Deficiency Records for Lewiston Transitional Care of Cascadia
Updated as of April 01, 2024
A list of the most recent deficiencies for Lewiston Transitional 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? |
|---|---|---|---|---|
| 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 | 2020-01-09 | 2020-02-13 | 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 | 2020-01-09 | 2020-02-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-09 | 2020-02-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-09 | 2020-02-13 | 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 | 2020-01-09 | 2020-02-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-09 | 2020-02-13 | 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 | 2020-01-09 | 2020-02-13 | N |
| Post nurse staffing information every day. | Health | 2020-01-09 | 2020-02-13 | 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 | 2020-01-09 | 2020-02-13 | 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 | 2020-01-09 | 2020-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-04 | 2020-01-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-04 | 2020-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-04 | 2020-01-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-04 | 2020-01-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-04 | 2020-01-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-04 | 2020-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-04 | 2020-01-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-04 | 2020-01-27 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-07-27 | 2018-09-26 | 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 | 2018-07-27 | 2018-09-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-27 | 2018-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-27 | 2018-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-27 | 2018-09-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-27 | 2018-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-27 | 2018-09-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-07-27 | 2018-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-27 | 2018-09-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-27 | 2018-09-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-27 | 2018-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-27 | 2018-09-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Meet other general requirements. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-12-12 | 2018-02-09 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-22 | 2016-10-27 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-09-22 | 2016-10-27 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-09-22 | 2016-10-27 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-09-22 | 2016-10-27 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2015-10-27 | 2015-11-25 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-27 | 2015-11-25 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-10-27 | 2015-11-25 | N |
| Portable fire extinguishers. | Fire Safety | 2015-10-27 | 2015-11-25 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-10-27 | 2015-11-25 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-27 | 2015-11-25 | N |
