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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 29 Google reviews
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Monument Healthcare Cottonwood Creek has a middle-range Medicare overall rating. Strengths include compassionate, dedicated nursing staff. Some reviewers note concerns about neglect and poor hygiene in memory care (mentioned by 2 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Monument Healthcare Cottonwood Creek (formerly Willow Wood) receives highly polarized feedback, with some families praising the dedicated, compassionate staff while others report severe neglect and poor communication. While the facility is frequently described as older, many reviewers emphasize that the quality of care provided by the staff outweighs the building's aesthetic limitations. However, critical reports of medication mismanagement, hygiene issues, and inadequate supervision in the memory care unit are significant concerns for prospective families.
Quality Themes
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Concerns
Rating Trends
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Distribution · 34 analyzed
This facility responds to some reviews.
Personalized based on this facility's data
Key Review Excerpts
“My dad is left wet and his mattress is socking wet to the point it has urine dripping. Some of the staff are amazing and some could care less”
“The staff here is nothing short of amazing. My mom is currently spending her final days in the dementia unit and she requires a lot of extra attention. The staff does an incredible job going the extra mile for her.”
“I did not receive my pain medication as ordered by my doctor they kept telling me I had to wait 3 more hours every time I asked after waiting 3 hours I had to wait 3 more hours.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
3
measures
4
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Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents who fell and were seriously hurt
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Monument Healthcare has recurring safety and care issues spanning three surveys, with families filing complaints about resident protection. The facility shows persistent problems with accident prevention and safety hazards, medication management, and infection control across all inspection periods from 2019 to 2024. While the facility corrects deficiencies when cited, the pattern of repeated violations in critical areas like safety supervision and pharmaceutical services suggests ongoing operational challenges that families should carefully consider.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor 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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Federal Penalties
Fine
Apr 4, 2024
$17,940
Monument Healthcare Cottonwood Creek
for profit
Monument Health Group
11 facilities nationwide
Chain avg rating: 3.3/5 · Rank 13 of 14 (Lowest rating)
Key personnel
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Medicare Care Compare
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