Deficiency Records for Cori Manor Healthcare and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Cori Manor Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-02 | 2023-01-16 | N |
| 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 | 2022-12-02 | 2023-01-16 | N |
| 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 | 2022-12-02 | 2023-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-02 | 2023-01-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-02 | 2023-01-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-02 | 2023-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-02 | 2023-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-02 | 2023-01-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-02 | 2023-01-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-12-02 | 2023-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-02 | 2023-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-02 | 2023-01-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-02 | 2023-01-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-05 | 2020-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-04-10 | 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 | 2020-03-05 | 2020-04-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-05 | 2020-04-10 | 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 | 2020-03-05 | 2020-04-10 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2020-03-05 | 2020-04-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-05 | 2020-04-10 | N |
| Post nurse staffing information every day. | Health | 2020-03-05 | 2020-04-10 | 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 | 2020-03-05 | 2020-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-03-05 | 2020-04-10 | 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 | 2020-03-05 | 2020-04-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-05 | 2020-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-05 | 2020-04-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-05 | 2020-04-10 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-02-08 | 2019-03-22 | 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 | 2019-02-08 | 2019-03-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-08 | 2019-03-22 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-02-08 | 2019-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-08 | 2019-03-22 | 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 | 2019-02-08 | 2019-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-08 | 2019-03-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-02-08 | 2019-03-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-08 | 2019-03-22 | N |
| Post nurse staffing information every day. | Health | 2019-02-08 | 2019-03-22 | 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 | 2019-02-08 | 2019-03-22 | 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 | 2019-02-08 | 2019-03-22 | 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 | 2019-02-08 | 2019-03-22 | 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 | 2019-02-08 | 2019-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-08 | 2019-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-03-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-02-08 | 2019-03-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-08 | 2019-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-08 | 2019-03-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-02-08 | 2019-03-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-08 | 2019-03-22 | N |
