The citation, issued under a federal pharmacy services standard, flags facilities where medication errors reach five percent or more of all doses given.
Nursing Home News — Page 148
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It does not show much more than that, which is itself a problem.
A cognitive assessment placed Resident 3 at a BIMS score of zero.
Behavioral health services, in that framework, are not optional.
Inspectors noted that gloves are not a substitute for handwashing, and that the two are supposed to work together, not replace each other.
The citation, issued August 25, 2025, placed The Cottages in a category of facilities that failed to keep residents free from significant medication errors.
Urinary tract infections are among the most common and serious complications in nursing home settings.
The August 2025 complaint inspection resulted in nine separate deficiency citations.
Inspectors classified it as a pattern violation, meaning the problem wasn't isolated to a single instance or a single resident.
Inspectors cited the facility on August 26, 2025, for violations in how it procured, stored, prepared, distributed, or served food to residents.
The citation, issued August 25, 2025, fell under a category regulators call Quality of Life and Care Deficiencies.
Inspectors classified the violation as isolated, with no documented actual harm, but determined there was potential for more than minimal harm to residents.