Deficiency Records for Cori Manor Healthcare and Rehabilitation Center
Updated as of August 01, 2019
This is not the most recent data for Cori Manor Healthcare and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 ne | 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 |
| 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 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-04-13 | 2018-05-07 | 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 | 2018-04-13 | 2018-05-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-13 | 2018-05-07 | 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 | 2018-04-13 | 2018-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-13 | 2018-05-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-13 | 2018-05-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-13 | 2018-05-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-13 | 2018-05-07 | 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 | 2018-04-13 | 2018-05-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-13 | 2018-05-04 | 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 | 2018-04-13 | 2018-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-13 | 2018-05-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-04-13 | 2018-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-13 | 2018-05-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-13 | 2018-05-04 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-07 | 2017-12-16 | Y |
| Install proper backup exit lighting. | Fire Safety | 2017-03-10 | 2017-04-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-03-10 | 2017-04-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-10 | 2017-04-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-03-10 | 2017-04-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-03-10 | 2017-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-10 | 2017-04-24 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2017-03-10 | 2017-04-24 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-10 | 2017-04-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-10 | 2017-04-24 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-03-10 | 2017-04-24 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-03-10 | 2017-04-24 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2017-03-10 | 2017-04-24 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-10 | 2017-04-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-10 | 2017-04-24 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-10 | 2017-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-10 | 2017-04-24 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-10 | 2017-04-24 | N |
| Hire sufficient dietary support personnel. | Health | 2017-03-10 | 2017-04-24 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-03-10 | 2017-04-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-10 | 2017-04-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-10 | 2017-04-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-10 | 2017-04-24 | N |
