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Deficiency Records for Wellspring Health and Rehabilitation of Cascadia

A list of the most recent deficiencies for Wellspring 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 Wellspring 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?
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-07-26 2024-08-27 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-26 2024-08-27 Y
Respond appropriately to all alleged violations. Health 2024-07-26 2024-08-27 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-26 2024-08-27 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-07-26 2024-08-27 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-07-26 2024-08-27 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-26 2024-08-27 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-26 2024-08-27 Y
Provide and implement an infection prevention and control program. Health 2024-07-26 2024-08-27 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-07-26 2024-08-27 Y
Keep all essential equipment working safely. Health 2024-07-26 2024-08-27 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-11-15 2019-12-18 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 2019-11-15 2019-12-18 N
Provide activities to meet all resident's needs. Health 2019-11-15 2019-12-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-11-15 2019-12-18 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-11-15 2019-12-18 N
Post nurse staffing information every day. Health 2019-11-15 2019-12-18 N
Provide and implement an infection prevention and control program. Health 2019-11-15 2019-12-18 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-09-04 2019-10-07 N
Provide emergency officials' contact information. Fire Safety 2019-09-04 2019-10-07 N
Establish staff and initial training requirements. Fire Safety 2019-09-04 2019-10-07 N
Meet other general requirements. Fire Safety 2019-09-04 2019-10-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-04 2019-10-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-09-04 2019-10-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-09-04 2019-10-07 N
Have proper medical gas storage and administration areas. Fire Safety 2019-09-04 2019-10-07 N
Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. Fire Safety 2019-09-04 2019-10-07 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2019-03-01 2019-04-05 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 2019-03-01 2019-04-05 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 2019-03-01 2019-04-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-03-01 2019-04-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-03-01 2019-04-05 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2019-03-01 2019-04-05 N
Provide and implement an infection prevention and control program. Health 2019-03-01 2019-04-05 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-03-01 2019-04-05 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-02-12 2019-03-27 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2019-02-12 2019-03-15 N
Establish emergency prep training and testing. Fire Safety 2019-02-12 2019-03-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-02-12 2019-03-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-02-12 2019-03-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-02-12 2019-03-15 N

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