Cottonwood Creek Skilled Nursing & Therapy

In the surveyor’s words

From the most serious findings on record at Cottonwood Creek Skilled Nursing & Therapy, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Feb 6, 2025

  Based on observation and interview the facility failed to ensure residents right to privacy in their rooms for 2 (#27 and #39) of 3 sampled residents observed for resident rights. The administrator identified 76 residents resided in the facility. A Essentials of Resident Rights policy, dated 2020, read in part, Each resident has the right to enjoy privacy in their room. Always knock before entering a room, and if the resident is able to respond, wait for a response. Knock even when the door is open and the resident can see you, or if the resident cannot respond to let them know you are there. 1. […]

• No harm, potential for more than minimal, patternF684Feb 6, 2025

  Based on observation record review, and interview, the facility failed to follow their policy on insulin administration for 2 (#27 and #39) of 3 sampled residents reviewed for medication administration. The DON identified 20 residents residing in the facility received insulin. Findings: A Medication Administration-General Guidelines policy, dated 01/2022, read in part, The person who prepares the dose for administration is the person who administers the dose. 1. Resident #39 had diagnoses which included chronic obstructive pulmonary disease and type two diabetes mellitus with diabetic neuropathy. Resident #39's significant change assessment, dated 01/11/25, showed the resident required partial/moderate to total assistance with their ADLs. […]

• No harm, potential for more than minimal, patternF558Dec 14, 2023

  Based on observation, record review, and interview, the facility failed to ensure call devices were within reach for four (#3, 32, 51, and #63) and failed to ensure a resident's preference to have a microwave in their room was accommodated for one (#19) of six sampled residents reviewed for accommodation of needs. The administrator identified 69 residents resided in the facility. 1. Res #19 had diagnoses which included GERD, constipation, vitamin deficiency, anemia, diverticulosis, and diabetes. […]

• No harm, potential for more than minimal, patternF803Dec 14, 2023

  Based on observation, record review, and interview, the facility failed to ensure menus were followed for one of one meal service observed. The DON identified 56 residents who received a diet with regular or mechanical soft texture. Findings: The summer to fall 2023 menu documented, on 12/12/23, residents were to have received bread of the day with their lunch meal. On 12/12/23 at 11:07 a.m., the lunch meal service was observed. Residents who received a diet with regular or mechanical soft texture did not receive the bread of the day. On 12/12/23 at 11:31 a.m., Dietary Cook #1 was asked if the residents received the bread of the day on their lunch trays. They stated they did not have bread to give the residents who had diets with regular or mechanical soft texture.

• No harm, potential for more than minimal, patternF812Dec 14, 2023

  Based on observation and interview, the facility failed to ensure the kitchen was kept clean and maintained in good repair. The DON identified 65 received services from the kitchen. Four resident received nutrition and hydration solely through a feeding tube. Findings: On 12/12/23 at 8:29 a.m., a tour of the kitchen was conducted. The following observations were made: a. material was peeling off of the ceiling in the dish wash area. There were brown water marks, b. ceiling lights were burned out and/or not working, c. the shields on the ceiling lights were cracked, d. there was an accumulation of black and white residue on the floor and walls in the dish wash area, e. there was an accumulation of lint on the return vent and lint was on the ceiling around the vent, f. […]