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Cottage Grove Nursing Home

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About Cottage Grove Nursing Home

General Information

Legal Business NameCottage Grove Nursing Home, Lp
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 1, 2008 (9 years)
Capacity120
Residents87
Percent Occupied73%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cottage Grove Nursing Home

Cottage Grove Nursing Home
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Mississippi Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 6, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

March 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.

March 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

January 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
CManyPotential for Minimal HarmComplaintAllow residents to easily view the results of the nursing home's most recent inspection.
DFewPotential for HarmComplaintTry to resolve each resident's complaints quickly.

November 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
KSomeImmediate JeopardyComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
KSomeImmediate JeopardyComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
KSomeImmediate JeopardyComplaintEnsure that residents are safe from serious medication errors.
KSomeImmediate JeopardyComplaintEnsure services provided by the nursing facility meet professional standards of quality.

June 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$197,536 fine
---Payment DenialPayment denial for 83 days
FManyPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.

April 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

April 17, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionProperly working alarms on sprinkler valves.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cottage Grove Nursing Home require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr
2hr 30min
ReportedExpected
CNA
1hr 45min
40min
ReportedExpected
LPN
20min
60min
ReportedExpected
RN
4hr 10min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.9%
93.3%
93.3%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
98.8%
96.3%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
48.4%
50.0%
-
47.0%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
20.5%
19.0%
19.0%
22.2%
Q1 2015Q2 2015Q3 2015MS
Received an Antipsychotic Medication
27.0%
13.6%
34.9%
17.4%
Q1 2015Q2 2015Q3 2015MS
Need for Help with ADLs has Increased
3.4%
6.5%
6.2%
10.3%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
8.5%
4.9%
7.4%
8.1%
Q1 2015Q2 2015Q3 2015MS
Lose Too Much Weight
5.3%
8.2%
5.0%
7.7%
Q1 2015Q2 2015Q3 2015MS
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
2.1%
Q1 2015Q2 2015Q3 2015MS
Have Depressive Symptoms
2.4%
3.7%
2.5%
6.0%
Q1 2015Q2 2015Q3 2015MS
With a Urinary Tract Infection
0.0%
1.2%
1.2%
3.0%
Q1 2015Q2 2015Q3 2015MS
Experiencing One or More Falls with Major Injury
1.1%
1.1%
0.8%
2.6%
Q1 2015Q2 2015Q3 2015MS
With a Catheter Inserted and Left in Their Bladder
1.2%
1.2%
1.2%
2.5%
Q1 2015Q2 2015Q3 2015MS
Were Physically Restrained

Quality Measures for Short Stay Residents

68.6%
72.4%
79.2%
88.6%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
61.8%
61.8%
61.8%
85.7%
Q1 2015Q2 2015Q3 2015MS
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
0.0%
15.0%
-
18.8%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
0.0%
-
-
2.9%
Q1 2015Q2 2015Q3 2015MS
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
3.6%
1.1%
Q1 2015Q2 2015Q3 2015MS
With Pressure Ulcers That Are New or Worsened