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Cordova Community Med Ltc
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P.o. Box 160
Cordova, AK 99574
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Details
| Type of Ownership | Government - City |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 10 |
| Continuing Care? | No |
| Resident Council? | No |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 06/16/2011
| Date of last standard health inspection: | 06/16/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 15 |
| Average number of Health Deficiencies in AK: | 6 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in AK: | 0 - 15 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Be administered in a way that leads to the highest possible level of well being for each resident. | 06/16/2011 | 07/29/2011 | Minimal harm or potential for actual harm | Widespread |
| Get services outside the nursing home that meet professional standards. | 06/16/2011 | 07/29/2011 | Minimal harm or potential for actual harm | Widespread |
| Set up or keep a group of people to review and ensure quality. | 06/16/2011 | 07/29/2011 | Minimal harm or potential for actual harm | Widespread |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 06/16/2011 | 07/29/2011 | Minimal harm or potential for actual harm | Widespread |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protect each resident from all abuse, physical punishment, and being separated from others. | 06/16/2011 | 07/29/2011 | Actual harm | Isolated |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 06/16/2011 | 07/29/2011 | Actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the needs of each resident. | 06/16/2011 | 08/08/2011 | Minimal harm or potential for actual harm | Pattern |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 06/16/2011 | 07/31/2011 | Minimal harm or potential for actual harm | Pattern |
| Give professional services that meet a professional standard of quality. | 06/16/2011 | 07/29/2011 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 06/16/2011 | 07/29/2011 | Actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | 06/16/2011 | 07/29/2011 | Minimal harm or potential for actual harm | Pattern |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Tell the resident completely about his or her health status. | 06/16/2011 | 07/31/2011 | Minimal harm or potential for actual harm | Isolated |
| Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | 06/16/2011 | 06/17/2011 | Minimal harm or potential for actual harm | Widespread |
| Provide proof that all residents' personal money which is deposited with the nursing home, is secure. | 06/16/2011 | 07/29/2011 | Minimal harm or potential for actual harm | Widespread |
| Allow residents to easily see the results of the nursing home's most recent survey. | 06/16/2011 | 07/29/2011 | Minimal harm or potential for actual harm | Widespread |
Inspection, 09/23/2010
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | 09/23/2010 | 10/22/2010 | Actual harm | Isolated |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 09/23/2010 | 12/15/2010 | Actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 09/23/2010 | 12/15/2010 | Actual harm | Isolated |
Inspection, 06/23/2010
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 06/23/2010 | 07/20/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 03/11/2010
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protect each resident from all abuse, physical punishment, and being separated from others. | 03/11/2010 | 04/09/2010 | Actual harm | Isolated |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 03/11/2010 | 03/26/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 07/09/2009
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 07/09/2009 | 08/23/2009 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 07/09/2009 | 08/23/2009 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 07/09/2009 | 07/24/2009 | Minimal harm or potential for actual harm | Isolated |
Inspection, 04/14/2009
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 04/14/2009 | 05/25/2009 | Minimal harm or potential for actual harm | Isolated |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in AK | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | NA |
| Total Number of Residents | 86 | 38 | 10 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 2 hours 36 minutes | |
|
RN Hours per Resident per Day |
40 minutes | 1 hour 47 minutes | |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 53 minutes | |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 3 hours 53 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | Not Available |
| Percent of long-stay residents given influenza vaccination during the flu season | Not Available |
| Percent of long-stay residents who are more depressed or anxious | Not Available |
| Percent of long-stay residents who had a urinary tract infection | Not Available |
| Percent of long-stay residents who have moderate to severe pain | Not Available |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | Not Available |
| Percent of long-stay residents who spend most of their time in bed or in a chair | Not Available |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | Not Available |
| Percent of long-stay residents who were physically restrained | Not Available |
| Percent of long-stay residents whose ability to move about in and around their room got worse | Not Available |
| Percent of long-stay residents whose need for help with daily activities has increased | Not Available |
| Percent of low-risk long-stay residents who have pressure sores | Not Available |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | Not Available |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | Not Available |
| Percent of short-stay residents given influenza vaccination during the flu season | Not Available |
| Percent of short-stay residents who had moderate to severe pain | Not Available |
| Percent of short-stay residents who have delirium | Not Available |
| Percent of short-stay residents who have pressure sores | Not Available |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | Not Available |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 06/14/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 06/14/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 1 |
| Average number of Fire Safety Deficiencies in AK: | 4 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in AK: | 0 - 5 |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire safety features required by current fire safety codes. | 06/14/2011 | 07/10/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 06/10/2010
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 06/10/2010 | 07/24/2010 | Minimal harm or potential for actual harm | Pattern |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 06/10/2010 | 06/24/2010 | Minimal harm or potential for actual harm | Widespread |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | 06/10/2010 | 06/24/2010 | Minimal harm or potential for actual harm | Pattern |
Inspection, 07/28/2009
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 07/28/2009 | 08/19/2009 | Minimal harm or potential for actual harm | Pattern |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| emergency lighting that can last at least 1 1/2 hours. | 07/28/2009 | 08/03/2009 | Minimal harm or potential for actual harm | Isolated |
