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Deficiency Records for Cottonwood Healthcare Center
A list of the most recent deficiencies for Cottonwood Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Cottonwood Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-08-15 | 2024-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-15 | 2024-09-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-15 | 2024-09-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-15 | 2024-09-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-15 | 2024-09-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-15 | 2024-09-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-15 | 2024-09-04 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-08-15 | 2024-09-04 | N |
| 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. | Health | 2024-08-15 | 2024-09-04 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-08-15 | 2024-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-15 | 2024-09-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-15 | 2024-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-09-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-20 | 2024-09-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-20 | 2024-09-01 | N |
| Develop a communication plan. | Fire Safety | 2024-08-20 | 2024-09-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-08-20 | 2024-09-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-20 | 2024-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-20 | 2024-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-20 | 2024-09-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-11 | 2023-08-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-11 | 2023-08-11 | Y |
| 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. | Health | 2023-07-12 | 2023-07-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-07-12 | Y |
| Provide appropriate foot care. | Health | 2023-03-13 | 2023-04-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-14 | 2022-11-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-14 | 2022-11-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-15 | 2022-08-26 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-08-10 | 2022-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-08-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-15 | 2021-08-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-07-15 | 2021-08-20 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-15 | 2021-08-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-15 | 2021-08-20 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-07-15 | 2021-08-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-07-15 | 2021-08-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-15 | 2021-08-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-15 | 2021-08-20 | N |
| 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. | Health | 2021-07-15 | 2021-08-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-15 | 2021-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-15 | 2021-08-20 | N |
| Keep all essential equipment working safely. | Health | 2021-07-15 | 2021-08-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-22 | 2019-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-22 | 2019-05-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-22 | 2019-05-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-03-22 | 2019-05-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-22 | 2019-05-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-22 | 2019-05-15 | N |
| 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. | Health | 2019-03-22 | 2019-05-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-03-22 | 2019-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-22 | 2019-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-05-15 | N |
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