A list of the most recent deficiencies for Cottingham Retirement Community. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-19 | 2023-02-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-02-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-02-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-19 | 2023-02-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-19 | 2023-02-03 | 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 | 2023-01-19 | 2023-02-03 | Y |
| Keep all essential equipment working safely. | Health | 2023-01-19 | 2023-02-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-19 | 2022-09-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-19 | 2022-09-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-19 | 2022-09-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-19 | 2022-06-04 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-07 | 2022-06-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-07 | 2022-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-06-04 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-07 | 2022-06-04 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-07 | 2022-06-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-15 | 2021-04-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-02 | 2019-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-07-24 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-04-29 | 2019-07-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-04-29 | 2019-07-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-29 | 2019-07-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-29 | 2019-07-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-29 | 2019-06-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-04-12 | 2018-06-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-12 | 2018-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-12 | 2018-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-12 | 2018-06-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-12 | 2018-06-01 | N |
| Keep all essential equipment working safely. | Health | 2018-04-12 | 2018-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-10 | 2018-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-10 | 2018-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-10 | 2018-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-10 | 2018-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-10 | 2018-06-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-10 | 2018-06-01 | N |
