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Deficiency Records for Cornerstone at The Ranch

A list of the most recent deficiencies for Cornerstone at The Ranch. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Cornerstone at The Ranch. 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?
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-09-24 2024-10-09 Y
Install an approved automatic sprinkler system. Fire Safety 2024-07-11 2024-10-08 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 2024-08-27 2024-09-27 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 2024-08-27 2024-09-27 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 2024-08-27 2024-09-27 Y
Provide and implement an infection prevention and control program. Health 2024-08-27 2024-09-27 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-10 2024-08-16 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 2024-07-10 2024-08-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-07-10 2024-08-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-10 2024-08-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-10 2024-08-16 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-07-10 2024-08-16 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 2024-07-10 2024-08-16 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 2024-07-10 2024-08-16 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-07-10 2024-08-16 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-07-10 2024-08-16 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-07-10 2024-08-16 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-07-10 2024-08-16 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-10 2024-08-16 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-07-10 2024-08-16 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-07-11 2024-08-16 N
Provide properly protected cooking facilities. Fire Safety 2024-07-11 2024-08-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-07-11 2024-08-16 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2024-07-11 2024-08-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-11 2024-08-16 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-05-08 2024-06-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-07 2024-01-21 Y
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 2023-12-07 2024-01-21 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-07 2024-01-21 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-12-07 2024-01-21 Y
Provide and implement an infection prevention and control program. Health 2023-12-07 2024-01-21 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-12-07 2024-01-21 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-12-07 2024-01-21 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-06-28 2023-08-21 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-06-28 2023-08-21 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2023-06-28 2023-08-21 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 2023-06-28 2023-08-21 N
Ensure each resident receives an accurate assessment. Health 2023-06-28 2023-08-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-28 2023-08-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-28 2023-08-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-28 2023-08-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-28 2023-08-21 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 2023-06-28 2023-08-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-28 2023-08-21 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-06-28 2023-08-21 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 2023-06-28 2023-08-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-28 2023-08-21 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-06-28 2023-08-21 N
Provide and implement an infection prevention and control program. Health 2023-06-28 2023-08-21 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 2023-06-28 2023-08-21 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 2023-06-30 2023-08-12 N
Provide properly protected cooking facilities. Fire Safety 2023-06-30 2023-08-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-06-30 2023-08-12 N
Have power receptacles that are properly grounded. Fire Safety 2023-06-30 2023-08-12 N
Ensure each resident receives an accurate assessment. Health 2023-01-31 2023-02-22 Y
Ensure that residents are free from significant medication errors. Health 2023-01-04 2023-02-08 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-08 2022-08-12 N
Provide and implement an infection prevention and control program. Health 2022-05-25 2022-08-05 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-06-08 2022-07-13 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-05-25 2022-06-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-25 2022-06-18 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 2022-05-25 2022-06-18 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 2022-05-25 2022-06-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-25 2022-06-18 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-05-25 2022-06-18 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 2022-05-25 2022-06-18 N
Ensure staff are vaccinated for COVID-19 Health 2022-05-25 2022-06-18 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-05-25 2022-06-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-01-27 2022-03-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-31 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 2023-05-31 Not Fixed Y

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