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Deficiency Records for Highland Health and Rehabilitation of Cascadia
A list of the most recent deficiencies for Highland 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 Highland 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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-07 | 2024-09-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-01 | 2024-09-10 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-07-30 | 2024-09-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-07-30 | 2024-09-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-30 | 2024-09-10 | 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 | 2024-07-30 | 2024-09-10 | 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 | 2024-07-30 | 2024-09-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-30 | 2024-09-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-30 | 2024-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-30 | 2024-09-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-30 | 2024-09-10 | 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 | 2024-07-30 | 2024-09-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Establish methods for sharing information. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-30 | 2024-08-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-29 | 2024-05-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-29 | 2024-05-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-29 | 2024-05-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-12 | 2024-03-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-09 | 2023-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-22 | 2023-12-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-19 | 2023-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-19 | 2023-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-28 | 2023-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-28 | 2023-08-30 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-07-27 | 2023-08-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-07-27 | 2023-08-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-27 | 2023-08-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-27 | 2023-08-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Develop a communication plan. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-27 | 2023-08-16 | 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 | 2022-06-21 | 2022-09-15 | 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 | 2022-06-21 | 2022-08-10 | 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 | 2022-06-21 | 2022-08-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-21 | 2022-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-21 | 2022-08-10 | 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 | 2022-06-21 | 2022-08-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-21 | 2022-08-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-21 | 2022-08-10 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-06-21 | 2022-08-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-06-21 | 2022-08-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-21 | 2022-08-10 | 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 | 2022-06-21 | 2022-08-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-21 | 2022-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-21 | 2022-07-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-06-21 | 2022-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-11 | 2022-06-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-12 | 2022-05-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-12 | 2022-05-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-15 | 2021-12-03 | Y |
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