Cornerstone Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Nov 6, 2023

  Based on staff interviews, record review, and facility policy review, the facility failed to protect the resident's right to be free from neglect as evidenced by: (1) the facility's failure to identify a resident choked on [DATE]; failure to ensure the resident had supervision and was on a modified diet to prevent choking on [DATE]; and failure on [DATE] to supervise and modify diet which lead to the resident again choking and requiring Cardiopulmonary resuscitation (CPR) and hospitalization with a poor recovery prognosis. Resident #13. (2) the facility's failure to ensure a resident was free from verbal abuse as evidenced by a Certified Nursing Assistant (CNA) threatening to hit a resident for Resident #46 for two (2) of three (3) allegations of abuse and neglect reviewed. […]

• Immediate jeopardy, isolatedF656Nov 6, 2023

  Based on staff interviews, record review, and facility policy review the facility failed to implement a care plan for for two (2) of 18 care plans reviewed as evidenced by (1) the facility failed to develop and implement a care plan for a resident with a history of choking on [DATE] and [DATE] resulting in the resident experiencing a choking episode on [DATE] which required Cardiopulmonary Resuscitation and hospitalization with a poor recovery prognosis. Resident #13. (2) the facility also failed to implement a care plan regarding shaving and nail care for a resident that required assistance with ADL's (Activities of Daily Living) for Resident #30. […]

• Immediate jeopardy, isolatedF803Nov 6, 2023

  Based on staff interviews, record review, and facility policy review the facility failed to ensure a resident with a history of choking on [DATE] was ordered a therapeutic diet to prevented a choking incident on [DATE] and again on [DATE] which required Cardiopulmonary resuscitation, and hospitalization with a poor recovery prognosis for one (1) of six (6) residents reviewed for diets. The facility failed to identify a choking incident on [DATE] with required hospitalization for three (3) days and removal of a food bolus from his oropharynx and failed to identify an [DATE] choking incident that required the Heimlich maneuver to remove the food bolus from his oropharynx in the facility. This failure resulted in the resident not receiving services to prevent choking episodes. […]

• Immediate jeopardy, isolatedF835Nov 6, 2023

  Based on staff interview, record review, and facility policy review, the facility failed to be administered in a manner to prevent negligent care to a resident and to ensure staff were made aware of significant incidents and the dietary needs of Resident #13 for one (1) of three (3) residents reviewed for abuse/neglect. Resident #13 Resident #13 had choking episodes on [DATE] which resulted in the hospitalization where a golf ball size meat bolus was removed in the emergency room . Resident #13 choked on meat again on [DATE] which was removed in the facility with the Heimlich Maneuver. The resident's diet was changed on [DATE] to Consistent Carbohydrate Diet (CCD) mechanical soft. […]

• No harm, potential for more than minimal, widespreadF812Apr 9, 2026

  Based on observation, record review, interview and facility policy review, the facility failed to store and serve foods in a sanitary manner and maintain a clean dietary department for two (2) of four (4) days of survey. Findings include:Record review of facility policy titled, Environment, dated 06/2025, stated, All food preparation areas, food services, and dining areas will be maintained in a clean and sanitary condition. The Dining Services Director will ensure that the kitchen is maintained in a clean and sanitary manner, including floors, walls, ceilings, lighting, and ventilation.Record review of policy titled, Food Storage: Cold Foods, dated 02/2026, stated, Freezer temperatures will be maintained as a temperature of 0 degrees or below.Observation on 04/06/2026 at 6:20 PM revealed… […]