Cornerstone Care Center

In the surveyor’s words

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

• Actual harm, patternF758Feb 15, 2022

  Based on observation, interview and record review, the facility failed to follow their policies and procedures regarding the safe and appropriate prescribing and administering of antipsychotic (used to treat [CONDITION(S)] - conditions that affect the mind, where there had been some loss of contact with reality) medication for four of five residents (Residents 4, 21, 20 and 52) when antipsychotic medications were prescribed and administered prior to determining the appropriate indications for use. The facility did not develop and implement non-pharmacologic (without the use of medications) interventions prior to physicians prescribing the use of anti-psychotic medications. […]

• Actual harm, isolatedF658Jun 10, 2024

  Based on observation, interview and record review, the facility failed to ensure accurate documentation of a mental health diagnosis for 1 of 28 sampled residents (Resident 75) based on standards of practice when Resident 75's medical record was marked with schizoaffective disorder (a mental health disorder marked by a major mood episode and a break down between thought, emotion, and behavior) as a diagnosis for use of quetiapine (brand name used- an antipsychotic [mind altering] medication used to treat mental disease) and aripiprazole (brand name used, antipsychotic) with no prior history of such diagnosis. […]

• Actual harm, isolatedF685Jun 10, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents receive assistive devices to maintain hearing abilities for one of 28 sampled resident (Resident 75) when Resident 75 who was extremely hard of hearing, was assessed for the use of hearing aid, and was not provided with hearing aid. This failure resulted in Resident 75 not having hearing aid to maintain hearing for communication with staff regarding care needs and treatment, and compromise Resident 75's quality of life. Findings: During an observation on 6/5/24 at 4:36 p.m., in Resident 75's room, Resident 75 was observed lying on right side in his bed watching television. […]

• Actual harm, isolatedF758Jun 10, 2024

  Based on observation, interview and record review, the facility failed to ensure that one of nine sampled residents (Resident 75) were free from unnecessary psychotropic (drugs that affect brain activities associated with mental processes and behavior) medications when: 1. The facility did not attempt or implement resident specific non pharmacological interventions (behavioral intervention not based on medicine) prior to prescribing and administration of alprazolam (an antianxiety medication), Resident 75 was administered alprazolam unnecessarily. 2. […]

• Actual harm, isolatedF600Jun 23, 2023

  Based on observation, interview and record review, the facility failed to ensure residents right to be free from abuse (verbal and physical abuse) for one of three sampled residents (Resident 1) when Resident 2 hit Resident 1 on the right side of the face, in the same spot two times, threatened her and cursed at her. This failure resulted in Resident 1 experiencing fear, not wanting to leave her room to participate in activities or dine in the dining room from 2/7/23 to 2/9/23, an injury of pain and redness to the right side of her face with a pain rating (a way to measure pain so providers can help plan how best to manage the pain) of 8 out of 10 (zero means you have no pain; one to three means mild pain; four to seven is considered moderate pain; eight and above is severe pain) that… […]