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Facility profile · CCN 055758

Cottage Crest Post Acute

64 federal citations on record , including 2 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $69,390.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
64
Total citations
62
Last 3 years
4
Actual harm+
4
Federal penalties
$69,390
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

64 on record
SurveyF-TagViolationSeveritySource
May 30, 2025F880Provide and implement an infection prevention and control program.EComplaint
May 30, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
May 30, 2025F881Implement a program that monitors antibiotic use.EStandard
May 30, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 30, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
May 30, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 30, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
May 30, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 30, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Feb 10, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Dec 10, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 11, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 11, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Jun 11, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jun 11, 2024F880Provide and implement an infection prevention and control program.EStandard
Jun 11, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jun 11, 2024F814Dispose of garbage and refuse properly.FStandard
Jun 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 11, 2024F760Ensure that residents are free from significant medication errors.EStandard
Jun 11, 2024F759Ensure medication error rates are not 5 percent or greater.KStandard
Jun 11, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Jun 11, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FStandard
Jun 11, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Jun 11, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Jun 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 11, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 11, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jun 11, 2024F641Ensure each resident receives an accurate assessment.EStandard
Jun 11, 2024F637Assess the resident when there is a significant change in conditionDStandard
Jun 11, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Jan 19, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.GComplaint
Jan 19, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
Jan 9, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Dec 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 6, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 19, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Oct 19, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 9, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Aug 17, 2023F880Provide and implement an infection prevention and control program.DComplaint
Aug 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 15, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jul 12, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Jul 12, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 29, 2023F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Jun 29, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Jun 29, 2023F880Provide and implement an infection prevention and control program.EStandard
Jun 29, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 29, 2023F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
Jun 29, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Jun 29, 2023F760Ensure that residents are free from significant medication errors.EStandard
Jun 29, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jun 29, 2023F732Post nurse staffing information every day.CStandard
Jun 29, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Jun 29, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jun 29, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Jun 29, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Jun 29, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jun 29, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jun 29, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Apr 18, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Mar 14, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $69,390 .

DateTypeFinePayment denial
Jun 11, 2024Fine$42,354
Jan 9, 2024Fine$16,445
Oct 9, 2023Fine$7,446
Apr 17, 2023Fine$3,145
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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