A list of the most recent deficiencies for The Cottage Extended Care. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-29 | 2023-12-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-15 | 2023-10-23 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-15 | 2023-10-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-15 | 2023-10-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-15 | 2023-10-23 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-15 | 2023-10-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-02 | 2022-02-21 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-12-02 | 2022-02-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-02 | 2022-02-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-12-02 | 2022-02-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-02 | 2022-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-02 | 2022-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-02 | 2022-02-21 | Y |
| 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 | 2021-12-02 | 2022-02-21 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-30 | 2022-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-30 | 2022-01-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-30 | 2022-01-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-30 | 2022-01-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-09 | 2021-11-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-29 | 2019-09-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-29 | 2019-09-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-29 | 2019-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-29 | 2019-05-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-29 | 2019-05-29 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-04-29 | 2019-05-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-29 | 2019-05-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-23 | 2019-05-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-23 | 2019-05-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-23 | 2019-05-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-23 | 2019-05-29 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-22 | 2018-04-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-22 | 2018-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-22 | 2018-04-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-02-22 | 2018-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-22 | 2018-04-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-22 | 2018-04-10 | N |
