Deficiency Records for Cottage Crest Post Acute
Updated as of February 01, 2019
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-01 | 2018-09-18 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-04-21 | 2018-06-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-21 | 2018-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-21 | 2018-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-21 | 2018-06-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-22 | 2018-05-16 | 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 | 2018-04-22 | 2018-05-16 | 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 | 2018-04-22 | 2018-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-22 | 2018-05-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-22 | 2018-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-22 | 2018-05-16 | 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 | 2018-04-22 | 2018-05-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-22 | 2018-05-16 | 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 | 2018-04-22 | 2018-05-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-22 | 2018-05-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-22 | 2018-05-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-22 | 2018-05-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-22 | 2018-05-16 | 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 | 2018-04-22 | 2018-05-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-04-22 | 2018-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-22 | 2018-05-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-22 | 2018-05-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-04-22 | 2018-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-22 | 2018-05-16 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-04-22 | 2018-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-07 | 2017-08-10 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-07 | 2017-08-10 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-07 | 2017-08-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-07 | 2017-08-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-08 | 2017-08-01 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-07-08 | 2017-08-01 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-07-08 | 2017-08-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-08 | 2017-08-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-08 | 2017-08-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-08 | 2017-08-01 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-07-08 | 2017-08-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-08 | 2017-08-01 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-08 | 2017-08-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-08 | 2017-08-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-08 | 2017-08-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-07-08 | 2017-08-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-08 | 2017-08-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-07-07 | 2017-07-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-07-07 | 2017-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-07 | 2017-07-31 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2017-07-07 | 2017-07-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-28 | 2016-09-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-08-28 | 2016-09-21 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-08-28 | 2016-09-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-28 | 2016-09-21 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-08-28 | 2016-09-21 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-08-28 | 2016-09-21 | 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 | 2016-08-28 | 2016-09-21 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-08-28 | 2016-09-21 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-08-28 | 2016-09-21 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-08-28 | 2016-09-21 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2016-08-28 | 2016-09-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-08-28 | 2016-09-21 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-28 | 2016-09-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-28 | 2016-09-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-08-28 | 2016-09-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-28 | 2016-09-21 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-28 | 2016-09-19 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-28 | 2016-09-19 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-08-28 | 2016-09-19 | N |
