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Deficiency Records for Cornerstone Villa

View the most recent health deficiencies and inspection results for Cornerstone Villa. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Cornerstone Villa. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Allow residents to self-administer drugs if determined clinically appropriate. Health 2025-12-04 2026-01-12 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-12-04 2026-01-12 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 2025-12-04 2026-01-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-12-04 2026-01-12 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-10-31 2024-12-20 N
Provide and implement an infection prevention and control program. Health 2024-10-31 2024-12-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-31 2024-12-20 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 2024-10-31 2024-12-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-31 2024-12-20 N
Ensure each resident receives an accurate assessment. Health 2024-10-31 2024-12-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-01-07 2024-12-20 Y
Conduct testing and exercise requirements. Fire Safety 2023-11-17 2024-01-06 N
Assess the resident when there is a significant change in condition Health 2023-11-17 2024-01-06 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 2023-11-17 2024-01-06 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-11-17 2024-01-06 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 2023-11-17 2024-01-06 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 2023-11-17 2024-01-06 N
Ensure medication error rates are not 5 percent or greater. Health 2023-11-17 2024-01-06 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-11-17 2024-01-06 N
Provide and implement an infection prevention and control program. Health 2023-11-17 2024-01-06 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 2023-11-17 2024-01-06 Y

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