Cottonwood plan is returned for more work |

Cottonwood plan is returned for more work

Andy Bourelle

A “portion” of Cottonwood Care Center’s plan of correction submitted to the Nevada Bureau of Licensure and Certification has been returned as unacceptable.

According to Richard Panelli, acting bureau chief for the Bureau of Licensure and Certification, it is common for parts of a long-term care facility’s correction plan to be considered unacceptable and returned.

“This is not unusual,” he said. “More than half of the plan of corrections we get back are lacking pieces and require modification.”

Cottonwood failed its annual licensure inspection in May, and in August the bureau did a follow-up survey which found Cottonwood still was not in substantial compliance with state regulations. The submitted plan of correction was a result of the August survey.

Since the May inspection, Cottonwood has been subjected to a ban on admissions, which will not be lifted until the facility is found to be in substantial compliance with state regulations.

Cottonwood was given 10 days to return the plan, and David Holmberg, administrator of Cottonwood, said it has been corrected and sent back.

Holmberg’s company Premier Care Health Services took over Cottonwood’s management from Carson-Tahoe Hospital after the first survey was done.

The original plan of correction stated Cottonwood would be ready for another survey by Sept. 30. Holmberg said the date has not changed.

If Cottonwood still is not in substantial compliance at that time, Panelli said he thought the federal Health Care Financing Administration would take action to revoke the facility’s license.

“This is basically their last opportunity to make a correction,” Panelli said. “It’s the last chance, the last opportunity, that they will be afforded.”

Holmberg said Cottonwood will be ready for the follow-up survey.

The return of the correction plan is not unusual for long-term care facilities in this situation, Holmberg said.

“It’s not a big deal, it happens all the time,” Holmberg said. “It’s not an infrequent thing for them to send the plan of correction back saying do this, do this, do this, do this.”

According to federal and state regulations, an acceptable plan of correction must answer several questions surrounding each deficiency. The plan of correction must:

n Address how the facility’s system problem which leads to the deficiency will be corrected;

n Explain the exact method which will be used to correct the deficiency;

n Include measures to prevent a reoccurrence of the problem;

n Indicate the responsible party for accomplishing the corrective action;

n And include the anticipated date the deficiency will be corrected by, which cannot exceed 60 days.

Panelli said the facility must address all these criteria for each deficiency cited in order for the plan of correction to be considered acceptable.

“What the state wanted,” Holmberg said, “is to see more detail.”

If the plan of correction is considered acceptable, the Bureau of Licensure and Certification will schedule another survey of Cottonwood after Sept. 30.

“Once they’ve got an acceptable plan of correction,” Panelli said, “we’ll do a follow-up survey to check again to see how they are doing, to verify they are in compliance with all regulations.”