All citations for Cottonwood Creek Skilled Nursing & Therapy

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Cottonwood Creek Skilled Nursing & Therapy

Last standard health inspection on record

February 6, 2025

Showing 1 to 25 of 32 citations

  1. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  2. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  3. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  4. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  5. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  6. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of December 14, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

  7. No harm, with potential for more than minimal harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of December 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

  8. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

  9. No harm, with potential for more than minimal harm

    Honor 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  10. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  11. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  12. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  13. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  14. No harm, with potential for more than minimal harm

    Implement 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  15. No harm, with potential for more than minimal harm

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  16. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  17. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  18. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  19. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  20. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  21. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of November 18, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2022).

  22. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  23. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  24. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  25. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of February 6, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.