A list of the most recent deficiencies for Concord Care Center of Cortland. 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-14 | 2022-12-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-14 | 2022-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-14 | 2022-12-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-14 | 2022-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-14 | 2022-12-21 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-11-14 | 2022-12-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-09 | 2022-12-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-09 | 2022-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-09 | 2022-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-09 | 2022-12-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-09 | 2022-12-21 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-21 | 2022-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-29 | 2022-01-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-12 | 2021-10-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-28 | 2021-06-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-28 | 2021-06-18 | Y |
| 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 | 2021-04-08 | 2021-04-26 | Y |
| 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 | 2021-04-08 | 2021-04-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-08 | 2021-04-26 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-11-27 | 2020-02-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-27 | 2020-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-27 | 2020-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-27 | 2020-02-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-11-27 | 2020-01-29 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-11-27 | 2020-01-29 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-11-27 | 2020-01-29 | 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 | 2019-11-27 | 2020-01-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-27 | 2020-01-29 | 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 | 2019-11-27 | 2020-01-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-11-27 | 2020-01-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-27 | 2020-01-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-27 | 2020-01-29 | 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 | 2019-11-27 | 2020-01-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-27 | 2020-01-29 | 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 | 2019-11-27 | 2020-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-27 | 2020-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-27 | 2020-01-29 | 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 | 2019-11-27 | 2020-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-27 | 2020-01-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-27 | 2020-01-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-11-27 | 2020-01-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-27 | 2020-01-29 | 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 | 2019-11-27 | 2020-01-29 | 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 | 2019-11-27 | 2020-01-29 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-11-27 | 2020-01-29 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-11-27 | 2020-01-29 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2019-11-27 | 2020-01-29 | 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 | 2019-11-27 | 2020-01-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-27 | 2020-01-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-11-27 | 2020-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-27 | 2020-01-29 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-11-27 | 2020-01-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-27 | 2020-01-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-27 | 2020-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-27 | 2020-01-28 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-11-21 | 2018-12-27 | 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 | 2018-11-21 | 2018-12-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-21 | 2018-12-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-21 | 2018-12-27 | N |
| Respond appropriately to all alleged violations. | Health | 2018-11-21 | 2018-12-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-21 | 2018-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-21 | 2018-12-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-21 | 2018-12-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-21 | 2018-12-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-21 | 2018-12-27 | 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 | 2018-11-21 | 2018-12-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-11-21 | 2018-12-27 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-11-21 | 2018-12-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-20 | 2018-12-27 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-20 | 2018-12-27 | 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 | 2018-11-20 | 2018-12-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-20 | 2018-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-20 | 2018-12-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-11-20 | 2018-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-20 | 2018-12-27 | N |
