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NORRIS SQUARE Inspection Report, Violations & Safety Grade (COTTAGE GROVE, Minnesota)

6993 80TH STREET SOUTH, COTTAGE GROVE, Minnesota 55016

Phone: 6517696650

CMS Overall:5/5

Overview & Bed Count

Certified Beds
72
Avg Residents/Day
46.3
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Washington
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityMinnesota AvgDifference
RN Hours per Resident per Day1.591.08+0.50
Total Nurse Hours per Resident per Day4.984.27+0.71
CMS Staffing Rating5/54.2/5-
Nursing Staff Turnover40.9%42.1%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2025-12-10Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.D – Moderate Harm Potential
2025-12-10Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-12-10Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.D – Moderate Harm Potential
2024-10-24Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2024-10-24Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-11-03Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2023-11-03Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D – Moderate Harm Potential
2023-11-03Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2023-11-03Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-11-03Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2023-11-03Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-11-03Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2023-11-03Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential

Fire Safety Citation History

14 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-10Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2025-12-10Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-10-24Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2024-10-24Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2024-10-24Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-11-03Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-11-03Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-11-03Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2023-11-03Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2023-11-03Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-11-03Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2023-11-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2023-11-03Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2023-11-03Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2023-11-03Payment Denial-16 days starting 2023-11-29

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