Cottesmore Of Life Care
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.
Inspection Findings
following Thursday. On 08/18/2025 at 3:40 PM, Staff C, RCM/LPN, was asked why Resident 2 did not
Warfarin 5mg one time a day on Monday, Tuesday, Wednesday, Friday, Saturday, and Sunday with a
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).
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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.