A list of the most recent deficiencies for Cornerstone Care Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-23 | 2023-07-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-03 | 2023-03-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-03 | 2023-03-08 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-15 | 2022-05-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-15 | 2022-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-15 | 2022-05-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-15 | 2022-05-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-15 | 2022-05-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-15 | 2022-05-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-15 | 2022-05-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-15 | 2022-05-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-15 | 2022-05-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-15 | 2022-05-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-02-15 | 2022-05-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-15 | 2022-05-23 | 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 | 2022-02-15 | 2022-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-05-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-15 | 2022-05-23 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-02-14 | 2022-03-01 | 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 | 2022-02-14 | 2022-03-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-14 | 2022-03-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-14 | 2022-03-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-14 | 2022-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-14 | 2022-03-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-14 | 2022-03-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-02-14 | 2022-03-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-14 | 2022-03-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-29 | 2022-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-29 | 2022-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-12 | 2021-08-03 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-07-08 | 2021-07-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-08 | 2021-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-22 | 2021-07-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-10 | 2021-05-25 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-05-10 | 2021-05-25 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-06-21 | 2019-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-21 | 2019-10-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-21 | 2019-10-29 | 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 | 2019-06-21 | 2019-10-29 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-06-21 | 2019-10-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-06-21 | 2019-10-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-21 | 2019-10-29 | N |
| Keep all essential equipment working safely. | Health | 2019-06-21 | 2019-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-18 | 2019-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-18 | 2019-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-18 | 2019-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-18 | 2019-08-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-18 | 2019-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-26 | 2018-12-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-07-26 | 2018-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-26 | 2018-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-26 | 2018-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-26 | 2018-12-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-07-26 | 2018-12-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-07-26 | 2018-12-31 | 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 | 2018-07-26 | 2018-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-26 | 2018-12-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-26 | 2018-12-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-07-26 | 2018-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-12-31 | N |
| Develop a communication plan. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-10-04 | 2018-10-23 | 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 | 2018-10-04 | 2018-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
