Deficiency Records for Cornerstone Rehab and Hc
Updated as of September 01, 2020
This is not the most recent data for Cornerstone Rehab and Hc. For the most recent information, click here.
A list of the most recent deficiencies for Cornerstone Rehab and Hc. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-26 | 2020-03-11 | Y |
| 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 | 2020-01-28 | 2020-02-14 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-01-28 | 2020-02-14 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-13 | 2019-10-21 | 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 | 2019-09-13 | 2019-10-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-13 | 2019-10-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-10 | 2019-10-21 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-09-06 | 2019-10-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-06 | 2019-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-06 | 2019-10-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-06 | 2019-10-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-06 | 2019-10-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-06 | 2019-10-10 | 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 | 2019-09-06 | 2019-10-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-09-06 | 2019-10-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-07-17 | 2019-08-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-17 | 2019-08-10 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-01-23 | 2019-02-28 | Y |
| Keep all essential equipment working safely. | Health | 2019-01-23 | 2019-02-28 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-11-07 | 2018-11-26 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-10-25 | 2018-11-26 | Y |
| 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 | 2018-08-31 | 2018-10-15 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2018-08-31 | 2018-10-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-31 | 2018-10-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-31 | 2018-10-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-31 | 2018-10-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-08-31 | 2018-10-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-31 | 2018-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-31 | 2018-10-15 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-08-31 | 2018-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-31 | 2018-10-15 | 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 | 2018-08-31 | 2018-10-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-08-31 | 2018-10-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-30 | 2018-09-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-30 | 2018-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-30 | 2018-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-30 | 2018-09-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-30 | 2018-09-05 | N |
| Be properly staffed | Fire Safety | 2018-08-30 | 2018-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-21 | 2018-05-07 | Y |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2017-07-24 | 2017-09-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-26 | 2017-08-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-26 | 2017-08-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-26 | 2017-08-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-26 | 2017-08-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-26 | 2017-08-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-26 | 2017-08-25 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-07-26 | 2017-08-25 | 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 | 2017-07-26 | 2017-08-25 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-07-26 | 2017-08-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-26 | 2017-08-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-26 | 2017-08-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-26 | 2017-08-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-07-24 | 2017-08-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-07-24 | 2017-08-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-07-24 | 2017-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-24 | 2017-08-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-07-24 | 2017-08-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-24 | 2017-08-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-24 | 2017-08-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-24 | 2017-08-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-07-24 | 2017-08-24 | N |
