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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
Residents78
Percent Occupied65%
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

June 9, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,053 fine
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
GFewActual HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

February 17, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 6, 2015 - 2 years ago

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

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 - 3 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 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 83 days
---Fine$197,536 fine

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 35min
2hr 25min
ReportedExpected
CNA
1hr 15min
35min
ReportedExpected
LPN
25min
50min
ReportedExpected
RN
4hr 15min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.3%
96.4%
96.4%
96.4%
96.7%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.0%
92.3%
93.2%
95.3%
97.0%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.3%
63.6%
63.6%
-
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
11.1%
4.3%
6.1%
11.7%
26.7%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
15.4%
33.9%
25.9%
47.8%
18.1%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents whose ability to move independently worsened
20.3%
18.7%
18.1%
17.9%
20.3%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who received an antipsychotic medication
9.3%
26.5%
21.6%
44.6%
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents whose need for help with daily activities has increased
9.6%
10.9%
6.5%
5.7%
9.6%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who self-report moderate to severe pain
16.0%
14.9%
8.5%
6.1%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who lose too much weight
11.5%
17.7%
17.2%
11.8%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
1.3%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who have depressive symptoms
4.9%
7.9%
1.4%
1.2%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
0.0%
0.0%
3.2%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents experiencing one or more falls with major injury
2.1%
3.8%
2.1%
1.1%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.4%
3.8%
1.4%
0.0%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016MS
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

-
-
81.1%
77.8%
86.9%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.8%
-
-
-
84.2%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
60.8%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
4.0%
7.4%
17.0%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
10.0%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
-
-
5.0%
1.6%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016MS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened