A list of the most recent deficiencies for Caldwell Care of Cascadia. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-15 | 2023-02-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-15 | 2023-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-15 | 2023-01-17 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-12-15 | 2022-12-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-18 | 2019-11-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-21 | 2019-07-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-21 | 2019-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-21 | 2019-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-21 | 2019-07-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-29 | 2018-10-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-29 | 2018-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-29 | 2018-10-25 | 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 | 2018-06-29 | 2018-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-29 | 2018-10-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-29 | 2018-10-25 | 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 | 2018-06-29 | 2018-10-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-29 | 2018-08-22 | 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 | 2018-06-29 | 2018-08-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-29 | 2018-08-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-29 | 2018-08-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-29 | 2018-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide appropriate foot care. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-06-29 | 2018-08-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-29 | 2018-08-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-29 | 2018-08-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-06-29 | 2018-08-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-25 | 2018-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-25 | 2018-05-22 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-12-02 | 2017-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-02 | 2017-03-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-12-02 | 2017-01-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-02 | 2017-01-17 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-02 | 2017-01-17 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-12-02 | 2017-01-17 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-12-02 | 2017-01-17 | N |
| Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. | Health | 2016-12-02 | 2017-01-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-02 | 2017-01-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-02 | 2017-01-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-12-02 | 2017-01-17 | N |
