for minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0036, 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).

  23. No harm, with potential for minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0037, 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).

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.