A list of the most recent deficiencies for The Cottages. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-29 | 2023-07-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-29 | 2023-07-20 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-29 | 2023-07-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-29 | 2023-07-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-07-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-29 | 2023-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-29 | 2023-06-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-29 | 2023-06-29 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-03-17 | 2022-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-17 | 2022-03-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-14 | 2019-11-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-14 | 2019-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2019-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-15 | 2019-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-15 | 2019-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-15 | 2019-11-15 | N |
