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Deficiency Records for Silverton Health and Rehabilitation of Cascadia
A list of the most recent deficiencies for Silverton Health and Rehabilitation 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 Silverton Health and Rehabilitation 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-04 | 2023-11-10 | 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 | 2023-10-04 | 2023-11-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-04 | 2023-11-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-04 | 2023-11-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-04 | 2023-11-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-04 | 2023-11-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-04 | 2023-11-10 | 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 | 2021-08-06 | 2021-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-06 | 2021-12-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-06 | 2021-09-14 | 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 | 2021-08-06 | 2021-09-14 | N |
| 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 | 2021-08-06 | 2021-09-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-08-06 | 2021-09-14 | N |
| 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 | 2021-08-06 | 2021-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-06 | 2021-09-14 | N |
| 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. | Health | 2021-08-06 | 2021-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-06 | 2021-09-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-08-06 | 2021-09-14 | 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 | 2021-08-06 | 2021-09-14 | N |
| 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. | Health | 2021-08-06 | 2021-09-14 | 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 | 2021-08-06 | 2021-09-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-06 | 2021-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-09-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-08-06 | 2021-09-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-31 | 2021-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-31 | 2021-04-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-31 | 2021-04-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-31 | 2021-04-02 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-03-31 | 2021-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-12 | 2019-01-08 | 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 | 2018-10-12 | 2018-11-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-12 | 2018-11-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-12 | 2018-11-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-12 | 2018-11-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-10-12 | 2018-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-12 | 2018-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-12 | 2018-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-12 | 2018-11-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-12 | 2018-11-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-10-12 | 2018-11-30 | 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 | 2018-10-12 | 2018-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-12 | 2018-11-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-12 | 2018-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-12 | 2018-11-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-06-20 | 2018-07-23 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2018-06-20 | 2018-07-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-06-20 | 2018-07-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-20 | 2018-07-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-20 | 2018-07-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-20 | 2018-07-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-20 | 2018-07-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-20 | 2018-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-20 | 2018-06-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-22 | 2017-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-22 | 2017-10-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-22 | 2017-10-04 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-05-22 | 2017-08-22 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-22 | 2017-08-22 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-05-22 | 2017-08-22 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-22 | 2017-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-22 | 2017-08-22 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-22 | 2017-08-22 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-05-22 | 2017-08-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-22 | 2017-08-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-22 | 2017-08-22 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-05-22 | 2017-08-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-22 | 2017-08-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-05-22 | 2017-08-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-19 | 2017-05-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-04-19 | 2017-05-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-19 | 2017-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-19 | 2017-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-19 | 2017-05-11 | N |
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