Cornell Hall Care & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Cornell Hall Care & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF692Jan 24, 2024

  REPEAT DEFICIENCY C # NJ166425 Based on interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to prevent, identify and address an unintended insidious (gradual but with harmful effects) weight loss of 9.4 pounds in less than a two-month period ([DATE] to [DATE]) in a timely manner for a resident who was identified as underweight, with inadequate intake and at nutritional risk on admission. The facility failed to: a.) obtain, record and monitor weekly weights for 4 weeks after admission, and b.) implement a nutritional care plan in a timely manner. This deficient practice was identified for 1 of 2 resident's reviewed for nutrition (Resident #358). […]

• No harm, potential for more than minimal, widespreadF725Jan 24, 2024

  Complaint # NJ169272 Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to: a) maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey and b) provide sufficient nursing staff for three (3) of three (3) units of the facility according to facility policy. This deficient practice was evidenced by the following: Reference: New Jersey Department of Health (NJDOH) memo, dated 01/28/2021, Compliance with N.J.S.A. (New Jersey Statutes Annotated) 30:13-18, new minimum staffing requirements for nursing homes, indicated the New Jersey Governor signed into law P.L. 2020 c 112, codified at N.J.S.A. […]

• No harm, potential for more than minimal, widespreadF851Jan 24, 2024

  Based on interview and record review it was determined that the facility failed to submit their Payroll Based Journal (PBJ) Report to the Centers for Medicare and Medicaid Services (CMS) within a timely manner. This deficient practice was identified for one of three PBJ Report submissions reviewed, (Fiscal Year Quarter 4 2023, July 1 - September 30) and was evidenced by the following: A review of the PBJ Staffing Data Report CASPER Report 1705D reflected a triggered area that the facility failed to submit data for the fourth fiscal year quarter to CMS. […]

• No harm, potential for more than minimal, patternF760Apr 16, 2025

  Based on observation, interview, and review of medical records, it was determined that the facility failed to ensure medication administration without significant error for a resident who received insulin on a sliding scale received their insulin as ordered on multiple dates and times. This deficient practice was identified for 1 of 5 residents reviewed for unnecessary medications (Resident #40), and was evidenced by the following: On 4/9/25 at 10:00 AM, the surveyor observed Resident #40 lying in bed. The resident appeared clean and dry, and the resident's head of bed was up. […]

• No harm, potential for more than minimal, patternF607Jan 24, 2024

  Based on interview and review of pertinent documentation provided by the facility it was determined that the facility failed to implement the facility's abuse policy to ensure a) licensed staff credentials were verified upon hire (Staff #7 and #8) and b) reference checks were completed (Staff #2, #3, #4, #8 and #9). This deficient practice was identified for seven (7) of nine (9) newly hired staff reviewed, and was evidenced by the following: 1.) The surveyors randomly selected nine new employee files for license verification which revealed the following: Staff #7, a Registered Nurse (RN), was transferred to the facility on [DATE], had a New Jersey Division Consumer Affairs (NJCA) license verification printout for license verification (used to verify the status of a RN's license status)… […]