Deficiency Records for Clearwater Health and Rehabilitation of Cascadia

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Updated as of June 01, 2024

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Deficiency Records for Clearwater Health and Rehabilitation of Cascadia

A list of the most recent deficiencies for Clearwater Health and Rehabilitation of Cascadia. 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 Clearwater Health and Rehabilitation 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-04 2022-04-14 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 2022-02-04 2022-04-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-04 2022-04-14 N
Conduct testing and exercise requirements. Fire Safety 2021-08-17 2021-09-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-17 2021-08-31 N
Establish staff and initial training requirements. Fire Safety 2021-08-17 2021-08-30 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 2021-06-14 2021-07-16 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-06-14 2021-07-16 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-06-14 2021-07-16 Y
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 2021-06-14 2021-07-16 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-06-14 2021-07-16 Y
Provide and implement an infection prevention and control program. Health 2021-06-14 2021-07-16 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-06-14 2021-07-16 Y
Use approved construction type or materials. Fire Safety 2020-10-22 2020-12-07 N
Have an enclosure around a vertical opening shaft. Fire Safety 2020-10-22 2020-12-07 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2020-10-22 2020-12-07 N
Provide properly protected cooking facilities. Fire Safety 2020-10-22 2020-12-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-10-22 2020-12-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-10-22 2020-12-07 N
Have proper medical gas storage and administration areas. Fire Safety 2020-10-22 2020-12-07 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-02-15 2019-04-02 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-02-15 2019-04-02 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 2019-04-02 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 2019-04-02 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 2019-04-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-02-15 2019-04-02 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-02-15 2019-04-02 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 2019-02-15 2019-04-02 N
Provide enough food/fluids to maintain a resident's health. Health 2019-02-15 2019-04-02 N
Provide or get specialized rehabilitative services as required for a resident. Health 2019-02-15 2019-04-02 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-02-15 2019-04-02 N
Address patient/client population and determine types of services needed. Fire Safety 2018-04-11 2018-06-20 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2018-04-11 2018-06-20 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2018-04-11 2018-06-20 N
Establish policies and procedures for sheltering. Fire Safety 2018-04-11 2018-06-20 N
List the names and contact information of those in the facility. Fire Safety 2018-04-11 2018-06-20 N
Establish methods for sharing information. Fire Safety 2018-04-11 2018-06-20 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2018-04-11 2018-06-20 N
Use approved construction type or materials. Fire Safety 2018-04-11 2018-06-20 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-04-11 2018-06-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-04-11 2018-06-20 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-04-11 2018-06-20 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2018-04-11 2018-06-20 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2018-04-11 2018-06-20 N
Have proper medical gas storage and administration areas. Fire Safety 2018-04-11 2018-06-20 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2018-04-11 2018-06-20 N

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