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Deficiency Records for Snohomish of Cascadia, LLC
A list of the most recent deficiencies for Snohomish of Cascadia, LLC. 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 Snohomish of Cascadia, LLC. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-05-01 | 2024-05-22 | 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 | 2024-05-01 | 2024-05-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-01 | 2024-05-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-01 | 2024-05-22 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-09 | 2024-05-09 | 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 | 2024-02-09 | 2024-05-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-02-09 | 2024-05-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-02-09 | 2024-05-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-09 | 2024-05-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-09 | 2024-05-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-09 | 2024-05-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-09 | 2024-05-09 | 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 | 2024-02-09 | 2024-05-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-09 | 2024-05-09 | 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 | 2024-02-09 | 2024-05-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-09 | 2024-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-05-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-09 | 2024-05-09 | 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 | 2024-02-09 | 2024-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-05 | 2024-05-01 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-20 | 2024-04-15 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Have enough space near smoke barriers to protect residents. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-05 | 2024-03-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-12 | 2024-01-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-08 | 2023-12-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-08 | 2023-12-08 | Y |
| 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 | 2023-11-08 | 2023-12-08 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-08 | 2023-12-08 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-17 | 2023-08-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-17 | 2023-08-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-12 | 2023-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-12 | 2023-08-16 | Y |
| 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 | 2023-07-12 | 2023-08-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-12 | 2023-08-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-24 | 2023-06-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-06-29 | 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 | 2023-03-24 | 2023-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-24 | 2023-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-24 | 2023-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-24 | 2023-04-24 | 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 | 2023-03-24 | 2023-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-24 | 2023-04-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-24 | 2023-04-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-24 | 2023-04-24 | 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 | 2023-03-24 | 2023-04-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-04-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Develop a communication plan. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-03-21 | 2023-04-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-21 | 2023-04-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-21 | 2023-04-12 | 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 | 2022-09-13 | 2022-10-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-13 | 2022-10-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-05 | 2022-05-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-05 | 2022-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-05 | 2022-05-18 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-14 | 2020-03-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-14 | 2020-03-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-14 | 2020-03-13 | 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 | 2019-12-14 | 2020-03-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-14 | 2020-03-13 | 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 | 2019-12-14 | 2020-03-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-14 | 2020-03-13 | 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 | 2019-12-14 | 2020-03-13 | N |
| Post nurse staffing information every day. | Health | 2019-12-14 | 2020-03-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-14 | 2020-03-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-14 | 2020-03-13 | 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 | 2019-12-14 | 2020-03-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-14 | 2020-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-14 | 2020-03-13 | N |
| Dispose of garbage and refuse properly. | Health | 2019-12-14 | 2020-03-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-14 | 2020-03-13 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-12-14 | 2020-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-14 | 2020-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-09 | 2020-01-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-09 | 2020-01-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-09 | 2020-01-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-09 | 2020-01-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-09 | 2020-01-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-09 | 2020-01-12 | N |
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