01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-23 | 2 | 2025-06-23 | 3 |
| Cycle 2 | 2024-04-05 | 2 | 2024-04-05 | 7 |
| Cycle 3 | 2023-02-07 | 4 | 2023-02-07 | 4 |
CMS CCN 1554712026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Four Seasons Retirement Center
1901 Taylor Rd · Columbus, IN 47203 · Bartholomew County
Certified beds30CMS provider file
Recent citation rows22current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
22 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-06-23 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-23 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-23 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-08-212025-06-23 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-08-212025-06-23 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2025-08-212024-04-05 · HEALTHF0711Severity B · pattern; potential for minimal harm
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Correction field: Deficient, Provider has date of correction · 2024-04-302024-04-05 · HEALTHF0770Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Correction field: Deficient, Provider has date of correction · 2024-04-302024-04-05 · FIREK0100Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2024-05-132024-04-05 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-05-132024-04-05 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-05-132024-04-05 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2024-05-132024-04-05 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-05-132024-04-05 · FIREK0500Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Meet other general requirements that are deficient.
Correction field: Deficient, Provider has date of correction · 2024-05-132024-04-05 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-05-132023-02-07 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2023-03-022023-02-07 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-02-242023-02-07 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-02-242023-02-07 · HEALTHF0770Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Correction field: Deficient, Provider has date of correction · 2023-02-242023-02-07 · HEALTHF0776Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Correction field: Deficient, Provider has date of correction · 2023-02-242023-02-07 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-03-022023-02-07 · FIREK0522Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have an externally vented heating system.
Correction field: Deficient, Provider has date of correction · 2023-03-022023-02-07 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-03-0203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- COMPUTERSHARE CORPORATE TRUST COMPANY, NAOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/01/2025
- BLOOMSTROM, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- CALDWELL, JEFFREYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- DALTON, DOUGLASSIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- ELLIS, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- HASH, SHERRIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- JONES, L. DEANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- KELLY, BETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- KOSELKE, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- LEWIS-HAGEN, TONYAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- LUDWIG, LONIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- MEREDITH, WENDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- MILLER, ROGERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- RICHARDSON, JANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- ROBBINS, FREDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- SEIGEL, JANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- SMILLIE, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- STENNER, REBECCAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.00per resident day
RN hours1.98per resident day
Weekend nurse hours4.37per resident day
Staff turnover20.0%CMS reported field
06 / LOCAL RECORDS
Open the Columbus ledger →