A list of the most recent deficiencies for Cotton Point Living 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-03 | 2023-12-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-11-03 | 2023-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-03 | 2023-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-03 | 2023-12-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-03 | 2023-12-15 | 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 | 2023-11-03 | 2023-12-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-03 | 2023-12-15 | Y |
| Install proper backup exit lighting. | Fire Safety | 2023-11-03 | 2023-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-03 | 2023-12-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-11-03 | 2023-11-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-06 | 2023-04-06 | Y |
| Install proper backup exit lighting. | Fire Safety | 2021-10-08 | 2021-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-08 | 2021-11-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-10-08 | 2021-11-15 | 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 | 2021-10-08 | 2021-11-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-08 | 2021-11-15 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-10-08 | 2021-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-08 | 2021-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-08 | 2021-11-15 | 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 | 2021-10-08 | 2021-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-08 | 2021-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-16 | 2021-04-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-29 | 2019-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-29 | 2019-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-29 | 2019-10-11 | 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 | 2019-08-29 | 2019-10-11 | 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 | 2019-08-29 | 2019-10-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-29 | 2019-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-29 | 2019-10-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-29 | 2019-10-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-08-29 | 2019-10-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-29 | 2019-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-29 | 2019-10-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-08-29 | 2019-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-29 | 2019-10-11 | N |
