Deficiency Records for Royal Plaza Health and Rehabilitation of Cascadia
Updated as of March 01, 2024
A list of the most recent deficiencies for Royal Plaza 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 | 2022-06-30 | 2022-07-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-24 | 2021-11-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-04 | 2021-11-19 | Y |
| 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 | 2021-07-24 | 2021-09-20 | 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 | 2021-07-24 | 2021-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-24 | 2021-09-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-07-24 | 2021-09-20 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-07-24 | 2021-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-24 | 2021-09-20 | 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 | 2021-07-24 | 2021-09-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-24 | 2021-09-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-24 | 2021-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-24 | 2021-09-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-24 | 2021-09-20 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-07-24 | 2021-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-24 | 2021-09-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-02-25 | 2021-05-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-02-25 | 2021-05-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-02-25 | 2021-05-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-25 | 2021-05-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-25 | 2021-05-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-25 | 2021-05-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-02-25 | 2021-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-25 | 2021-05-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-18 | 2019-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-20 | N |
| Meet other general requirements. | Fire Safety | 2018-11-27 | 2019-01-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-27 | 2019-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-27 | 2019-01-03 | N |
| Have an externally vented heating system. | Fire Safety | 2018-11-27 | 2019-01-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-27 | 2019-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-27 | 2019-01-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-29 | 2018-07-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-29 | 2018-07-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-06-29 | 2018-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-29 | 2018-07-31 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-06-29 | 2018-07-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-29 | 2018-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-29 | 2018-07-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-29 | 2018-07-31 | N |
| Meet other general requirements. | Fire Safety | 2017-10-25 | 2017-12-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-10-25 | 2017-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-25 | 2017-12-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-25 | 2017-12-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-10-25 | 2017-12-13 | N |
