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Deficiency Records for Cooney Healthcare and Rehabilitation
A list of the most recent deficiencies for Cooney Healthcare and Rehabilitation. 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 Cooney Healthcare 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-02 | 2024-05-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-02 | 2024-05-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-02 | 2024-05-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-22 | 2024-03-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-16 | 2024-02-29 | 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 | 2024-01-16 | 2024-02-29 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-29 | 2023-10-01 | 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 | 2023-08-29 | 2023-10-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-08-29 | 2023-10-01 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-08-29 | 2023-10-01 | 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 | 2023-08-17 | 2023-09-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-17 | 2023-09-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-17 | 2023-09-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-17 | 2023-09-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-17 | 2023-09-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-17 | 2023-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-17 | 2023-09-21 | 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 | 2023-08-17 | 2023-09-21 | 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 | 2023-08-17 | 2023-09-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-17 | 2023-09-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-17 | 2023-09-21 | 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 | 2023-08-17 | 2023-09-21 | 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 | 2023-08-17 | 2023-09-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-21 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-17 | 2023-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-17 | 2023-09-21 | 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 | 2023-08-17 | 2023-09-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-17 | 2023-09-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-17 | 2023-09-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-17 | 2023-09-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-18 | 2023-02-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-18 | 2023-02-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-18 | 2023-02-20 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-06 | 2022-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-06 | 2022-10-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-01 | 2022-10-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-01 | 2022-10-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-01 | 2022-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-01 | 2022-10-07 | 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 | 2022-09-01 | 2022-10-07 | 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 | 2022-09-01 | 2022-10-07 | 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 | 2022-09-01 | 2022-10-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-01 | 2022-10-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-01 | 2022-10-07 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-09-01 | 2022-10-07 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-09-01 | 2022-10-07 | 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 | 2022-09-01 | 2022-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-01 | 2022-10-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-01 | 2022-10-07 | 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 | 2022-09-01 | 2022-10-07 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-09-01 | 2022-10-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-01 | 2022-10-07 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-06 | 2022-09-15 | 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 | 2022-09-06 | 2022-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-06 | 2022-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-06 | 2022-09-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-09-06 | 2022-09-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-06 | 2022-09-15 | 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 | 2022-09-06 | 2022-09-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-30 | 2021-05-10 | 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 | 2021-03-30 | 2021-05-10 | 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 | 2021-03-30 | 2021-05-10 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-30 | 2021-05-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-01 | 2021-04-23 | 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 | 2021-04-01 | 2021-04-23 | 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 | 2021-04-01 | 2021-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-01 | 2021-04-23 | N |
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