Deficiency Records for Silverton Health and Rehabilitation of Cascadia

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Updated as of March 01, 2024

A list of the most recent deficiencies for Silverton 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-04 2023-11-10 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 2023-10-04 2023-11-10 Y
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 2023-10-04 2023-11-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-04 2023-11-10 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-10-04 2023-11-10 Y
Ensure that residents are free from significant medication errors. Health 2023-10-04 2023-11-10 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-04 2023-11-10 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 2021-08-06 2021-12-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-06 2021-12-15 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-08-06 2021-09-14 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 2021-08-06 2021-09-14 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 2021-08-06 2021-09-14 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 2021-08-06 2021-09-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-08-06 2021-09-14 N
Observe each nurse aide's job performance and give regular training. Health 2021-08-06 2021-09-14 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 2021-08-06 2021-09-14 N
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 2021-08-06 2021-09-14 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 2021-08-06 2021-09-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-08-06 2021-09-14 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-08-06 2021-09-14 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2021-08-06 2021-09-14 Y
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 2021-08-06 2021-09-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-06 2021-09-14 Y
Provide and implement an infection prevention and control program. Health 2021-08-06 2021-09-14 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-03-31 2021-04-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-03-31 2021-04-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-03-31 2021-04-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-03-31 2021-04-02 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-03-31 2021-04-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-10-12 2019-01-08 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 2018-10-12 2018-11-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-10-12 2018-11-30 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-10-12 2018-11-30 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2018-10-12 2018-11-30 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2018-10-12 2018-11-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-10-12 2018-11-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-10-12 2018-11-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-10-12 2018-11-30 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-10-12 2018-11-30 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2018-10-12 2018-11-30 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 2018-10-12 2018-11-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-10-12 2018-11-30 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-10-12 2018-11-30 N
Provide and implement an infection prevention and control program. Health 2018-10-12 2018-11-30 N
Implement emergency and standby power systems. Fire Safety 2018-06-20 2018-07-23 N
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Fire Safety 2018-06-20 2018-07-23 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2018-06-20 2018-07-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-06-20 2018-07-23 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-06-20 2018-07-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2018-06-20 2018-07-18 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2018-06-20 2018-07-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-06-20 2018-06-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-06-20 2018-06-28 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2017-05-22 2017-10-04 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2017-05-22 2017-10-04 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-05-22 2017-10-04 N
Protect each resident from mistreatment, neglect and misappropriation of personal property. Health 2017-05-22 2017-08-22 N
Allow residents the right to participate in the planning or revision of care and treatment. Health 2017-05-22 2017-08-22 N
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. Health 2017-05-22 2017-08-22 N
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Health 2017-05-22 2017-08-22 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2017-05-22 2017-08-22 N
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. Health 2017-05-22 2017-08-22 N
Post nurse staffing information/data on a daily basis. Health 2017-05-22 2017-08-22 N
Store, cook, and serve food in a safe and clean way. Health 2017-05-22 2017-08-22 N
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Health 2017-05-22 2017-08-22 N
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Health 2017-05-22 2017-08-22 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-05-22 2017-08-22 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Health 2017-05-22 2017-08-22 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2017-04-19 2017-05-11 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2017-04-19 2017-05-11 N
Provide properly protected cooking facilities. Fire Safety 2017-04-19 2017-05-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2017-04-19 2017-05-11 N
Have proper medical gas storage and administration areas. Fire Safety 2017-04-19 2017-05-11 N