A list of the most recent deficiencies for The Cove 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-07-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-29 | 2023-07-19 | 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 | 2023-06-29 | 2023-07-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-29 | 2023-07-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-07-19 | Y |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-06-29 | 2023-07-19 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-01-18 | 2019-02-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-18 | 2019-02-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-18 | 2019-02-26 | 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 | 2019-01-18 | 2019-02-26 | 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 | 2019-01-18 | 2019-02-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-01-18 | 2019-02-26 | N |
| Meet other general requirements. | Fire Safety | 2018-02-06 | 2018-03-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-02-06 | 2018-03-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-06 | 2018-03-26 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-06 | 2018-03-09 | N |
| Use approved construction type or materials. | Fire Safety | 2018-02-06 | 2018-03-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-06 | 2018-03-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-06 | 2018-03-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-06 | 2018-03-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-06 | 2018-03-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-02-06 | 2018-03-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-28 | 2017-10-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-28 | 2017-10-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-28 | 2017-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-28 | 2017-10-20 | 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 | 2017-07-28 | 2017-10-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-28 | 2017-10-20 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-07-28 | 2017-10-20 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-07-28 | 2017-10-20 | N |
| Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. | Health | 2017-07-28 | 2017-10-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-28 | 2017-10-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-28 | 2017-10-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-28 | 2017-10-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-11-08 | 2016-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-08 | 2016-12-20 | N |
| Have an externally vented heating system. | Fire Safety | 2016-11-08 | 2016-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-11-08 | 2016-12-20 | N |
