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Deficiency Records for Cortlandt Healthcare
A list of the most recent deficiencies for Cortlandt Healthcare. 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 Cortlandt Healthcare. 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? |
|---|---|---|---|---|
| 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 | 2023-10-18 | 2023-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-18 | 2023-11-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-18 | 2023-11-28 | 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 | 2023-10-18 | 2023-11-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-18 | 2023-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-18 | 2023-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-18 | 2023-11-28 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-18 | 2023-11-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-06-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-02 | 2020-12-01 | 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 | 2020-10-02 | 2020-12-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-02 | 2020-12-01 | 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 | 2020-10-02 | 2020-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-02 | 2020-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-02 | 2020-12-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-10-02 | 2020-12-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-10-02 | 2020-11-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-10-02 | 2020-11-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-10-02 | 2020-11-27 | 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 | 2020-10-02 | 2020-11-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-10-02 | 2020-11-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-02 | 2020-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-02 | 2020-11-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-10-02 | 2020-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-21 | 2018-11-05 | 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 | 2018-08-21 | 2018-11-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-08-21 | 2018-10-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-08-21 | 2018-10-17 | 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 | 2018-08-21 | 2018-10-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-21 | 2018-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-21 | 2018-10-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-21 | 2018-10-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-08-21 | 2018-10-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-21 | 2018-10-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-21 | 2018-10-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-21 | 2018-10-03 | 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 | 2018-08-21 | 2018-10-03 | N |
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