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Cottage Grove Nursing Home
1116 FOREST AVENUE
Jackson, MS 39206
(601) 366-6461
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 120 |
| Number of Residents: | 104 |
| Percent of Occupied Beds: | 87% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Partnership |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080604 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20080719 |
| 20080604 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Pattern | Minimal harm or potential for actual harm | 20080719 |
| 20080604 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm | 20080719 |
| 20080604 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Pattern | Minimal harm or potential for actual harm | 20080719 |
| 20080604 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20080719 |
| 20090415 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Widespread | Minimal harm or potential for actual harm | 20090609 |
| 20090415 | Health | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Pattern | Potential for minimal harm | 20090609 |
| 20090415 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20090609 |
| 20090415 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20090609 |
| 20090415 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20090609 |
| 20100714 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100813 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 94 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 94 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 23 | |
| Percent of long-stay residents who have moderate to severe pain: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 13 | |
| Percent of low-risk long-stay residents who have pressure sores: | 2 | |
| Percent of long-stay residents who were physically restrained: | 9 | |
| Percent of long-stay residents who are more depressed or anxious: | 4 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 49 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 1 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 10 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 15 | |
| Percent of long-stay residents who had a urinary tract infection: | 3 | |
| Percent of long-stay residents who lose too much weight: | 5 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 81 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 67 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 4 | |
| Percent of short-stay residents who have pressure sores: | 10 | |
| # of Residents: | 104 |
| # RN Hours per Resident: | 0.41 |
| # LPN Hours per Resident: | 0.82 |
| # CNA Hours per Resident: | 2.3 |
| Total Staff Hours per Resident: | 1.23 |
