Deficiency Records for Cottage Lane Health and Rehab of Little Rock
Updated as of April 01, 2024
A list of the most recent deficiencies for Cottage Lane Health and Rehab of Little Rock. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-15 | 2024-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-15 | 2024-01-06 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-12-15 | 2024-01-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-12-15 | 2024-01-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-12-15 | 2024-01-06 | 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 | 2023-12-15 | 2024-01-06 | 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 | 2023-12-15 | 2024-01-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-15 | 2024-01-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-15 | 2024-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-15 | 2024-01-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-15 | 2024-01-06 | 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 | 2023-12-15 | 2024-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2024-01-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-15 | 2024-01-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-15 | 2024-01-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-12 | 2024-01-06 | 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 | 2023-12-12 | 2024-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-07 | 2023-02-23 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-27 | 2022-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-27 | 2022-11-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-27 | 2022-11-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-29 | 2022-10-29 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-09-29 | 2022-10-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-29 | 2022-10-29 | 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 | 2022-09-29 | 2022-10-29 | 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 | 2022-09-29 | 2022-10-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-29 | 2022-10-29 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-29 | 2022-10-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-29 | 2022-10-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-29 | 2022-10-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-29 | 2022-10-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-29 | 2022-10-29 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-29 | 2022-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-29 | 2022-10-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-29 | 2022-10-29 | 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 | 2022-09-26 | 2022-10-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-09-26 | 2022-10-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-26 | 2022-10-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-26 | 2022-10-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-29 | 2022-09-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-29 | 2022-09-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-02 | 2022-06-20 | 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 | 2021-09-10 | 2021-09-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-10 | 2021-09-27 | 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 | 2021-07-30 | 2021-09-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-30 | 2021-09-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-30 | 2021-08-29 | N |
| Provide appropriate foot care. | Health | 2021-07-30 | 2021-08-29 | N |
| 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 | 2021-07-30 | 2021-08-29 | 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 | 2021-07-30 | 2021-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-30 | 2021-08-29 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-07-28 | 2021-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-08-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-25 | 2021-07-13 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-05-25 | 2021-06-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-25 | 2021-06-18 | Y |
