Inspection Reports for
Cornerstone at Canton

Emergency call response: During the months of December 2023, July 2024, and April 2025, there were 103 e-call response times over the eight-minute limit in accordance with the Resident’s policy (repeat finding).

Resident care plans: Two records were missing documentation of a service plan review required within 30 days after the commencement of residency, and three records were missing documentation of the disclosure of 24/7 awake staffing in the Special Care Residence.

Quality assurance program: Documentation of the person responsible for the follow-up action was missing for the 2023 calendar year and all four quarters of the 2023 and 2024 calendar years; documentation of Evidence Informed Falls Prevention Program monitoring was missing for 2023 and 2024; one PC staff did not document on the Medication Observation Record after observing the medication pass for one Resident (repeat finding).

Incident reporting: The Residence filed 73 incident reports greater than 24 hours after the occurrence of the incident or accident (repeat finding).

Resident records: The Residence did not use the Traditional and Special Care Correspondence Logs to communicate all significant or pertinent information necessary.

Staff training: Three records were without documentation to support that Introductory Visits were consistently conducted with all applicable staff, and documentation confirming the completion of SAMM and skills evaluations every six months was missing from two records for the 2024 calendar year reviewed.