A list of the most recent deficiencies for Haven of Cottonwood. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-02 | 2023-05-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-17 | 2023-01-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-17 | 2023-01-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-17 | 2023-01-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-17 | 2023-01-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-17 | 2023-01-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-17 | 2023-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-17 | 2023-01-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-17 | 2023-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-17 | 2023-01-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-11-17 | 2023-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-17 | 2023-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2023-01-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-11-17 | 2023-01-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-17 | 2023-01-23 | N |
| 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 | 2022-11-17 | 2023-01-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-17 | 2023-01-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-17 | 2023-01-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-17 | 2023-01-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-17 | 2023-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-17 | 2023-01-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-17 | 2023-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-17 | 2023-01-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-26 | 2021-11-01 | 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 | 2021-08-26 | 2021-10-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-26 | 2021-10-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-26 | 2021-10-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-26 | 2021-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-26 | 2021-10-01 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-26 | 2021-10-01 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-08-26 | 2021-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-26 | 2021-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-26 | 2021-10-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-08-26 | 2021-10-01 | N |
| Post nurse staffing information every day. | Health | 2021-08-26 | 2021-10-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-08-26 | 2021-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-26 | 2021-10-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-26 | 2021-10-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-08-26 | 2021-10-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-26 | 2021-10-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-26 | 2021-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-26 | 2021-09-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-26 | 2021-09-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-26 | 2021-09-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-26 | 2021-09-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-05-02 | 2019-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-02 | 2019-07-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-02 | 2019-07-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-02 | 2019-07-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-02 | 2019-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-07-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-02 | 2019-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-03 | 2019-06-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-03 | 2019-06-18 | N |
