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Deficiency Records for Cashmere Post Acute

A list of the most recent deficiencies for Cashmere 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 Cashmere 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?
Give residents a notice of rights, rules, services and charges. Health 2024-08-27 2024-09-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-01 2023-12-21 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-11-15 2023-12-20 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 2023-11-15 2023-12-20 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-11-15 2023-12-20 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-11-15 2023-12-20 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-11-15 2023-12-20 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 2023-11-15 2023-12-20 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 2023-11-15 2023-12-20 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-11-15 2023-12-20 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 2023-11-15 2023-12-20 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 2023-11-15 2023-12-20 N
Provide and implement an infection prevention and control program. Health 2023-11-15 2023-12-20 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-15 2023-12-20 Y
Respond appropriately to all alleged violations. Health 2023-11-15 2023-12-20 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-15 2023-12-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-15 2023-12-20 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-11-06 2023-11-14 N
Conduct testing and exercise requirements. Fire Safety 2023-11-06 2023-11-14 N
Meet other general requirements. Fire Safety 2023-11-06 2023-11-14 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 2023-11-06 2023-11-14 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 2023-11-06 2023-11-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-06 2023-11-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-06 2023-11-14 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-11-06 2023-11-14 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-11-06 2023-11-14 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-06 2023-11-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-11-06 2023-11-14 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-11-06 2023-11-14 N
Respond appropriately to all alleged violations. Health 2022-12-13 2022-12-29 Y
Provide properly protected cooking facilities. Fire Safety 2022-09-28 2022-12-02 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-09-28 2022-12-02 N
Establish emergency prep training and testing. Fire Safety 2022-09-28 2022-11-23 N
Conduct testing and exercise requirements. Fire Safety 2022-09-28 2022-11-23 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 2022-09-28 2022-11-10 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-09-28 2022-11-10 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-09-28 2022-11-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-09-28 2022-11-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-28 2022-11-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-09-28 2022-11-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-09-28 2022-11-10 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-10-06 2022-11-01 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 2022-10-06 2022-11-01 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 2022-10-06 2022-11-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-10-06 2022-11-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-06 2022-11-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-06 2022-11-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-10-06 2022-11-01 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 2022-10-06 2022-11-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-10-06 2022-11-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-06 2022-11-01 N
Provide and implement an infection prevention and control program. Health 2022-10-06 2022-11-01 N
Perform COVID19 testing on residents and staff. Health 2022-10-06 2022-11-01 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-10-06 2022-11-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-09-28 2022-10-17 N
Meet other general requirements. Fire Safety 2022-09-28 2022-10-10 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-09-28 2022-10-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-28 2022-10-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-28 2022-10-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-28 2022-10-10 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-09-28 2022-10-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-09-28 2022-10-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-28 2022-10-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-28 2022-10-10 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-09-28 2022-10-07 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-09-28 2022-10-05 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-11-23 2021-12-23 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-23 2021-12-23 Y
Provide properly protected cooking facilities. Fire Safety 2019-10-29 2019-12-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-10-29 2019-12-23 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2019-10-24 2019-12-02 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-10-24 2019-12-02 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 2019-10-24 2019-12-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-10-24 2019-12-02 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-10-24 2019-12-02 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 2019-10-24 2019-12-02 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 2019-10-24 2019-12-02 N
Implement a program that monitors antibiotic use. Health 2019-10-24 2019-12-02 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-10-24 2019-12-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-29 2019-11-19 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-10-29 2019-11-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-10-29 2019-11-15 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2019-10-29 2019-11-09 N
Provide emergency officials' contact information. Fire Safety 2019-10-29 2019-11-09 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-10-29 2019-11-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-10-29 2019-11-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-10-29 2019-11-09 N

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