A list of the most recent deficiencies for The Orchards 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? |
|---|---|---|---|---|
| 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 | 2022-09-12 | 2022-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-12 | 2022-10-07 | Y |
| Provide appropriate foot care. | Health | 2022-09-12 | 2022-10-07 | Y |
| 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 | 2019-02-15 | 2019-04-05 | 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 | 2019-02-15 | 2019-04-05 | 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 | 2019-02-15 | 2019-04-05 | 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 | 2019-02-15 | 2019-04-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-15 | 2019-04-05 | 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 | 2019-02-15 | 2019-04-05 | 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 | 2019-02-15 | 2019-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-15 | 2019-04-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-15 | 2019-04-05 | N |
| Provide appropriate foot care. | Health | 2019-02-15 | 2019-04-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-15 | 2019-04-05 | 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 | 2019-02-15 | 2019-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-15 | 2019-04-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-12 | 2019-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-12 | 2019-01-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-12 | 2019-01-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-12 | 2019-01-18 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-09-07 | 2017-10-12 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2017-09-07 | 2017-10-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-07 | 2017-10-12 | N |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2017-09-07 | 2017-10-12 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-09-07 | 2017-10-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-07 | 2017-10-12 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-07 | 2017-10-12 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-09-15 | 2016-10-31 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-09-15 | 2016-10-31 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-09-15 | 2016-10-31 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2016-06-10 | 2016-07-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-10 | 2016-07-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-06-10 | 2016-07-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-10 | 2016-07-20 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-06-10 | 2016-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-10 | 2016-07-20 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-06-10 | 2016-07-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-10 | 2016-07-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-10 | 2016-07-20 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-06-10 | 2016-07-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-10-01 | 2015-10-30 | N |
| Portable fire extinguishers. | Fire Safety | 2015-10-01 | 2015-10-30 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-10-01 | 2015-10-30 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2015-10-01 | 2015-10-30 | N |
