The Cottages At Garden Grove, A Skilled Nrsg Comm
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
considered a no bowel movement for that shift. If a medication was not available, the nursing staff should notify the registered nurse or supervisor who will notify the medical provider and document they did so.
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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THE COTTAGES AT GARDEN GROVE, A SKILLED NRSG COMM in CICERO, NY inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CICERO, NY, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE COTTAGES AT GARDEN GROVE, A SKILLED NRSG COMM or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.