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Deficiency Records for Cascades at Galveston

A list of the most recent deficiencies for Cascades at Galveston. 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 Cascades at Galveston. 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?
Ensure that residents are free from significant medication errors. Health 2024-05-17 2024-05-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-05-17 2024-05-24 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-03-29 2024-05-01 N
Assess the resident when there is a significant change in condition Health 2024-03-29 2024-05-01 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-03-29 2024-05-01 N
Ensure each resident receives an accurate assessment. Health 2024-03-29 2024-05-01 N
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 2024-03-29 2024-05-01 N
Ensure medication error rates are not 5 percent or greater. Health 2024-03-29 2024-05-01 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-03-29 2024-05-01 Y
Hire a qualified full-time social worker in a facility with more than 120 beds. Health 2024-03-29 2024-05-01 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-03-26 2024-04-23 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-03-26 2024-04-19 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-03-26 2024-04-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-03-26 2024-04-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-26 2024-04-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-03-08 2024-03-13 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-28 2023-11-27 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-10-28 2023-11-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-28 2023-10-30 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-09-28 2023-10-30 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-16 2023-05-17 Y
Honor the resident's right to manage his or her financial affairs. Health 2023-01-27 2023-02-20 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 2023-01-27 2023-02-20 Y
Ensure each resident receives an accurate assessment. Health 2023-01-27 2023-02-20 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-01-27 2023-02-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-27 2023-02-20 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 2023-01-27 2023-02-20 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-01-27 2023-02-20 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-01-27 2023-02-20 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-24 2023-02-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-24 2023-02-20 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-03-11 2022-04-15 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-03-11 2022-04-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-11 2022-04-15 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-03-11 2022-04-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-15 2022-03-25 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-02-15 2022-03-25 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-15 2022-03-25 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-10-26 2021-11-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-10-26 2021-11-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-10-26 2021-11-15 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 2021-10-05 2021-11-01 Y
Ensure that residents are free from significant medication errors. Health 2021-10-05 2021-11-01 Y

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