A list of the most recent deficiencies for Cornwall Manor. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-28 | 2023-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-28 | 2023-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-08-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-28 | 2023-08-31 | 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 | 2023-07-28 | 2023-08-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-12 | 2023-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-12 | 2023-08-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-08-23 | 2022-09-16 | 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 | 2021-09-28 | 2021-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-28 | 2021-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-28 | 2021-10-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-28 | 2021-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-28 | 2021-10-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-09-17 | 2021-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-17 | 2021-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-17 | 2021-10-15 | N |
