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COTTAGE GROVE NURSING HOME - JACKSON, MS

 



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Address
1116 FOREST AVENUE
JACKSON, MS, 39206
Phone (make sure to verify first before calling): (601) 366-6461

Number of Certified Beds: 120
Total Number of Residents: 91
Percent of Occupied Beds: 76%
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 Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 2 Stars

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

6.5%
Mississippi:

18.2%
Percent of long-stay high-risk residents with pressure ulcers
Here:

6.8%
Mississippi:

7.3%
Percent of long-stay residents who lose too much weight
Here:

3.4%
Mississippi:

7.8%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

1.8%
Mississippi:

3.2%
Percent of long-stay residents with a urinary tract infection
Here:

5.6%
Mississippi:

7.3%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

2.2%
Mississippi:

2.9%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

86.7%
State:

94.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

81.1%
Mississippi:

96.7%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

35.5%
State:

84.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

41.9%
State:

85.8%
Percent of long-stay residents who received an antipsychotic medication
Here:

11.9%
State:

26.8%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.380
Mississippi:

0.625
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.100
State:

0.996
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.480
State:

1.616
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.060
State:

0.046
Number Therapy Hours Per Resident Per Day
Here:

0.060
State:

0.049

Complaint Deficiency

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Immediate jeopardy to resident health or safety)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Some (Potential for minimal harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Try to resolve each resident's complaints quickly: Many (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Some (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Few (Immediate jeopardy to resident health or safety)

1) Hire only people with 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: Few (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

Make sure that doctors visit residents regularly, as required: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Some (Minimal harm or potential for actual harm)

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Many (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Minimal harm or potential for actual harm)

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