Cottonwood Canyon Healthcare Center

In the surveyor’s words

From the most serious findings on record at Cottonwood Canyon Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 12, 2026

  Based on interview and record review, the facility left Resident 1 alone with a meal tray and did not provide feeding assistance or supervision to Resident 1 who had been assessed and identified as requiring feeding assistance and supervision (according to the facility's nutritional care plan). The facility also failed to provide adequate (one on one supervision) for Resident 1 who was assessed as a high risk for a fall and did not implement appropriate fall-prevention interventions (based on assessment of Resident 1's individual needs), for one of three sampled residents (Resident 1).As a result, Resident 1 required emergency services, was hospitalized , sustained a head injury, sustained a spinal L4 compression fracture, (break in the fourth lumbar vertebra lower back, the part of your… […]

• Actual harm, isolatedF600Aug 1, 2023

  Based on observation, interview, and record review, the facility failed to ensure that 1 of 2 sampled resident's, reviewed for abuse, were free from physical abuse when (Resident 1) was physically assaulted by another resident (Resident 2). This failure resulted in the following: 1.Resident 1 had pain, bleeding, and a laceration on top of his right eyebrow, bruising of the face and a small cut on top of his nose. 2. Resident 1 was transferred to a general acute care hospital due to right eye pain and was diagnosed with a nasal fracture (break in bone) with overlying soft tissue swelling (bruising) and periorbital (tissues lining the eye socket) hematoma (area of blood that collects outside the vessels). 3. […]

• No harm, potential for more than minimal, widespreadF802Jul 15, 2021

  Based on observation, interview, and record review, the facility failed to ensure the kitchen staff competently carried out the functions of the food and nutrition services department when: 1. A Cook (CK 1) did not monitor the dry storage room by correctly checking the quality of the food supply and the temperature, and 2. CK 1 did not prepare the [MEDICATION(S)] salad correctly using the cool down process for ambient temperature foods. These failures had the potential for food contamination, resulting in food borne illnesses for all residents who consume food from the kitchen. The census was 66. Cross reference 812 and 925 Findings: 1. On 7/12/21, at 9:02 A.M., an observation of the kitchen's dry storage was conducted. A fly was observed flying in the dry storage room. […]

• No harm, potential for more than minimal, widespreadF812Jul 15, 2021

  Based on observation, interview and record review, the facility failed to ensure food was stored in a safe and sanitary manner, according to the facility policy and standards of practice within the Food and Nutrition Services department when: 1. The dry storage room was: a) not pest-free, b) contained a large bin of white onions some with black mold spots, c) at a temperature of 82 degrees Fahrenheit (F); 2. The [MEDICATION(S)] salad and egg salad was not prepared in a food safe manner when the kitchen staff did not use the cool down process for ambient temperature foods; 3. The dishes were stored wet. These failures had the potential to put the residents at risk for foodborne illnesses. Cross reference, F802 and F925. Findings: 1a, b. […]

• No harm, potential for more than minimal, widespreadF925Jul 15, 2021

  Based on observation, interview, and record review, the facility failed to ensure the environment was free of pests. This failure had the potential for the cross-contamination of foods stored in the kitchen, foods being prepared during tray line, and during meal times, resulting in food-borne illnesses. Findings: On 7/12/21, at 9:02 A.M., an observation of the kitchen's walk-in dry storage was conducted. A fly was observed flying in the midst of the walk-in dry storage. There was an opened box of bananas, a small container of uncovered red onions, and two opened boxes of potatoes. Next to the box of potatoes was a large and shallow, clear plastic bin, measuring 17 inches by 25.5 inches and 6 inches in depth. […]