Columbus Healthcare Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
things in place and reported two units twice (total of 4 units) of insulin, when a blood sugar was over 500 mg/dL, would likely have no effect. She stated Resident #88 should have been sent out to the hospital after getting a reading over 500 mg/dL but especially should have been sent out after giving insulin with no change in the blood sugar reading instead of continuing with small insulin amounts over several hours. The DON acknowledged the resident should have been assessed for changes after the high reading on 06/23/25 and should have had more interventions and insulin orders put in place after his Hemoglobin A1C went from 6.5 to 7.9 percent around the same time of getting a blood sugar of 300 mg/dL. The DON revealed resident should have had increased monitoring or more frequent checks being ordered to monitor if changes in Resident #88's diet were having an impact on his blood sugar readings. Review of the facility policy titled, Notifications of Change in Condition, undated, revealed the safety of the residents was of primary importance and the purpose of the policy was to provide guidance related to notifications made to residents, family members, and the medical practitioner during changes in condition. The medical provider shall be promptly notified of significant changes and the medical record must reflect the notification, response and interventions implemented to address the change in condition. Review of the facility policy titled, Blood Glucose Point of Care Testing, undated, revealed safety was the primary concern for the residents. The importance of ongoing glucose monitoring was necessary to detect extremes of high or low blood glucose levels to evaluate the effectiveness of the treatment plan. A nurse may preform a non-routine glucose blood testing at the bedside without a physician order if resident changes were indicative of low or high blood glucose levels. Extremely high blood glucose levels could result in headaches, increased urination, fatigue, fruity breath and dry mouth and if left untreated, could result in coma or death. This deficiency represents non-compliance investigated under Complaint Number 1331272.
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COLUMBUS HEALTHCARE CENTER in COLUMBUS, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COLUMBUS, OH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COLUMBUS HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.