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Deficiency Records for Cascade Senior Care Center
A list of the most recent deficiencies for Cascade Senior Care Center. 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 Cascade Senior Care Center. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-13 | 2024-08-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-13 | 2024-07-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-13 | 2024-07-12 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-06-13 | 2024-07-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-13 | 2024-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-13 | 2024-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-13 | 2024-07-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-06-13 | 2024-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-13 | 2024-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-13 | 2024-07-12 | 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 | 2024-06-07 | 2024-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-07 | 2024-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-07 | 2024-07-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-07 | 2024-07-05 | N |
| Meet other general requirements. | Fire Safety | 2024-02-08 | 2024-03-20 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-08 | 2024-03-20 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-08 | 2024-03-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-07 | 2024-03-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-20 | 2023-05-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-21 | 2023-05-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-20 | 2023-04-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-20 | 2023-04-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-21 | 2023-04-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-21 | 2023-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-21 | 2023-04-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-21 | 2023-04-12 | N |
| 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 | 2023-03-21 | 2023-04-12 | 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 | 2023-03-21 | 2023-04-12 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-03-21 | 2023-04-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-03-21 | 2023-04-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-21 | 2023-04-12 | N |
| Report COVID19 data to residents and families. | Health | 2023-03-21 | 2023-04-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-21 | 2023-04-12 | N |
| Have a Compliance and Ethics Program. | Health | 2023-03-21 | 2023-04-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-13 | 2023-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-13 | 2023-03-29 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-13 | 2023-03-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-13 | 2023-03-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-13 | 2023-03-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-13 | 2023-03-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-22 | 2022-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | N |
| 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 | 2022-04-22 | 2022-06-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-04-22 | 2022-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-06-01 | 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 | 2022-04-22 | 2022-06-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-22 | 2022-06-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-22 | 2022-06-01 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-22 | 2022-06-01 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-04-22 | 2022-06-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-22 | 2022-06-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-22 | 2022-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-22 | 2022-06-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-22 | 2022-06-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-22 | 2022-06-01 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-04-22 | 2022-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-06-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-22 | 2022-06-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-04-22 | 2022-06-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-22 | 2022-06-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-22 | 2022-06-01 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-13 | 2022-06-01 | N |
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