Deficiency Records for Canyon West of Cascadia, LLC Dba Canyon West of Ca
Updated as of April 01, 2024
A list of the most recent deficiencies for Canyon West of Cascadia, LLC Dba Canyon West of Ca. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-24 | 2021-11-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-24 | 2021-11-02 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-24 | 2021-11-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-24 | 2021-11-02 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-09-24 | 2021-11-02 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-24 | 2021-11-02 | Y |
| Report COVID19 data to residents and families. | Health | 2021-09-24 | 2021-11-02 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-09-24 | 2021-11-02 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-07 | 2021-01-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-21 | 2020-10-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-21 | 2020-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-21 | 2020-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-21 | 2020-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-21 | 2020-10-15 | 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 | 2020-02-21 | 2020-10-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-05 | 2019-10-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-05 | 2019-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-10-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-05 | 2019-10-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-05 | 2019-10-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-13 | 2018-09-04 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-07-13 | 2018-09-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-07-13 | 2018-08-30 | 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 | 2018-07-13 | 2018-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-13 | 2018-08-30 | 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 | 2018-07-13 | 2018-08-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-07-13 | 2018-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-13 | 2018-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-13 | 2018-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-13 | 2018-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-13 | 2018-08-30 | 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 | 2018-07-13 | 2018-08-30 | 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 | 2018-07-13 | 2018-08-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-13 | 2018-08-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-07-13 | 2018-08-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-07-13 | 2018-08-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-07-13 | 2018-08-30 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-07-13 | 2018-08-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-13 | 2018-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-13 | 2018-08-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-13 | 2018-08-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-07-13 | 2018-08-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-23 | 2018-08-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-23 | 2018-08-14 | N |
