A list of the most recent deficiencies for Cordova Community Med Ltc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2024-01-26 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-12-29 | 2024-01-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-12-29 | 2024-01-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-29 | 2024-01-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-15 | 2024-01-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-15 | 2024-01-10 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-12-15 | 2024-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-29 | 2024-01-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-12-29 | 2024-01-08 | N |
| Ensure 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. | Health | 2023-12-15 | 2024-01-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-28 | 2022-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-28 | 2022-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-28 | 2022-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-28 | 2022-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-28 | 2022-10-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-28 | 2022-10-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-02 | 2021-08-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-07-02 | 2021-08-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-07-02 | 2021-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-02 | 2021-08-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-12 | 2021-08-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-12 | 2021-08-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-12 | 2021-08-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-12 | 2021-08-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-12 | 2021-08-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-12 | 2021-08-31 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-07-02 | 2021-08-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-07-02 | 2021-08-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-12 | 2021-08-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-12 | 2021-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-12 | 2021-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-12 | 2021-07-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-12 | 2021-07-31 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-07-12 | 2021-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-12 | 2021-07-31 | N |
