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Deficiency Records for Cordell Nursing and Rehabilitation
A list of the most recent deficiencies for Cordell Nursing 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 Cordell Nursing 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-25 | 2024-06-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-25 | 2024-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-25 | 2024-06-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-25 | 2024-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-06-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-25 | 2024-06-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-04-25 | 2024-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-25 | 2024-06-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-25 | 2024-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-06-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-25 | 2024-06-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-15 | 2023-06-04 | 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 | 2023-03-15 | 2023-06-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-20 | 2022-06-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-20 | 2022-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-20 | 2022-06-14 | 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 | 2022-04-20 | 2022-06-14 | 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 | 2022-04-14 | 2022-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-14 | 2022-06-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-14 | 2022-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-14 | 2022-06-14 | N |
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