Inspection Reports for Cottonwood Senior Living

NE, 68601

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 0.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

83% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2010
2013
2014
2015
2018
2024

Census

Latest occupancy rate 36 residents

Based on a September 2015 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

24 28 32 36 40 44 Dec 2010 Jul 2013 Nov 2014 Sep 2015
Inspection Report Renewal Capacity: 47 Deficiencies: 0 Mar 25, 2024
Visit Reason
The document serves as a renewal application and certification for the assisted-living facility license of Cottonwood Senior Living, verifying that the facility is licensed through the renewal date indicated.
Findings
The documents confirm that Cottonwood Senior Living meets statutory requirements as an assisted-living facility and is licensed through the renewal date of 4/30/2025. An occupancy permit was issued with a maximum occupancy of 47 beds.
Report Facts
Total licensed beds: 47 Occupancy permit issue date: Jun 12, 2023
Inspection Report Complaint Investigation Deficiencies: 0 Dec 6, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Cottonwood Place regarding allegations that the facility failed to ensure residents meet retention criteria and failed to ensure sufficient staffing to care for residents.
Findings
The investigation found that the facility did ensure residents met retention criteria and had sufficient staffing to care for residents, with observations and interviews confirming compliance with regulatory requirements.
Complaint Details
The complaint alleged failure to ensure residents meet retention criteria and insufficient staffing. Both allegations were found to be unsubstantiated as the facility was in compliance.
Employees Mentioned
NameTitleContext
Connie VogtProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public HealthSigned the report as Program Manager
Inspection Report Complaint Investigation Deficiencies: 0 Mar 28, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Cottonwood Place on March 28, 2018, regarding allegations of failure to use appropriate interventions to prevent injuries, ensure staff credentials, provide agreed services, and maintain appropriate housekeeping.
Findings
The facility was found to be in compliance with all related regulatory requirements for the allegations investigated, including injury prevention interventions, staff credentials, service provision, and housekeeping.
Complaint Details
The investigation addressed four allegations: failure to prevent injuries, failure to ensure staff credentials, failure to provide agreed services, and failure to maintain housekeeping. All allegations were found to be unsubstantiated with the facility in compliance.
Report Facts
Medication aide registry hours: 40
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the report as Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health
Barbara GlaserAdministratorAdministrator of Cottonwood Place mentioned in interviews during investigation
Inspection Report Complaint Investigation Census: 36 Deficiencies: 0 Sep 9, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to ensure residents no longer meeting retention criteria for assisted living facilities are discharged or transferred, and failure to provide services as agreed upon in the resident service agreement.
Findings
The investigation found no violations; the facility ensures residents no longer meeting retention criteria are discharged and provides services as agreed upon in the resident service agreements. Staff training, resident care, and physician orders were reviewed and found appropriate with no concerns identified.
Complaint Details
The complaint alleged the facility failed to discharge residents no longer meeting retention criteria and failed to provide services as agreed upon in resident service agreements. Both allegations were found unsubstantiated.
Report Facts
Facility census: 36
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Complaint Investigation Census: 38 Deficiencies: 0 Nov 24, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint at Cottonwood Place regarding failure to change fall interventions after residents were identified at risk for falls, failure to provide services as agreed upon, failure to notify resident's family/POA of change in condition, and failure to provide nutritious and palatable meals.
Findings
The facility was found to have no violations related to the allegations. The facility does change fall interventions, provides services as agreed, notifies family/POA of changes in condition, and provides meals that are nutritious and palatable.
Complaint Details
The complaint alleged failure to change fall interventions, failure to provide agreed services, failure to notify family/POA of condition changes, and failure to provide nutritious meals. All allegations were found to have no violations after investigation.
Report Facts
Facility census: 38
Employees Mentioned
NameTitleContext
Christine HaleRegistered NurseRepresentative of the Department of Health and Human Services who conducted the investigation
Eve LewisProgram ManagerSigned the report as Program Manager, Office of Long Term Care Facilities
Inspection Report Complaint Investigation Census: 38 Deficiencies: 1 Jul 16, 2013
Visit Reason
An unannounced complaint investigation was conducted at Cottonwood House on July 16-17, 2013, to investigate allegations related to resident abuse, background checks, staffing sufficiency, medication administration errors, service provision, needle stick practices, and sharps disposal.
Findings
The facility was found compliant with most allegations including abuse protection, background checks, staffing, service provision, needle stick standards, and sharps disposal. However, a violation was found for failure to report medication administration errors for two residents, which is a breach of state regulations.
Complaint Details
The complaint investigation addressed multiple allegations including failure to protect residents from abuse, failure to do background checks, insufficient staffing, failure to report medication errors, failure to provide agreed services, failure to follow needle stick standards, and improper disposal of sharps. Only the medication error reporting allegation was substantiated as a violation.
Deficiencies (1)
Description
Failure to report medication administration errors for two residents as required by state regulations.
Report Facts
Medication error reports reviewed: 8 Residents affected by medication error reporting violation: 2 Facility census: 38
Employees Mentioned
NameTitleContext
Christine HaleRegistered NurseSurveyor involved in complaint investigation
Daniel WoodwardRegistered NurseSurveyor involved in complaint investigation
Connie HeavinSocial WorkerSurveyor involved in complaint investigation
Tammi McElroyResidence DirectorNamed in Plan of Correction letter
Tim HoffmanWellness DirectorNamed in Plan of Correction letter and staff interview
Inspection Report Complaint Investigation Census: 32 Deficiencies: 3 Dec 27, 2010
Visit Reason
The inspection was conducted following a compliance inspection at Cottonwood House to investigate findings of noncompliance related to medication administration, handling of medications, and food safety.
Findings
The facility failed to assess resident safety related to self-administration of medications, ensure the Five Rights of medication administration to prevent errors, and properly label and date leftovers in the kitchen to prevent cross-contamination. Observations revealed medication errors and improper glove use during meal service.
Complaint Details
The visit was complaint-related, triggered by findings of noncompliance in medication administration and food safety. The report does not explicitly state substantiation status.
Deficiencies (3)
Description
Failed to assess resident for safety related to self administration of medications for 1 resident.
Failed to ensure that the Five Rights of medication administration were implemented to prevent medication errors for two residents.
Failed to label and date leftovers with the date of preparation and failed to ensure staff changed gloves as needed during meal service to prevent potential cross-contamination.
Report Facts
Facility census: 32 Sample size: 4 Medication administration observation time: 165 Medication doses: 25 Medication doses: 10
Employees Mentioned
NameTitleContext
Lori FrodshamRegistered NurseSurveyor involved in inspection
Connie HeavinSocial WorkerSurveyor involved in inspection
Rebecca YoungRegistered NurseSurveyor involved in inspection
Amy WilkersonResidence DirectorNamed in Plan of Correction and signature on compliance statement
Notice Capacity: 47 Deficiencies: 0 APP2016
Visit Reason
This document serves as a licensure renewal application and verification for the assisted-living facility Cottonwood Place, confirming its licensed status and renewal through the indicated expiration date.
Findings
The document confirms that Cottonwood Place meets statutory requirements as an assisted-living facility and includes ownership information, licensing renewal details, and occupancy permit information.
Report Facts
Total licensed beds: 47 Renewal expiration date: Apr 30, 2017 Occupancy permit date issued: Feb 23, 2015
Employees Mentioned
NameTitleContext
Kim MeredithAdministratorNamed as the facility administrator on the renewal application.
Akhil SharmaAuthorized OfficerListed as an authorized officer in ownership/control attachments.
Daniel Marshall GuillAuthorized OfficerListed as an authorized officer in ownership/control attachments.
Notice Capacity: 47 Deficiencies: 0 APP2017
Visit Reason
This document serves as a licensure renewal application and verification of licensure for the assisted-living facility Cottonwood Place, including an occupancy permit indicating maximum occupancy.
Findings
The documents confirm that Cottonwood Place is licensed as an assisted-living facility with a maximum capacity of 47 beds, and the occupancy permit was issued on 2016-03-22 by the Nebraska State Fire Marshal.
Report Facts
Total licensed beds: 47 Renewal expiration date: Apr 30, 2018 Occupancy permit issue date: Mar 22, 2016
Employees Mentioned
NameTitleContext
Kim MeredithAdministratorNamed in the licensure renewal application
Akhil SharmaAuthorized OfficerNamed as officer in ownership/control attachment
Daniel Marshall GuillAuthorized OfficerNamed as officer in ownership/control attachment
Notice Capacity: 47 Deficiencies: 0 APP2018
Visit Reason
This document serves as a licensure renewal application and occupancy permit for the assisted-living facility Cottonwood Place, verifying the facility's license renewal and maximum occupancy.
Findings
The documents confirm that Cottonwood Place is licensed as an assisted-living facility with a maximum licensed capacity of 47 beds. The occupancy permit was issued on 2017-04-24 by the Nebraska State Fire Marshal.
Report Facts
Total licensed beds: 47 Occupancy permit issue date: Apr 24, 2017
Notice Capacity: 47 Deficiencies: 0 APP2019
Visit Reason
The document serves as a licensure renewal application and certification for the assisted-living facility Cottonwood Place, verifying its licensed status and ownership information.
Findings
The documents confirm that Cottonwood Place meets statutory requirements for licensure as an assisted-living facility and provide detailed ownership and control information. An occupancy permit issued by the Nebraska State Fire Marshal certifies a maximum occupancy of 47 beds.
Report Facts
Total licensed beds: 47
Notice Capacity: 47 Deficiencies: 0 APP2020
Visit Reason
This document serves as a renewal application and verification of licensure for the assisted-living facility Cottonwood Place, including occupancy permit and ownership information.
Findings
The documents confirm that Cottonwood Place is licensed as an assisted-living facility with a maximum capacity of 47 beds, and includes detailed ownership and control information along with a fire marshal occupancy permit.
Report Facts
Total licensed beds: 47 Renewal licensure fee: 1650
Notice Capacity: 47 Deficiencies: 0 APP2021
Visit Reason
This document serves as a renewal application for the assisted-living facility license for Cottonwood Place, verifying licensure status and providing ownership and capacity information.
Findings
The document confirms that Cottonwood Place meets statutory requirements as an assisted-living facility and includes detailed ownership/control attachments, licensing renewal information, and an occupancy permit indicating a maximum capacity of 47 beds.
Report Facts
Total licensed beds: 47
Employees Mentioned
NameTitleContext
Barbara GlaserAdministratorNamed as the facility administrator in the renewal application.
Pete SmithAuthorized RepresentativeSigned the certification section of the renewal application.
Erich ReutzelAuthorized RepresentativePrinted name on certification section of the renewal application.
Todd BrehmDeputy State Fire MarshalInspected the facility and approved the occupancy permit.
Notice Capacity: 47 Deficiencies: 0 APP2022
Visit Reason
This document serves as a renewal application and verification of licensure for the assisted-living facility Cottonwood Place, including renewal of the facility license and occupancy permit.
Findings
The documents confirm that Cottonwood Place meets statutory requirements as an assisted-living facility and is licensed through the renewal date. The occupancy permit certifies a maximum occupancy of 47 beds.
Report Facts
Total licensed beds: 47
Employees Mentioned
NameTitleContext
Peter SmithAuthorized RepresentativeSigned the renewal application as an authorized representative.
James KleifgesAuthorized RepresentativeSigned the renewal application as an authorized representative.
Daniel GuillAuthorized OfficerListed as an officer in ownership/control attachments.
Document Capacity: 47 Deficiencies: 0 APP2023
Visit Reason
The documents serve to renew the assisted-living facility license for Cottonwood Place and provide updated ownership and occupancy information.
Findings
No inspection findings or deficiencies are reported; the documents confirm licensure renewal, ownership structure, and occupancy permit details.
Report Facts
Total licensed beds: 47
Employees Mentioned
NameTitleContext
Peter SmithAuthorized OfficerSigned the renewal application as an authorized representative.
Daniel GuillAuthorized OfficerListed as an authorized officer and member manager in ownership information.
Inspection Report Renewal Capacity: 47 Deficiencies: 0 APP2025
Visit Reason
The document is a renewal application and license verification for Cottonwood Senior Living, an assisted-living facility, confirming its licensure status and renewal through the specified expiration date.
Findings
The document confirms that Cottonwood Senior Living meets statutory requirements as an assisted-living facility and is licensed for 47 beds. It includes ownership information and a fire marshal occupancy permit.
Report Facts
Total licensed beds: 47
Employees Mentioned
NameTitleContext
Alan LittPresidentListed in ownership information and signed renewal application.
Thomas LallyVice PresidentListed in ownership information.
Jonathan LittSecretary/TreasurerListed in ownership information and signed renewal application.
Mary ClarkAdministratorNamed as facility administrator on renewal application.
James SloupDeputy State Fire MarshalInspected facility and approved occupancy permit.

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