A list of the most recent deficiencies for Cordell Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-15 | 2023-06-04 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-15 | 2023-06-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-20 | 2022-06-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-20 | 2022-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-20 | 2022-06-14 | N |
| 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 | 2022-04-20 | 2022-06-14 | 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 | 2022-04-14 | 2022-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-14 | 2022-06-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-14 | 2022-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-14 | 2022-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-12 | 2020-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-02-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-12 | 2020-02-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-11 | 2020-01-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-11 | 2020-01-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-11 | 2020-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-11 | 2020-01-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-11 | 2020-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-11 | 2020-01-15 | N |
