Deficiency Records for Cottonwood Creek Healthcare Community
Updated as of February 01, 2022
This is not the most recent data for Cottonwood Creek Healthcare Community. For the most recent information, click here.
A list of the most recent deficiencies for Cottonwood Creek Healthcare 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? |
|---|---|---|---|---|
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-09 | 2021-04-25 | 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 | 2021-04-09 | 2021-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-09 | 2021-04-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-09 | 2021-04-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-04-09 | 2021-04-25 | Y |
| 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 | 2021-04-09 | 2021-04-25 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-04-08 | 2021-04-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-08 | 2021-04-25 | 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 | 2021-04-08 | 2021-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-08 | 2021-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-08 | 2021-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-14 | 2021-01-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-03-10 | 2020-04-10 | Y |
| 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 | 2020-02-24 | 2020-03-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-18 | 2020-01-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-18 | 2020-01-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-12-18 | 2020-01-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-12 | 2019-06-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-05-31 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-04-25 | 2019-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-25 | 2019-05-31 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-23 | 2019-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-23 | 2019-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-23 | 2019-05-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-23 | 2019-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-23 | 2019-05-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-04-23 | 2019-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-23 | 2019-05-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-26 | 2018-05-25 | 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 | 2018-04-26 | 2018-05-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-26 | 2018-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-26 | 2018-05-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-04-24 | 2018-05-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-24 | 2018-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-24 | 2018-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-24 | 2018-05-25 | N |
