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Deficiency Records for Rocky Mountain Care - Cottage On Vine
A list of the most recent deficiencies for Rocky Mountain Care - Cottage On Vine. 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 Rocky Mountain Care - Cottage On Vine. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-15 | 2024-06-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-15 | 2024-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-15 | 2024-06-30 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-05-15 | 2024-06-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-15 | 2024-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-08 | 2023-12-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-08 | 2023-12-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-08 | 2023-12-21 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-11-08 | 2023-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-08 | 2023-12-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-08 | 2023-12-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-08 | 2023-12-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-08 | 2023-12-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-08 | 2023-12-21 | 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 | 2023-11-08 | 2023-12-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-21 | 2023-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-11-01 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-21 | 2023-11-01 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-09-21 | 2023-11-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-15 | 2023-07-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-06-15 | 2023-07-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-15 | 2023-07-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-15 | 2023-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-07-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-14 | 2023-07-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-14 | 2023-07-01 | 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 | 2023-06-14 | 2023-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-14 | 2023-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-14 | 2023-07-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-13 | 2022-07-15 | N |
| Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | Health | 2022-06-13 | 2022-07-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-13 | 2022-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-13 | 2022-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-13 | 2022-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-13 | 2022-07-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-13 | 2022-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-13 | 2022-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-13 | 2022-07-15 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-06-13 | 2022-07-15 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-13 | 2022-07-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-13 | 2022-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-13 | 2022-07-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-13 | 2022-07-15 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-06-13 | 2022-07-15 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-13 | 2022-07-15 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-06-07 | 2022-06-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-07 | 2022-06-22 | 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 | 2022-06-07 | 2022-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-07 | 2022-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-07 | 2022-06-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-09 | 2020-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-09 | 2020-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-09 | 2020-02-28 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2020-01-09 | 2020-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-08 | 2020-02-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-08 | 2020-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-08 | 2020-02-27 | 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 | 2020-01-08 | 2020-02-27 | 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 | 2020-01-08 | 2020-02-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-08 | 2020-02-27 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-01-08 | 2020-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-08 | 2020-02-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-08 | 2020-02-27 | N |
| Keep all essential equipment working safely. | Health | 2020-01-08 | 2020-02-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-08 | 2020-02-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-01-09 | 2020-02-10 | N |
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