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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 |
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