Deficiency Records for Cordova Community Med Ltc
Updated as of May 01, 2018
This is not the most recent data for Cordova Community Med Ltc. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-11-02 | 2018-12-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-11-02 | 2018-12-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-11-02 | 2018-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-02 | 2018-12-17 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2017-11-02 | 2018-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-02 | 2018-12-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-11-02 | 2018-12-17 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-11-02 | 2017-12-17 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-02 | 2017-12-17 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-02 | 2017-12-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-11-02 | 2017-12-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-02 | 2017-12-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-02 | 2017-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-02 | 2017-12-17 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-11-02 | 2017-12-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-11-02 | 2017-12-17 | N |
| Provide food in a way that meets a resident's needs. | Health | 2017-11-02 | 2017-12-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-02 | 2017-12-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-02 | 2017-12-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-11-02 | 2017-12-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-11 | 2017-01-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-11 | 2017-01-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-11-11 | 2017-01-05 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-11-11 | 2017-01-05 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-11 | 2017-01-05 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-11 | 2017-01-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-11 | 2017-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-11 | 2017-01-05 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-11-11 | 2017-01-05 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-11-11 | 2017-01-05 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-11-11 | 2017-01-05 | N |
| Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. | Health | 2016-11-11 | 2017-01-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-11 | 2017-01-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-11 | 2017-01-05 | N |
| Keep all essential equipment working safely. | Health | 2016-11-11 | 2017-01-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-11 | 2017-01-05 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-11-11 | 2017-01-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-11-11 | 2017-01-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2016-11-11 | 2016-12-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-11-11 | 2016-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2016-11-11 | 2016-12-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-11-11 | 2016-12-07 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2016-11-11 | 2016-12-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-11-11 | 2016-12-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-11 | 2016-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-11-11 | 2016-12-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-11-11 | 2016-12-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-11-11 | 2016-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-11 | 2016-12-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-18 | 2016-07-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-18 | 2016-05-30 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-05-18 | 2016-05-09 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-07 | 2016-02-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-08 | 2016-02-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-08 | 2016-02-22 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-01-08 | 2016-02-22 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-01-08 | 2016-02-22 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-01-08 | 2016-02-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-08 | 2016-02-22 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-01-08 | 2016-02-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-01-08 | 2016-02-22 | N |
