Deficiency Records for Cottage Crest Post Acute
Updated as of October 01, 2016
This is not the most recent data for Cottage Crest Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Cottage Crest Post Acute. 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 necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-11 | 2015-11-02 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-11 | 2015-11-02 | Y |
| Fire resistant room wall surfaces. | Fire Safety | 2015-07-04 | 2015-07-27 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-04 | 2015-07-27 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-07-04 | 2015-07-27 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-07-04 | 2015-07-27 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-07-04 | 2015-07-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-04 | 2015-07-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-07-04 | 2015-07-27 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-07-04 | 2015-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-04 | 2015-07-27 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-07-04 | 2015-07-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-04 | 2015-07-27 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-07-04 | 2015-07-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-07-04 | 2015-07-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-04 | 2015-07-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-07-04 | 2015-07-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-04 | 2015-07-27 | N |
| Fire resistant room wall surfaces. | Fire Safety | 2015-07-04 | 2015-07-27 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-04 | 2015-07-27 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-07-04 | 2015-07-27 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-07-04 | 2015-07-27 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-07-04 | 2015-07-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-04 | 2015-07-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-07-04 | 2015-07-27 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-07-04 | 2015-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-04 | 2015-07-27 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-07-04 | 2015-07-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-04 | 2015-07-27 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-07-04 | 2015-07-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-07-04 | 2015-07-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-04 | 2015-07-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-07-04 | 2015-07-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-04 | 2015-07-27 | N |
| Fire resistant room wall surfaces. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Fire resistant room wall surfaces. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-04-07 | 2014-08-19 | N |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2014-04-09 | 2014-08-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-04-09 | 2014-08-18 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-04-09 | 2014-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-04-09 | 2014-08-18 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2014-04-09 | 2014-08-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-04-09 | 2014-08-18 | N |
| Dispose of garbage and refuse properly. | Health | 2014-04-09 | 2014-08-18 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2014-04-09 | 2014-08-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-04-09 | 2014-08-18 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2014-04-09 | 2014-08-18 | N |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2014-04-09 | 2014-08-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-04-09 | 2014-08-18 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-04-09 | 2014-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-04-09 | 2014-08-18 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2014-04-09 | 2014-08-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-04-09 | 2014-08-18 | N |
| Dispose of garbage and refuse properly. | Health | 2014-04-09 | 2014-08-18 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2014-04-09 | 2014-08-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-04-09 | 2014-08-18 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2014-04-09 | 2014-08-18 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-05 | 2014-04-07 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-03-05 | 2014-04-07 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2014-03-05 | 2014-04-07 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-03-05 | 2014-04-07 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2014-03-05 | 2014-04-07 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-03-05 | 2014-04-07 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-03-05 | 2014-04-07 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-05 | 2014-04-07 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-03-05 | 2014-04-07 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2014-03-05 | 2014-04-07 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-03-05 | 2014-04-07 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2014-03-05 | 2014-04-07 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-03-05 | 2014-04-07 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-03-05 | 2014-04-07 | Y |
| Other fire safety features required by fire safety codes. | Fire Safety | 2012-12-14 | 2013-01-20 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2012-12-14 | 2013-01-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2012-12-14 | 2013-01-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2012-12-14 | 2013-01-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2012-12-14 | 2013-01-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2012-12-14 | 2013-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2012-12-14 | 2013-01-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2012-12-14 | 2013-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2012-12-14 | 2013-01-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2012-12-14 | 2013-01-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2012-12-14 | 2013-01-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2012-12-14 | 2013-01-20 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2012-12-14 | 2013-01-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2012-12-14 | 2013-01-20 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2012-12-14 | 2013-01-20 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2012-12-14 | 2013-01-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2012-12-14 | 2013-01-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2012-12-14 | 2013-01-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2012-12-14 | 2013-01-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2012-12-14 | 2013-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2012-12-14 | 2013-01-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2012-12-14 | 2013-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2012-12-14 | 2013-01-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2012-12-14 | 2013-01-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2012-12-14 | 2013-01-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2012-12-14 | 2013-01-20 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2012-12-14 | 2013-01-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2012-12-14 | 2013-01-20 | N |
