Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

COTTAGE GROVE POST ACUTE

COTTAGE GROVE, OR · 80 certified beds · Last Life Safety survey June 27, 2025

CMS Certification Number 385152 · first certified June 1982

Ownership

Operated by PACS GROUP · For profit - Corporation

  • Ownership changed September 1, 2024 (change of ownership)from COAST FORK NURSING CENTER INC
5
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within OR

5 citations — more than 9% of the 128 certified nursing homes in OR. Compared within OR rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026. This facility’s last Life Safety survey was June 2025. Facilities in OR are typically surveyed 15–17 months after the last one (median 16), measured over 188 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 5 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in OR, and nationally. Surveyors differ markedly between states, so the OR figure is the meaningful one.

This facility5OR median11National median11
Citations on file over three years, compared
MeasureCitations
This facility5
Median facility in OR11
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-1142024-0312025-06
Citations at each Life Safety survey
Survey dateCitations
November 18, 20220
March 8, 20244
June 27, 20251

Most-cited tags

Most-cited tags at this facility
K-03741K-03241K-02231K-07611K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-03-08
K-0324Provide properly protected cooking facilities.12024-03-08
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12024-03-08
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-06-27
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-03-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Egress Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Miscellaneous Deficiencies1
Egress Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 27, 2025 — 1 citation

Citations issued on June 27, 2025
TagWhat the surveyor checksStatus
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 21, 2025)

March 8, 2024 — 4 citations

Citations issued on March 8, 2024
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 1, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 1, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 1, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 1, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.