| Cornerstone Gardens LLP | |
| 763 Marlandwood Rd, Temple, Texas 76505 | |
| (254) 771-5950 | |
| Name | Cornerstone Gardens LLP |
|---|---|
| Location | 763 Marlandwood Rd, Temple, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 130 |
| Occupancy Rate | 78.54% |
| Medicare ID (CCN) | 676196 |
| Legal Business Name | Cornerstone Gardens L L P |
| Ownership Type | For Profit - Individual |
| NPI Number | 1124038690 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Cornerstone Gardens L L P |
| Address | 763 Marlandwood Rd, Temple, TX 76502 |
| Phone Number | 254-771-5950 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.75 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.35 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.04 | 0.86 |
| Nurse aide hours per resident per day | 2.37 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3 | 3.42 |
| RN hours per resident per day on the weekend | 0.19 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 51.5% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $15,757 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 29, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 13, 2025 |
| May 29, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 29, 2025 |
| May 29, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jun 13, 2025 |
| May 29, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| May 29, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 16, 2025 |
| May 29, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| Apr 27, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Immediate jeopardy, isolated | Corrected by Apr 28, 2024 |
| Apr 27, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Immediate jeopardy, isolated | Corrected by Apr 28, 2024 |
| Apr 27, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 10, 2024 |
| Apr 27, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 10, 2024 |
| Apr 27, 2024 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 10, 2024 |
| Apr 27, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 10, 2024 |
| Apr 27, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 10, 2024 |
| Nov 21, 2023 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 31, 2023 |
| Nov 21, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Dec 31, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.5 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0.97 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.66 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.74 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 4.3 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.59 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.98 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.91 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.12 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.36 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.14 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.75 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.26 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.54 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 4.19 | 15.38 |
Baylor Scott & White Continuing Care Hospital Skil Location: 2401 South 31st St, Temple, Texas 76504 Phone: (254) 771-8200 |