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Deficiency Records for Cascade Terrace Post Acute
A list of the most recent deficiencies for Cascade Terrace Post Acute. 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 Terrace Post Acute. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-03-26 | 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 | 2024-01-31 | 2024-03-26 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-31 | 2024-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | 2024-02-28 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-31 | 2024-02-16 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-31 | 2024-02-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-31 | 2024-02-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-31 | 2024-02-16 | 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 | 2024-01-31 | 2024-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-31 | 2024-02-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-31 | 2024-02-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-31 | 2024-02-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-31 | 2024-02-16 | 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 | 2024-01-31 | 2024-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-31 | 2024-02-16 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-31 | 2024-02-16 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-01-31 | 2024-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-31 | 2024-02-16 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-31 | 2024-02-16 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-31 | 2024-02-16 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-01-31 | 2024-02-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-31 | 2024-01-31 | Y |
| Post nurse staffing information every day. | Health | 2022-12-16 | 2023-01-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-16 | 2023-01-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-16 | 2023-01-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-14 | 2023-01-18 | 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 | 2022-12-14 | 2023-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-14 | 2023-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-14 | 2023-01-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-14 | 2023-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-14 | 2023-01-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-14 | 2023-01-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-14 | 2023-01-18 | N |
| Meet other general requirements. | Fire Safety | 2022-12-14 | 2023-01-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-16 | 2022-12-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-18 | 2022-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-04 | 2019-01-15 | 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 | 2018-12-04 | 2019-01-15 | 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 | 2018-12-04 | 2019-01-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-04 | 2019-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-04 | 2019-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-04 | 2019-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-04 | 2019-01-15 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-04 | 2019-01-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-04 | 2019-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-04 | 2019-01-15 | 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 | 2018-12-04 | 2019-01-15 | 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 | 2018-12-04 | 2019-01-15 | N |
| Provide or obtain dental services for each resident. | Health | 2018-12-04 | 2019-01-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-04 | 2019-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-04 | 2019-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2019-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-27 | 2019-01-15 | N |
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