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Deficiency Records for Caldwell Care of Cascadia
A list of the most recent deficiencies for Caldwell Care of Cascadia. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Caldwell Care of Cascadia. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-10-11 | 2024-11-13 | Y |
| 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. | Health | 2024-10-11 | 2024-11-13 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-11 | 2024-11-13 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-11 | 2024-11-13 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-11 | 2024-11-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-11 | 2024-11-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-11 | 2024-11-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-11 | 2024-11-13 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-10-11 | 2024-11-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-11 | 2024-11-13 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-10-11 | 2024-11-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-10-11 | 2024-11-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-11 | 2024-10-11 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-13 | 2024-02-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-13 | 2024-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-13 | 2024-02-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-15 | 2023-02-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-15 | 2023-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-15 | 2023-01-17 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-12-15 | 2022-12-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-18 | 2019-11-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-21 | 2019-07-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-21 | 2019-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-21 | 2019-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-21 | 2019-07-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-29 | 2018-10-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-29 | 2018-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-29 | 2018-10-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-29 | 2018-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-29 | 2018-10-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-29 | 2018-10-25 | N |
| 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. | Health | 2018-06-29 | 2018-10-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-29 | 2018-08-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-06-29 | 2018-08-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-29 | 2018-08-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-29 | 2018-08-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-29 | 2018-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide appropriate foot care. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-06-29 | 2018-08-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-29 | 2018-08-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-06-29 | 2018-08-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-25 | 2018-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-25 | 2018-05-22 | N |
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