F

COLUMBUS HEALTH AND REHAB

825 WESTERN AVE, COLUMBUS, WI 53925
Score: 33 / 100

With a score of 33/100, Columbus Health And Rehab ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Columbus Health And Rehab is near the national average, with 4.01 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 15 deficiencies at Columbus Health And Rehab. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.01 3.8 Average
Registered Nurses (RN) 0.95 0.7 Above Average
Licensed Practical Nurses (LPN) 0.57 0.7 Below Average
Certified Nursing Assistants (CNA) 2.48 2.4 Average
Weekend Total Nursing 3.47 3.8 Average
Weekend RN Hours 0.64 0.7 Average

🔍 Inspection & Deficiency History

15
Total Deficiencies
Mar 11, 2025
Most Recent Inspection
🟠 15 Moderate
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Mar 11, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Mar 11, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0838 Severity F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day ope
    Mar 11, 2025 · Administration Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Mar 11, 2025 · Infection Control Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Mar 11, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 9.0% 4.5% Worse
Falls with major injury 9.3% 3.0% Worse
On antipsychotic medication 8.8% 14.5% Better
Urinary tract infections 4.7% 2.5% Worse
ADL decline (daily activities) 5.0% 14.0% Better
Excessive weight loss 10.8% 7.5% Worse
New/worsened incontinence 15.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $151,160

How This Grade Was Calculated

This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 11, 2025
Deficiencies (Cycle 1)
9