Columbus Health And Rehab
COLUMBUS HEALTH AND REHAB in COLUMBUS, WI — inspection on March 12, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
According to <https://www.ncbi.nlm.nih.gov/books/NBK594495/> Before flushing the lumen with 0.9% sodium chloride, aspiration of blood should be attempted to ensure patency.
The volume of fluid used for flushing should be twice the volume of the lumen.
RN/MDS L was observed not following the policy and procedure for IV medications and does not have a competency check for administering IV medication.
525445
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 525445 B.
Wing 03/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Columbus Health and Rehab 825 Western Ave Columbus, WI 53925
During this observation, CNA G performed pericare for R16's front, turned R16 to the side touching R16's bed linens and clothing, touched the wipes package and obtained more wipes, performed pericare for R16's backside, and applied barrier cream.
There was no removal of gloves with hand hygiene after contact with bodily fluids prior to touching bed linens, clothing, wipes package, or barrier cream.
Surveyor interviewed CNA G regarding infection control. CNA G stated that gloves are contaminated after performing pericare and should have been removed and hand hygiene performed prior to touching resident items and applying barrier cream.
On 2/26/25 at 10:22 AM, Surveyor interviewed DON B (Director of Nursing) and asked about hand hygiene and pericare. DON B stated that hand hygiene is expected prior to task, when changing gloves, when moving from dirty to clean site, and when task is complete.
Surveyor asked if resident's clothing, linens and supplies should be touched without hand hygiene. DON B stated no.
Example 5
On 2/24/25 at 1:51 PM, Surveyor observed CNA H assisting R7 with pericare.
During this observation, CNA H removed a mechanical device transfer sling from under the resident and threw the sling onto the floor. CNA H performed pericare for R7's front, turned the R7 to the side touching R7's bed linens and clothing, touched the wipes package and obtained more wipes, then performed pericare for R7's backside. R7 complained of discomfort to R7's bottom. CNA H took the walkie talkie from CNA H's waistband and called the nurse to the room. CNA H gathered the two packages of wipes from R7's bed, opened R7's bedside cabinet and put the wipes away.
There was not removal of gloves with hand hygiene after contact with bodily fluids prior to touching bed linens, clothing, wipes packages, walkie talkie, or bedside cabinet.
Surveyor interviewed CNA H regarding infection control.
Surveyor asked if the floor is contaminated. CNA H stated yes.
Surveyor asked if the mechanical device transfer sling should be on the floor. CNA H stated no.
Surveyor asked about infection control with pericare. CNA stated that gloves are contaminated after performing pericare and should have been removed and hand hygiene performed prior to touching resident items.
525445
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 525445 B.
Wing 03/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Columbus Health and Rehab 825 Western Ave Columbus, WI 53925