COUNTRY COTTAGE CARE AND REHABILITATION

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Country Cottage Care and Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New Mexico are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/13/2010.

Administration

Hire a Qualified Activities Director. Inspection Date: 09/04/2008 Correction Date: 11/21/2008
Follow All Laws and Professional Standards. Inspection Date: 09/04/2008 Correction Date: 11/14/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/04/2008 Correction Date: 01/16/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/13/2010 Correction Date: 08/29/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/04/2008 Correction Date: 11/21/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/04/2008 Correction Date: 11/14/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 09/04/2008 Correction Date: 11/14/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/13/2010 Correction Date: 08/25/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/04/2008 Correction Date: 11/21/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/04/2008 Correction Date: 11/14/2008

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 09/04/2008 Correction Date: 02/03/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 08/13/2010 Correction Date: 08/17/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 09/04/2008 Correction Date: 11/21/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 09/04/2008 Correction Date: 01/15/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 09/04/2008 Correction Date: 01/16/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/04/2008 Correction Date: 01/16/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 09/04/2008 Correction Date: 01/16/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 09/04/2008 Correction Date: 01/16/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 09/04/2008 Correction Date: 01/16/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/13/2010 Correction Date: 01/05/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/13/2010 Correction Date: 10/19/2010
Give or Get Dental Care for Each Resident. Inspection Date: 08/13/2010 Correction Date: 08/25/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/04/2008 Correction Date: 12/03/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 09/04/2008 Correction Date: 12/03/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/04/2008 Correction Date: 12/03/2008
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. Inspection Date: 09/04/2008 Correction Date: 12/03/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 09/04/2008 Correction Date: 12/03/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/13/2010 Correction Date: 08/25/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/13/2010 Correction Date: 01/05/2011
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. Inspection Date: 08/13/2010 Correction Date: 01/05/2011

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 09/04/2008 Correction Date: 11/14/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 09/04/2008 Correction Date: 11/14/2008
Have a Private Telephone Available for Use. Inspection Date: 09/04/2008 Correction Date: 11/14/2008
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 09/04/2008 Correction Date: 11/14/2008

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Country Cottage Care and Rehabilitation, as well as complaints by residents or their family in the previous three years.

Mistreatment

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. Complaint Filed: 12/01/2010 Correction Date: 12/13/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 12/01/2010 Correction Date: 12/13/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Country Cottage Care and Rehabilitation had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 08/10/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/10/2010 Correction Date: 11/05/2010

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 08/27/2008 Correction Date: 12/03/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/10/2010 Correction Date: 09/15/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/27/2008 Correction Date: 12/03/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/16/2009 Correction Date: 01/01/1900
The Appropriate Emergency Electrical Equipment. Inspection Date: 09/16/2009 Correction Date: 11/23/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/10/2010 Correction Date: 10/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/10/2010 Correction Date: 10/15/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/10/2010 Correction Date: 11/05/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/27/2008 Correction Date: 12/03/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/10/2010 Correction Date: 11/03/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/10/2010 Correction Date: 09/28/2010