Most Recent Deficiencies for CLEARWATER OF CASCADIA

Updated as of August 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Address patient/client population and determine types of services needed. 2018-04-11
Include a process for Emergency Preparedness collaboration. 2018-04-11
Establish procedures for tracking staff and patients during an emergency. 2018-04-11
Establish policies and procedures for sheltering. 2018-04-11
List the names and contact information of those in the facility. 2018-04-11
Establish methods for sharing information. 2018-04-11
Provide a means of sharing information on occupancy/needs. 2018-04-11
Use approved construction type or materials. 2018-04-11
Install emergency lighting that can last at least 1 1/2 hours. 2018-04-11
Inspect, test, and maintain automatic sprinkler systems. 2018-04-11
Install smoke barrier doors that can resist smoke for at least 20 minutes. 2018-04-11
Meet other general requirements that are deficient. 2018-04-11
Have a battery powered remote alarm panel in a location accessible by operating personnel. 2018-04-11
Have proper medical gas storage and administration areas. 2018-04-11
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. 2018-04-11
Use approved construction type or materials. 2016-12-05
Meet other general requirements. 2016-12-05
Have properly installed hallway dispensers for alcohol-based hand rub. 2016-12-05
Inspect, test, and maintain automatic sprinkler systems. 2016-12-05
Have proper medical gas storage and administration areas. 2016-12-05
Proper stairway enclosures and vertical shafts. 2015-12-03
An approved installation, maintenance and testing program for fire alarm systems. 2015-12-03
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. 2019-02-15
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 2019-02-15
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. 2019-02-15
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. 2019-02-15
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2019-02-15
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 2019-02-15
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 2019-02-15
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2019-02-15
Provide or get specialized rehabilitative services as required for a resident. 2019-02-15
Develop and implement policies and procedures for flu and pneumonia vaccinations. 2019-02-15
Provide enough food/fluids to maintain a resident's health. 2019-02-15
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 2017-08-28
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. 2017-08-28
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. 2017-08-28
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2017-08-28
Allow residents the right to participate in the planning or revision of care and treatment. 2017-08-28
Ensure services provided by the nursing facility meet professional standards of quality. 2017-08-28
Provide necessary care and services to maintain or improve the highest well being of each resident . 2017-08-28
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 2017-08-28
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 2017-08-28
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. 2017-08-28
Store, cook, and serve food in a safe and clean way. 2017-08-28
Have a program that investigates, controls and keeps infection from spreading. 2017-08-28
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 2017-08-28
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . 2017-08-28
Ensure that all full-time nurse aides employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements. 2017-08-28
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 2017-08-28
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 2017-08-28
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 2016-06-10
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 2016-06-10
Keep each resident free from drugs that restrain them, unless needed for medical treatment. 2016-06-10
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 2016-06-10
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. 2016-06-10
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 2016-06-10
Reasonably accommodate the needs and preferences of each resident. 2016-06-10
Conduct initial and periodic assessments of each resident's functional capacity. 2016-06-10
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2016-06-10
Allow residents the right to participate in the planning or revision of care and treatment. 2016-06-10
Provide necessary care and services to maintain or improve the highest well being of each resident . 2016-06-10
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 2016-06-10
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. 2016-06-10
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 2016-06-10
Ensure residents maintain acceptable nutritional status. 2016-06-10
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. 2016-06-10
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 2016-06-10
Have a program that investigates, controls and keeps infection from spreading. 2016-06-10
Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. 2016-06-10