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Deficiency Records for Mount Ascension Transitional Care of Cascadia

A list of the most recent deficiencies for Mount Ascension Transitional 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 Mount Ascension Transitional 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-21 2024-06-19 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-21 2024-06-19 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-05-21 2024-06-19 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-05-21 2024-06-19 Y
Establish policies and procedures for volunteers. Fire Safety 2024-01-03 2024-02-05 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 2024-01-03 2024-02-05 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-01-03 2024-02-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-03 2024-02-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-03 2024-02-05 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-01-03 2024-02-05 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-01-03 2024-02-05 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 2023-12-21 2024-02-02 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-12-21 2024-01-27 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 2023-12-21 2024-01-27 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-12-21 2024-01-27 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 2023-12-21 2024-01-27 N
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2023-12-21 2024-01-27 N
Ensure medication error rates are not 5 percent or greater. Health 2023-12-21 2024-01-27 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-08 2023-12-06 Y
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2023-11-08 2023-12-06 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-01-05 2023-02-19 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 2023-01-05 2023-02-19 N
Ensure each resident receives an accurate assessment. Health 2023-01-05 2023-02-19 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-01-05 2023-02-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-05 2023-02-19 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-01-05 2023-02-19 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-01-05 2023-02-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-05 2023-02-19 N
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 2023-01-05 2023-02-19 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 2023-01-05 2023-02-19 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-01-05 2023-02-19 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-01-05 2023-02-19 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 2023-01-05 2023-02-19 N
Provide or obtain dental services for each resident. Health 2023-01-05 2023-02-19 N
Provide or get specialized rehabilitative services as required for a resident. Health 2023-01-05 2023-02-19 N
Provide and implement an infection prevention and control program. Health 2023-01-05 2023-02-19 N
Ensure staff are vaccinated for COVID-19 Health 2023-01-05 2023-02-19 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-01-09 2023-02-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-09 2023-02-17 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-01-09 2023-02-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-01-09 2023-02-17 N
Provide a written emergency evacuation plan. Fire Safety 2023-01-09 2023-02-17 N
Have proper medical gas storage and administration areas. Fire Safety 2023-01-09 2023-02-17 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 2021-12-27 2022-02-01 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-12-27 2022-02-01 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-12-27 2022-02-01 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-12-27 2022-02-01 N
Install an approved automatic sprinkler system. Fire Safety 2021-12-27 2022-02-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-27 2022-02-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-12-27 2022-02-01 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-12-27 2022-02-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-12-27 2022-02-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-12-27 2022-02-01 N
Have proper medical gas storage and administration areas. Fire Safety 2021-12-27 2022-02-01 N
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2021-12-22 2022-01-15 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 2021-12-22 2022-01-15 N
Provide and implement an infection prevention and control program. Health 2021-12-22 2022-01-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-22 2022-01-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-22 2021-12-30 Y

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