The Cottages At Garden Grove, A Skilled Nrsg Comm
THE COTTAGES AT GARDEN GROVE, A SKILLED NRSG COMM in CICERO, NY — inspection on November 19, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 10/28/2025 at 1:30 PM and on 10/30/2025 at 9:40 AM Licensed Practical Nurse #6 stated they received the No Bowel Movement list daily which was usually left on the medication cart by the night supervisor.
They were not sure if the lists were accurate.
When they gave Resident #1 a suppository on 08/09/2025, they pulled up the dashboard report in the computer and saw the resident went more than nine (9) shifts without a bowel movement.
When they saw a resident needed a bowel intervention, they notified the registered nurse for further instructions. A small bowel movement was not counted as a bowel movement.
They did not look at the facility's Bowel Protocol for guidance.
They needed an order for bowel interventions if there was not one in place.
When they gave a suppository, they communicated that to the next shift.
The next shift was to monitor and if no results, they communicated that to the oncoming shift to intervene.
They did not document they informed the next shift.
They do not call the medical provider, as the registered nurse was the one who was to make the notifications.
During a phone interview on 10/30/2025 at 1:19 PM Nurse Practitioner #8 stated they expected to be notified when a bowel intervention was done and the expected outcome did not occur. If a resident's bowel movements were not monitored adequately and interventions not implemented, the resident could have a negative outcome such as bowel obstruction or ileus.
They were not aware Resident #1 had any indication of a small bowel obstruction or ileus.
They were not notified of any concerning gastrointestinal symptoms that would have caused them to intervene. 10 NYCRR 415.12
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.