Deficiency Records for Clearwater Health and Rehabilitation of Cascadia
Updated as of April 01, 2024
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 |
