A list of the most recent deficiencies for Cornerstone at The Ranch. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-07 | 2024-01-21 | 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 | 2023-12-07 | 2024-01-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-12-07 | 2024-01-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-21 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-12-07 | 2024-01-21 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-07 | 2024-01-21 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-28 | 2023-08-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-28 | 2023-08-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-06-28 | 2023-08-21 | 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 | 2023-06-28 | 2023-08-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-28 | 2023-08-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-28 | 2023-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-28 | 2023-08-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-08-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-28 | 2023-08-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-28 | 2023-08-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-28 | 2023-08-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-28 | 2023-08-21 | 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 | 2023-06-28 | 2023-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-28 | 2023-08-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-06-28 | 2023-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-08-21 | 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 | 2023-06-28 | 2023-08-21 | 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 | 2023-06-30 | 2023-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-30 | 2023-08-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-30 | 2023-08-12 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-06-30 | 2023-08-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-31 | 2023-02-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-04 | 2023-02-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-08 | 2022-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-25 | 2022-08-05 | 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 | 2022-06-08 | 2022-07-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-25 | 2022-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-25 | 2022-06-18 | 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 | 2022-05-25 | 2022-06-18 | 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 | 2022-05-25 | 2022-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-25 | 2022-06-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-25 | 2022-06-18 | 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 | 2022-05-25 | 2022-06-18 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-25 | 2022-06-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-05-25 | 2022-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-27 | 2022-03-01 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-08-11 | 2021-09-21 | Y |
| Meet other general requirements. | Fire Safety | 2021-03-08 | 2021-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-08 | 2021-04-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-08 | 2021-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-08 | 2021-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-08 | 2021-04-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-11 | 2021-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-11 | 2021-04-25 | 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 | 2021-03-11 | 2021-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-11 | 2021-04-25 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-03-11 | 2021-04-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-31 | Not Fixed | Y |
| 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 | 2023-05-31 | Not Fixed | Y |
