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Cottage Grove Nursing Home

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 120
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 02/02/2012

Date of last standard health inspection: 02/02/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in MS: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MS: 0 - 5

Inspection, 01/01/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 01/01/2011 02/06/2012 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/01/2011 02/06/2012 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/01/2011 02/06/2012 2 Few
Keep all essential equipment working safely. 01/01/2011 02/06/2012 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/01/2011 02/06/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/01/2011 02/06/2012 2 Few

Inspection, 00/06/2010

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/06/2010 00/09/2011 2 Few

Inspection, 01/04/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2007 01/03/2008 3 Few

Inspection, 00/04/2004

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/04/2004 01/01/2006 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/04/2004 01/01/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/04/2004 01/01/2006 and a family member of situations (injury/decline/ the resident's doctor
Provide timely notification to the resident before transfer or discharge. 00/04/2004 02/00/2004 2 Few

Inspection, 02/08/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide or obtain laboratory services only when ordered by the attending physician. 02/08/2003 01/02/2005 2 Few
Quickly tell the resident's doctor the results of laboratory tests. 02/08/2003 01/02/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 02/08/2003 01/02/2005 2 Some
Develop policies and procedures for influenza and pneumococcal immunizations. 02/08/2003 01/02/2005 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/08/2003 01/02/2005 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/08/2003 01/02/2005 2 Some

Inspection, 00/02/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 00/02/2002 00/02/2003 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/02/2002 00/02/2003 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/02/2002 00/02/2003 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/02/2002 00/02/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/02/2002 00/02/2003 3 Few
Have a program that investigates, controls and keeps infection from spreading. 00/02/2002 00/02/2003 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/02/2002 00/02/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/02/2002 00/02/2003 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 00/02/2002 00/02/2003 2 Few

Inspection, 01/04/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2001 01/05/2002 4 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/04/2001 01/05/2002 investigation identification
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide written records when a resident is transferred or discharged. 01/04/2001 01/05/2002 2 Few
Provide timely notification to the resident before transfer or discharge. 01/04/2001 01/05/2002 2 Few
Give notice to the resident before a room or roommate change. 01/04/2001 01/05/2002 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MS Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 79 98
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 22 hours 36 minutes 1 hour 29 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 21 hours 37 minutes 25 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 22 hours 3 minutes 1 hour 4 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 23 hours 30 minutes 3 hours

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/02/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/02/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MS: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MS: 0 - 0

Inspection, 01/00/2011

Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/00/2011 02/06/2012 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/00/2011 02/06/2012 2 Many

Inspection, 02/08/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 02/08/2003 01/02/2005 2 Few

Inspection, 00/02/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/02/2002 00/02/2003 2 Few
 

1116 Forest Avenue
Jackson, MS 39206

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