A list of the most recent deficiencies for Cottonwood Health Care Center. 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 each resident receives an accurate assessment. | Health | 2023-07-11 | 2023-08-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-11 | 2023-08-11 | 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 | 2023-07-12 | 2023-07-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-07-12 | Y |
| Provide appropriate foot care. | Health | 2023-03-13 | 2023-04-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-14 | 2022-11-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-14 | 2022-11-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-15 | 2022-08-26 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-08-10 | 2022-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-21 | 2021-10-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-14 | 2021-09-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-15 | 2021-08-20 | 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 | 2021-07-15 | 2021-08-20 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-15 | 2021-08-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-15 | 2021-08-20 | 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 | 2021-07-15 | 2021-08-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-07-15 | 2021-08-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-15 | 2021-08-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-15 | 2021-08-20 | 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 | 2021-07-15 | 2021-08-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-15 | 2021-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-15 | 2021-08-20 | N |
| Keep all essential equipment working safely. | Health | 2021-07-15 | 2021-08-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-24 | 2019-06-11 | 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 | 2019-05-24 | 2019-06-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-24 | 2019-06-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-22 | 2019-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-22 | 2019-05-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-22 | 2019-05-15 | 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 | 2019-03-22 | 2019-05-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-22 | 2019-05-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-22 | 2019-05-15 | 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 | 2019-03-22 | 2019-05-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-03-22 | 2019-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-22 | 2019-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-05-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-02 | 2018-07-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-07-02 | 2018-07-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-02 | 2018-07-16 | N |
| Use approved construction type or materials. | Fire Safety | 2018-07-02 | 2018-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-02 | 2018-07-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-02 | 2018-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-02 | 2018-07-16 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-07-02 | 2018-07-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-11 | 2018-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-11 | 2018-06-15 | 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 | 2018-05-11 | 2018-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-11 | 2018-06-15 | N |
