Cornerstone Gardens Llp

Penalties

• Apr 27, 2024 — Fine ($15,757)

Inspection findings

1. May 29, 2025 Health · 6 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jun 16, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Jun 29, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 13, 2025 · CMS health inspection

2. Apr 27, 2024 Health · 13 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 10, 2024 · CMS health inspection

   • Serious Scope/severity J

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 28, 2024 · CMS health inspection

   • Serious Scope/severity J

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Apr 28, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Feb 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Feb 21, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Feb 7, 2025 · CMS fire safety

3. Nov 21, 2023 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Dec 31, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 31, 2023 · CMS health inspection

4. Mar 9, 2023 Fire Safety · 1 finding
   • Not serious Scope/severity C

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jun 23, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ARNOLD, JASON — adp of the snf, NOT APPLICABLE, since 01/23/2025
• ARNOLD, JASON — corporate officer, NOT APPLICABLE, since 04/01/2008
• DANIEL, PAMELA — w-2 managing employee, NOT APPLICABLE, since 02/13/2014
• GREEN, AVAL-NA'REE — contracted managing employee, NOT APPLICABLE, since 04/01/2008
• GREEN, AVAL-NA'REE — adp of the snf, NOT APPLICABLE, since 01/23/2025
• HOLLER, RYAN — w-2 managing employee, NOT APPLICABLE, since 08/08/2011
• HOLLER, RYAN — adp of the snf, NOT APPLICABLE, since 01/23/2025
• MONTGOMERY, MITCHELL — adp of the snf, NOT APPLICABLE, since 01/23/2025
• MONTGOMERY, MITCHELL — corporate officer, NOT APPLICABLE, since 04/01/2008
• MONTGOMERY, RAYMOND — corporate officer, NOT APPLICABLE, since 04/01/2008
• MONTGOMERY, RAYMOND — adp of the snf, NOT APPLICABLE, since 01/23/2025
• BURMONT, INC. — limited partnership interest, NOT APPLICABLE, since 04/01/2008
• BURMONT, INC. — 5% or greater direct ownership interest, 99%, since 04/01/2008
• OAK MANAGEMENT — general partnership interest, NOT APPLICABLE, since 04/01/2008