Deficiency Records for Cooperstown Center For Rehabilitation and Nursing
Updated as of March 01, 2024
A list of the most recent deficiencies for Cooperstown Center For Rehabilitation and Nursing. 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-06-23 | 2023-08-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-23 | 2023-08-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-28 | 2023-05-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-17 | 2023-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-08 | 2022-04-22 | 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 | 2022-03-08 | 2022-04-22 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-03-08 | 2022-04-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-08 | 2022-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-08 | 2022-04-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-08 | 2022-04-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-08 | 2022-04-14 | 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 | 2022-03-08 | 2022-04-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-08 | 2022-04-14 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-03-08 | 2022-04-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-08 | 2022-04-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-08 | 2022-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-08 | 2022-04-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-08 | 2022-04-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-08 | 2022-04-14 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-03-04 | 2022-04-14 | 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 | 2022-03-04 | 2022-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-04 | 2022-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-04 | 2022-04-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-03-04 | 2022-04-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-08 | 2022-04-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-04-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-12-24 | 2022-02-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-29 | 2021-04-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-20 | 2020-02-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-20 | 2020-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-20 | 2020-02-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-20 | 2020-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-20 | 2020-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-20 | 2020-02-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-20 | 2020-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-20 | 2020-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-20 | 2020-02-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-12-20 | 2020-02-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-31 | 2018-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-31 | 2018-11-19 | 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 | 2018-08-31 | 2018-10-24 | 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 | 2018-08-31 | 2018-10-19 | N |
| Respond appropriately to all alleged violations. | Health | 2018-08-31 | 2018-10-19 | 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 | 2018-10-19 | 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 | 2018-10-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-31 | 2018-10-19 | 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 | 2018-08-31 | 2018-10-19 | 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 | 2018-08-31 | 2018-10-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-31 | 2018-10-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-31 | 2018-10-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-08-31 | 2018-10-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-31 | 2018-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-31 | 2018-10-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-31 | 2018-10-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-31 | 2018-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-31 | 2018-10-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-31 | 2018-10-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-12-27 | 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 | 2023-12-27 | Not Fixed | Y |
