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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