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Deficiency Records for Avamere Rehabilitation of Cascade Park

A list of the most recent deficiencies for Avamere Rehabilitation of Cascade Park. 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 Avamere Rehabilitation of Cascade Park. 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?
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-08 2024-09-13 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-08-09 2024-09-11 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-08-09 2024-09-11 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 2024-08-09 2024-09-11 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 2024-08-09 2024-09-11 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-08-09 2024-09-11 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 2024-08-09 2024-09-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-09 2024-09-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-09 2024-09-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-09 2024-09-11 N
Provide and implement an infection prevention and control program. Health 2024-08-09 2024-09-11 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2024-08-08 2024-09-11 N
Address subsistence needs for staff and patients. Fire Safety 2024-08-08 2024-09-11 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2024-08-08 2024-09-11 N
Provide family notifications of emergency plan. Fire Safety 2024-08-08 2024-09-11 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-08-08 2024-09-11 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 2024-08-08 2024-09-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-08-08 2024-09-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-08 2024-09-11 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-08-08 2024-09-11 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-08-08 2024-09-11 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-08-08 2024-09-11 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-08-08 2024-09-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-08-08 2024-09-11 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-08-08 2024-09-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-08-08 2024-09-11 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 2023-10-10 2023-11-17 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-09-22 2023-11-03 N
Give residents a notice of rights, rules, services and charges. Health 2023-09-22 2023-11-03 N
The resident has the right to receive notices in a format and a language he or she understands. Health 2023-09-22 2023-11-03 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2023-09-22 2023-11-03 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 2023-09-22 2023-11-03 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-09-22 2023-11-03 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 2023-09-22 2023-11-03 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-09-22 2023-11-03 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-09-22 2023-11-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-22 2023-11-03 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2023-09-22 2023-11-03 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-09-19 2023-10-23 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-09-19 2023-10-23 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2023-09-19 2023-10-23 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-09-19 2023-10-23 N
Address subsistence needs for staff and patients. Fire Safety 2023-09-19 2023-10-23 N
Establish policies and procedures including evacuation. Fire Safety 2023-09-19 2023-10-23 N
Establish policies and procedures for medical documentation. Fire Safety 2023-09-19 2023-10-23 N
Provide primary/alternate means for communication. Fire Safety 2023-09-19 2023-10-23 N
Establish methods for sharing information. Fire Safety 2023-09-19 2023-10-23 N
Provide family notifications of emergency plan. Fire Safety 2023-09-19 2023-10-23 N
Conduct testing and exercise requirements. Fire Safety 2023-09-19 2023-10-23 N
Provide properly protected cooking facilities. Fire Safety 2023-09-19 2023-10-23 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-09-19 2023-10-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-19 2023-10-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-09-19 2023-10-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-09-19 2023-10-23 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-09-19 2023-10-23 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 2023-05-24 2023-06-23 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-11-10 2022-12-22 N
Respond appropriately to all alleged violations. Health 2022-11-10 2022-12-22 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-11-10 2022-12-22 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 2022-11-10 2022-12-22 N
Ensure each resident receives an accurate assessment. Health 2022-11-10 2022-12-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-10 2022-12-22 N
Assist a resident in gaining access to vision and hearing services. Health 2022-11-10 2022-12-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-10 2022-12-22 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 2022-11-10 2022-12-22 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 2022-11-10 2022-12-22 N
Provide and implement an infection prevention and control program. Health 2022-11-10 2022-12-22 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-11-09 2022-12-12 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-11-09 2022-12-12 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2022-11-09 2022-12-12 N
List the names and contact information of those in the facility. Fire Safety 2022-11-09 2022-12-12 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-11-09 2022-12-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-09 2022-12-12 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-11-09 2022-12-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-11-09 2022-12-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-11-09 2022-12-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-09 2022-12-12 N
Develop a communication plan. Fire Safety 2022-11-09 2022-11-18 N

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