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COLUMBIANA HEALTH AND REHABILITATION, LLC Inspection Report, Violations & Safety Grade (COLUMBIANA, Alabama)

22969 HIGHWAY 25, COLUMBIANA, Alabama 35051

Phone: 2056691712

CMS Overall:4/5

Overview & Bed Count

Certified Beds
63
Avg Residents/Day
61
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Shelby
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityAlabama AvgDifference
RN Hours per Resident per Day0.730.66+0.07
Total Nurse Hours per Resident per Day3.693.90-0.21
CMS Staffing Rating4/53.7/5-
Nursing Staff Turnover53.6%46.8%-

Health Citation History

4 health citations on record

DateCategoryDescriptionSeverity
2024-04-18Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2024-04-18Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-08-24Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2019-10-17Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential

Fire Safety Citation History

4 fire safety citations on record

DateCategoryDescriptionSeverity
2022-08-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-08-24Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2022-08-24Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2018-11-20Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential

Total Penalties & Fines

$8,018
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-04-18Fine$8,018-

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