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Deficiency Records for Secora Rehabilitation of Cascadia

A list of the most recent deficiencies for Secora 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 Secora 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?
Reasonably accommodate the needs and preferences of each resident. Health 2023-11-17 2023-12-25 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-11-17 2023-12-25 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-11-17 2023-12-25 Y
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2023-11-17 2023-12-25 Y
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 2023-11-17 2023-12-25 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 2023-11-17 2023-12-25 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-17 2023-12-25 Y
Ensure each resident receives an accurate assessment. Health 2023-11-17 2023-12-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-17 2023-12-25 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 2023-11-17 2023-12-25 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-11-17 2023-12-25 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-11-17 2023-12-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-17 2023-12-25 Y
Provide activities to meet all resident's needs. Health 2023-11-17 2023-12-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-17 2023-12-25 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 2023-11-17 2023-12-25 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-17 2023-12-25 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-11-17 2023-12-25 Y
Provide properly protected cooking facilities. Fire Safety 2023-11-20 2023-12-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-11-20 2023-12-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-20 2023-12-25 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-11-20 2023-12-25 N
Have power receptacles that are properly grounded. Fire Safety 2023-11-20 2023-12-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-17 2023-08-14 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-10-10 2022-11-04 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 2022-10-10 2022-11-04 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 2022-10-10 2022-11-04 N
Prepare residents for a safe transfer or discharge from the nursing home. Health 2022-10-10 2022-11-04 N
Provide activities to meet all resident's needs. Health 2022-10-10 2022-11-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-10 2022-11-04 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 2022-10-10 2022-11-04 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-10-10 2022-11-04 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 2022-10-10 2022-11-04 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2022-10-10 2022-11-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-10 2022-11-04 N
Dispose of garbage and refuse properly. Health 2022-10-10 2022-11-04 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 2022-10-06 2022-10-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-06 2022-10-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-10-06 2022-10-31 N
Have proper medical gas storage and administration areas. Fire Safety 2019-08-15 2019-11-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-08-19 2019-10-01 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2019-08-19 2019-10-01 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 2019-08-19 2019-10-01 N
Respond appropriately to all alleged violations. Health 2019-08-19 2019-10-01 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 2019-08-19 2019-10-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-08-19 2019-10-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-08-19 2019-10-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-08-19 2019-10-01 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-08-19 2019-10-01 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 2019-08-19 2019-10-01 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-08-19 2019-10-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-19 2019-10-01 N
Provide and implement an infection prevention and control program. Health 2019-08-19 2019-10-01 N
Conduct testing and exercise requirements. Fire Safety 2019-08-15 2019-10-01 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-08-15 2019-10-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-08-15 2019-10-01 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-08-15 2019-10-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-08-15 2019-10-01 N
Have power receptacles that are properly grounded. Fire Safety 2019-08-15 2019-10-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-08-15 2019-10-01 N

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