Cornerstone at the Ranch

In the surveyor’s words

From the most serious findings on record at Cornerstone at the Ranch, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 30, 2025

  Based on observation, interview, and record review, the facility failed to ensure that a resident received necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent new pressure ulcers from worsening. The facility failed to: 1. conduct weekly body audits;2. report new skin findings to the nurse practitioner/physician in addition to the treatment nurse; and3. administer standing wound care orders for newly identified stage I pressure ulcer for 1 (#44) of 3 (#2, #11, and #44) residents reviewed for pressure ulcers. […]

• No harm, potential for more than minimal, widespreadF835Dec 7, 2023

  Based on interview and record review, the facility failed to be administered in a manner that enabled its Infection Control and Prevention Program to be used effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being for each resident. The facility failed to: 1. Obtain influenza vaccines for residents when it was seasonally available until after an influenza outbreak had occurred; 2. Effectively implement the facility's infection prevention and control program's (IPCP) policies during an influenza outbreak that included surveillance, timely corrective actions and monitoring and reporting of the outbreak; 3. […]

• No harm, potential for more than minimal, widespreadF882Dec 7, 2023

  Based on observation, interview and record review, the facility failed to ensure the Infection Preventionist established and maintained an effective infection prevention and control program to prevent the transmission of Influenza in the facility by: 1. Empirically isolate Resident #1 and Resident #2 who displayed signs and symptoms of influenza during an outbreak; 2. Follow up timely on collected influenza tests which delayed isolating positive residents for Resident #2; 3. Document surveillance, implementation of corrective actions and monitoring of the outbreak; Findings: Review of a policy titled Outbreak of Communicable Diseases revealed in part, Outbreaks of communicable diseases within the facility will be promptly identified and appropriately handled. […]

• No harm, potential for more than minimal, widespreadF883Dec 7, 2023

  Based on record reviews and interviews, the facility failed to minimize the risk of residents acquiring, transmitting or experiencing complications from influenza. The facility had a total of 6 (#1, #2, #3, #4, #5, and #6) residents and 10 staff test positive for influenza from 11/03/2023 to 11/28/2023. The facility failed to:: 1. Obtain influenza vaccines when it became seasonally available until 11/16/2023 after an influenza outbreak occurred among residents and staff; and 2. […]

• No harm, potential for more than minimal, widespreadF725Jun 28, 2023

  Based on record review and interview, the facility failed to ensure there was a sufficient number of staff to care for the resident's needs as identified in the facility assessment which has the potential to affect the care for the 86 residents in the facility. Finding: Review of the facility's Facility Assessment 2023 that was dated 1/22/2023 revealed the assessment was based on a census of 53. The Facility Assessment revealed that 3 nurses were needed on the day, evening and night shift. Review of the facility's work/staff schedule revealed that on 5/14/2023 (Sunday) there were 2 LPNs on the evening shift. On 5/20/2023 (Saturday) there were 2 LPNs on the night shift. On 5/21/2023 (Sunday), there were 2 LPNs on the night shift. On 5/27/2023 (Saturday), there 2 LPNs on the night shift. […]