Cotton Point Living Center

In the surveyor’s words

From the most serious findings on record at Cotton Point Living Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 31, 2025

  Based on observation, interview, and record review, the facility failed to ensure one resident (Resident #1) was free from physical abuse on 07/23/25 when, as staff escorted the residents outside to smoke, Resident #2 made physical contact pushing Resident #1 down to the floor. Resident #1 was sent to the emergency room and diagnosed with a fractured hip that required surgical repair. The facility census was 60.The Administrator was notified on 07/31/25 of the Past Non-Compliance Immediate Jeopardy (IJ) which occurred on 07/23/25. […]

• Immediate jeopardy, isolatedF689Apr 16, 2021

  Based on observation, interview, and record review, the facility failed to provide adequate supervision to decrease the risk of a resident, with impaired judgement and decision making skills, from leaving the premises unsupervised when one resident (Resident #1) out of three sampled residents exited the facility without staff awareness. The facility failed to recognize the resident as missing for over eight hours. The resident was found eleven hours after exiting the facility, across from the facility, on the other side of a busy railroad track lying on the muddy ground. The facility census was 59. The Administrator was notified on 04/15/2021 at 4:55 P.M. of an Immediate Jeopardy (IJ) which began on 04/14/2021. […]

• No harm, potential for more than minimal, patternF812May 14, 2026

  Based on observation, interview and record review, the facility failed to maintain sanitary conditions for ice intended for resident consumption. The facility failed to ensure the ice machine drain line maintained a required air gap (empty space that ensures dirty sewer water can never flow backward into the ice machine and contaminate the ice) to prevent potential contamination, failed to maintain sanitary conditions surrounding the ice machine, and failed to prevent contamination of communal ice during resident use. These deficient practices had the potential to affect all residents who consumed ice from the facility ice machine. […]

• No harm, potential for more than minimal, patternF567Dec 18, 2024

  U4413 Based on record review and interview, the facility failed to ensure resident funds were placed in an account separate from the facility operating account. The facility did not provide residents with refunds of their personal funds from the operating account in a timely manner for 12 residents (Resident #9, #17, #18, #26, #27, #28, #29, #30, #31, #32, #33 and #34). The facility staff failed to obtain written authorization from the resident and/or financial guardian for money withdrawn for five residents (Resident #1, #2, #3, #6 and #7) out of a sample of seven. […]

• No harm, potential for more than minimal, patternF568Dec 18, 2024

  U4413 Based on record review and interview, the facility failed to maintain a system to ensure the resident trust fund account was managed in accordance with proper accounting principles by not maintaining an accurate accounting of all monies held in the resident trust fund account by not reconciling each month. The facility managed funds for 34 residents. The census was 53. 1. Record review of the facility maintained bank statements for the account ending in 2107 for the months 12/2023 through 11/2024 showed no documentation of reconciliations for the following months. […]