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Deficiency Records for Terence Cardinal Cooke Health Care Center
View the most recent health deficiencies and inspection results for Terence Cardinal Cooke Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Terence Cardinal Cooke Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-28 | 2024-12-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-28 | 2024-12-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-10-28 | 2024-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-28 | 2024-12-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-28 | 2024-12-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-28 | 2024-11-30 | 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 | 2024-10-28 | 2024-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-28 | 2024-11-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-10-28 | 2024-11-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-18 | 2023-10-09 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-06 | 2022-11-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-10-06 | 2022-11-30 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2022-10-06 | 2022-11-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-10-06 | 2022-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-06 | 2022-11-18 | 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 | 2022-10-06 | 2022-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-06 | 2022-11-18 | 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 | 2022-10-06 | 2022-11-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-06 | 2022-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-06 | 2022-11-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-10-06 | 2022-11-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-06 | 2022-11-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-31 | 2020-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-31 | 2020-03-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-31 | 2020-03-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-01-31 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-31 | 2020-03-20 | N |
| Dispose of garbage and refuse properly. | Health | 2020-01-31 | 2020-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-31 | 2020-03-20 | 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 | 2020-01-31 | 2020-03-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-31 | 2020-03-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-31 | 2020-03-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-01-31 | 2020-03-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-31 | 2020-03-20 | 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 | 2020-01-31 | 2020-03-20 | 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 | 2020-01-31 | 2020-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-31 | 2020-03-20 | N |