A list of the most recent deficiencies for Arbor Valley 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 | 2022-12-02 | 2023-01-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-02 | 2023-01-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-02 | 2023-01-04 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-03-08 | 2022-04-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-08 | 2022-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-08 | 2022-03-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-08 | 2022-03-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-08-20 | 2021-09-27 | Y |
| 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 | 2021-08-20 | 2021-09-27 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-20 | 2021-09-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-20 | 2021-09-27 | Y |
| 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 | 2021-08-20 | 2021-09-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-20 | 2021-09-27 | 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 | 2021-08-20 | 2021-09-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-20 | 2021-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-20 | 2021-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-20 | 2021-09-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-20 | 2021-09-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-20 | 2021-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-20 | 2021-09-27 | 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 | 2021-08-20 | 2021-09-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-02 | 2021-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-02 | 2021-04-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-02 | 2021-04-14 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-03-02 | 2021-03-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-02 | 2021-03-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-02 | 2021-03-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-03-02 | 2021-03-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-21 | 2020-03-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-21 | 2020-03-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-21 | 2020-03-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-21 | 2020-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-21 | 2020-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-21 | 2020-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-21 | 2020-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-21 | 2020-03-18 | N |
