Deficiency Records for Coeur D'alene Health and Rehabilitation of Cascadia
Updated as of March 01, 2024
A list of the most recent deficiencies for Coeur D'alene 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? |
|---|---|---|---|---|
| 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 | 2020-01-24 | 2020-02-24 | 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 | 2020-01-24 | 2020-02-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-24 | 2020-02-24 | 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 | 2020-01-24 | 2020-02-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-24 | 2020-02-24 | 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 | 2020-01-24 | 2020-02-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-24 | 2020-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-24 | 2020-02-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-24 | 2020-02-24 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-01-24 | 2020-02-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-01-24 | 2020-02-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-24 | 2020-02-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-24 | 2020-02-24 | 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 | 2020-01-24 | 2020-02-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-01-24 | 2020-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-25 | 2019-08-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-25 | 2019-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-25 | 2019-07-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-25 | 2019-07-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-14 | 2019-03-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-14 | 2019-03-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-14 | 2019-03-07 | N |
| Respond appropriately to all alleged violations. | Health | 2018-09-14 | 2019-03-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-14 | 2019-03-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-14 | 2019-01-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-14 | 2019-01-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-14 | 2019-01-22 | 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 | 2018-09-14 | 2019-01-22 | 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 | 2018-09-14 | 2018-10-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-14 | 2018-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-14 | 2018-10-30 | 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 | 2018-09-14 | 2018-10-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-09-14 | 2018-10-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-14 | 2018-10-30 | N |
| Provide appropriate foot care. | Health | 2018-09-14 | 2018-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-14 | 2018-10-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-06-19 | 2018-07-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-06-19 | 2018-07-26 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-06-19 | 2018-07-25 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-06-19 | 2018-07-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-23 | 2017-04-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-23 | 2017-04-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-02-07 | 2017-03-17 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-02-07 | 2017-03-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-02-07 | 2017-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-07 | 2017-03-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-02-07 | 2017-03-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-07 | 2017-03-17 | N |
