A list of the most recent deficiencies for Cherry Ridge 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-12 | 2021-08-16 | 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 | 2021-07-12 | 2021-08-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-07-12 | 2021-08-16 | 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 | 2021-07-12 | 2021-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-12 | 2021-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-12 | 2021-08-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-12 | 2021-08-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-12 | 2021-08-16 | N |
| 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 | 2021-07-12 | 2021-08-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-08-31 | 2020-10-16 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-08-31 | 2020-10-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-08-31 | 2020-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-31 | 2020-10-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-08-31 | 2020-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-31 | 2020-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-08-31 | 2020-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-27 | 2018-11-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-27 | 2018-11-12 | 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 | 2018-09-27 | 2018-11-12 | 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 | 2018-09-27 | 2018-11-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-27 | 2018-11-12 | 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 | 2018-09-27 | 2018-11-12 | 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 | 2018-09-27 | 2018-11-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-27 | 2018-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-27 | 2018-11-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-24 | 2018-05-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-04-24 | 2018-05-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-24 | 2018-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-24 | 2018-05-31 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-06-02 | 2017-06-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-02 | 2017-06-21 | N |
| Use approved construction type or materials. | Fire Safety | 2017-02-17 | 2017-03-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-02-17 | 2017-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-02-17 | 2017-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-17 | 2017-03-22 | N |
