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Complaint Investigation

Cottesmore Of Life Care

August 18, 2025 · Gig Harbor, WA · 2909 14th Avenue Northwest
Citations 1
CMS Rating 4/5
Beds 108
Provider ID 505499
Healthcare Facility
Cottesmore Of Life Care
Gig Harbor, WA  ·  View full profile →
Inspection Summary

COTTESMORE OF LIFE CARE in GIG HARBOR, WA — inspection on August 18, 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.

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Inspection Findings

FF0760
Pharmacy Service Deficiencies
Actual Harm

2025 eMAR documented Resident 2 was ordered Warfarin.

The eMAR documented Resident 2 did not receive one dose of Warfarin on 08/07/2025.

The Warfarin flow sheet for Resident 2 documented an order was received on 08/04/2025 that read Warfarin Sodium Oral tablet give 2.5 MG every Thursday starting on 08/07/2025 with no stop date indicated.

This order was discontinued on 08/07/2025 (Thursday) at 11:59 AM prior to the dose to be administered at 5:00 PM.

The EHR for Resident 2 documented on 08/04/2025 provider ordered Warfarin Sodium Oral tablet give 2.5 MG by mouth every Thursday for atrial fibrillation to start on 08/07/2025 which the computer placed as the first dose to be given on the following Thursday. On 08/18/2025 at 3:40 PM, Staff C, RCM/LPN, was asked why Resident 2 did not receive their Warfarin on 08/07/2025 and 08/08/2025.

Staff C said, Resident 2 had orders for Warfarin 5mg one time a day on Monday, Tuesday, Wednesday, Friday, Saturday, and Sunday with a start date of 08/04/2025 which was discontinued on 08/07/2025 and an order dated 08/04/2025 to start on 08/07/2025 (Thursday) for Warfarin 2.5 MG one time a day every Thursday at 1700.

This order was discontinued on 08/07/2025 at 11:39 AM.

Staff C said, it looks like Warfarin was held on 08/08/2025.

Staff C said, Resident 2 should have received the Warfarin on 08/07/2025.On 08/18/2025 at 4:03 PM, Staff A, Director of Nursing Services (DNS)/RN said, Resident 3 had an order for Rivaroxaban that was discontinued in error.

Staff A said, the Rivaroxaban order should not have been discontinued, and Resident 3 should have continued to receive it daily.

Staff A said, Staff B had reported to Staff A the discrepancy in the Warfarin order for Resident 1 and immediately did an audit for all anticoagulants to ensure accuracy.

Staff A said, the Warfarin order for Resident 1 was placed incorrectly into the eMAR resulting in the resident missing five doses of Warfarin on the dates of 08/13/2025, 08/14/2025, 08/15/2025, 08/16/2025, and 08/17/2025.

Staff A said, the Warfarin order for Resident 2 was discontinued prior to the dose that was to be administered on 08/07/2025 preventing the resident from getting the dose for that day.

Staff A said she was not aware of a policy for order reconciliation.Reference: WAC 388-97-1060(3)(k)(iii).

Facility ID:

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 GIG HARBOR, WA, (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 COTTESMORE OF LIFE CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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