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Deficiency Records for Cornell Hall Care and Rehabilitation Center
A list of the most recent deficiencies for Cornell Hall Care and Rehabilitation Center. 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 Cornell Hall Care and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-24 | 2024-04-11 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-24 | 2024-03-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-24 | 2024-02-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-24 | 2024-02-22 | 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 | 2024-01-24 | 2024-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-24 | 2024-02-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-24 | 2024-02-22 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-24 | 2024-02-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-24 | 2024-02-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-24 | 2024-02-22 | N |
| Post nurse staffing information every day. | Health | 2024-01-24 | 2024-02-22 | 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 | 2024-01-24 | 2024-02-22 | 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 | 2024-01-24 | 2024-02-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-24 | 2024-02-22 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-24 | 2024-02-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-24 | 2024-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | 2024-02-22 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-01-24 | 2024-02-22 | 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 | 2024-01-24 | 2024-02-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-24 | 2024-02-22 | 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 | 2024-01-24 | 2024-02-22 | 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 | 2024-01-24 | 2024-02-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-24 | 2024-02-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-24 | 2024-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-24 | 2024-02-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-24 | 2024-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-24 | 2024-02-14 | 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 | 2024-01-24 | 2024-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-10 | 2023-02-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-10 | 2023-02-08 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-11-10 | 2023-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-10 | 2023-01-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-10 | 2022-12-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-11-10 | 2022-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-10 | 2022-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-10 | 2022-12-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-10 | 2022-12-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-11-10 | 2022-11-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-10 | 2022-11-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-10 | 2022-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-02-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-21 | 2020-10-05 | 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 | 2020-09-21 | 2020-10-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-21 | 2020-10-05 | N |
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