Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Four Seasons Retirement Center during CMS and state inspections, most recent first.
A resident with a history of UTI and sepsis was observed multiple times with an indwelling urinary catheter bag touching the floor, contrary to infection control standards. Staff interviews confirmed the bag should not contact the floor, and the facility's policy required adherence to infection prevention procedures, but these were not consistently followed.
A nurse crushed and administered an extended-release potassium chloride tablet to a resident without a physician's order and without providing education on the associated risks, despite facility policy and pharmacy guidelines prohibiting the crushing of extended-release medications.
A facility failed to obtain STAT labs for a resident with a history of fracture, anemia, kidney disease, and hypertension. Despite orders for immediate CBC and UA tests due to bloody urine, the lab tests were delayed, and staff interviews revealed inconsistencies in understanding the protocol for STAT labs.
The facility failed to ensure timely provision of physicians' notes for four residents during regulatory visits. Residents experienced delays ranging from one to two weeks in receiving signed documentation from their physicians, contrary to the facility's policy requiring timely signing and provision of orders and pertinent documents.
Failure to Maintain Proper Catheter Bag Positioning and Infection Control
Penalty
Summary
Staff failed to follow appropriate infection control guidelines for indwelling urinary catheter care for a resident with a history of urinary tract infection (UTI) and sepsis. Multiple observations showed the resident's catheter bag hanging inappropriately, with portions of the bag touching the floor and no barrier in place. On several occasions, the catheter bag was seen either hanging from a trash can or under a recliner, with up to half of the bag in contact with the floor. Staff interviews confirmed that the catheter bag should not be touching the floor, and corrective action was taken during one observation to reposition the bag. The resident required staff assistance for mobility and was observed to use the call light when needing help. The facility's policy required adherence to professional standards of practice and infection prevention procedures for catheter care. Despite this, the observed practices did not align with infection control standards, as the catheter bag was repeatedly found in contact with the floor, increasing the risk of contamination.
Crushing of Extended-Release Medication Without Physician Order
Penalty
Summary
A registered nurse (RN) prepared and administered medications to a resident, including Klor-Con M20 Extended-Release tablets, by crushing all large pills and mixing them with applesauce at the resident's request. The nurse did not provide education to the resident regarding the risks associated with crushing an extended-release tablet. The clinical record did not contain a physician's order authorizing the crushing of the Klor-Con M20 Extended-Release tablet for this resident. During an interview, the RN acknowledged that extended-release medications should not be crushed. The facility's pharmacy-provided 'Medications Not To Be Crushed' list and the facility's own policy both indicated that extended-release medications, such as Klor-Con, should not be crushed. Despite these guidelines, the medication was crushed and administered in this manner, contrary to established standards and facility policy.
Failure to Obtain STAT Labs for Resident
Penalty
Summary
The facility failed to obtain STAT (immediate) laboratory tests for a resident with a history of fracture, anemia, kidney disease, and hypertension. The resident had completed an antibiotic for a UTI and subsequently exhibited slightly bloody urine. Despite receiving a new order for a STAT CBC and UA, the lab tests were not conducted promptly. The resident's urine specimen was collected, but the blood draw for the CBC was delayed. Multiple progress notes indicated that the lab had not come to the facility to draw the blood or pick up the urine specimen within the expected timeframe. Interviews with facility staff revealed inconsistencies in understanding the protocol for STAT labs. The RN indicated that STAT labs should be done by the next morning, while the Nurse Practitioner expected them to be done the same day. Medical Records staff stated that STAT labs should be obtained within 3 to 4 hours, and if the lab couldn't come in that timeframe, the facility should either obtain the samples themselves or contact the physician. The facility's policy on scheduling and tracking labs was not followed, leading to a delay in obtaining the necessary lab results for the resident.
Delayed Physician Documentation for Resident Visits
Penalty
Summary
The facility failed to ensure that physicians' notes were provided in a timely manner for four residents during regulatory visits. Resident 13, who was moderately cognitively impaired with diagnoses including atrial fibrillation, hypertension, and renal disease, had a physician visit on 01/23/24, but the documentation was not signed and provided until 02/06/24. Similarly, Resident 18, who was cognitively intact and had a stroke and hemiplegia, had a physician visit on 01/16/24, but the documentation was not signed and provided until 02/04/24. Resident 5, who was cognitively intact with diagnoses including hypertension, cancer, a left humerus fracture, and a seizure disorder, experienced delays in documentation for two visits. The first visit on 01/23/24 had documentation provided on 02/06/24, and the second visit on 02/20/24 had documentation provided on 03/09/24. Resident 2, who was cognitively intact with diagnoses including fractures, hypertension, anxiety, and depression, had multiple visits with delayed documentation, including visits on 12/19/23, 01/16/24, 02/13/24, and 03/12/24, with documentation provided weeks later. Interviews with Medical Records and the DON revealed that the facility often received the physician's notes one to two weeks after the visits, which were then uploaded into the residents' clinical records. The facility's policy required orders and pertinent documents to be signed at the time of the physician's visit or per facility standards, which was not adhered to in these cases.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hickory Creek At Columbus | 0.9 mi | — | 7 | 0 |
| Willow Crossing Health & Rehabilitation Center | 2.1 mi | — | 14 | 0 |
| Silver Oaks Health Campus | 2.4 mi | — | 1 | 0 |
| Belmont Health & Rehabilitation, The | 6.7 mi | — | 9 | 0 |
| Miller's Merry Manor | 7.6 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.