A list of the most recent deficiencies for Cascadia of Boise. 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? |
---|---|---|---|---|
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-22 | 2023-12-13 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-22 | 2023-11-01 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-22 | 2023-11-01 | 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 | 2023-09-22 | 2023-11-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-22 | 2023-11-01 | Y |
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 | 2023-09-22 | 2023-11-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-11-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-10 | 2021-09-27 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-10 | 2021-09-27 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-10 | 2021-09-27 | Y |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-09-10 | 2021-09-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-11 | 2021-09-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-02 | 2021-09-27 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-06-11 | 2021-08-02 | 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 | 2021-06-11 | 2021-08-02 | 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 | 2021-06-11 | 2021-08-02 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-11 | 2021-08-02 | 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 | 2021-06-11 | 2021-08-02 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-06-11 | 2021-08-02 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-11 | 2021-08-02 | 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 | 2021-06-11 | 2021-08-02 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-11 | 2021-08-02 | Y |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-06-11 | 2021-08-02 | 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 | 2021-04-02 | 2021-08-02 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-13 | 2020-11-20 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-13 | 2020-11-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-13 | 2020-10-15 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-13 | 2020-02-04 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-12-13 | 2020-02-04 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-13 | 2020-02-04 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-12-13 | 2020-02-04 | 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 | 2019-12-13 | 2020-02-04 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-13 | 2020-02-04 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-12-13 | 2020-02-04 | N |
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 | 2019-12-13 | 2020-02-04 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-13 | 2020-02-04 | N |
Respond appropriately to all alleged violations. | Health | 2019-12-13 | 2020-02-04 | 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 | 2019-12-13 | 2020-02-04 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-13 | 2020-02-04 | 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 | 2019-12-13 | 2020-02-04 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-13 | 2020-02-04 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-12-13 | 2020-02-04 | 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 | 2019-12-13 | 2020-02-04 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-12-13 | 2020-02-04 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-13 | 2020-02-04 | N |
Provide activities to meet all resident's needs. | Health | 2019-12-13 | 2020-02-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-13 | 2020-02-04 | 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 | 2019-12-13 | 2020-02-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-13 | 2020-02-04 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-13 | 2020-02-04 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-13 | 2020-02-04 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-12-13 | 2020-02-04 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-12-13 | 2020-02-04 | N |
Post nurse staffing information every day. | Health | 2019-12-13 | 2020-02-04 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-12-13 | 2020-02-04 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-13 | 2020-02-04 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-12-13 | 2020-02-04 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-12-13 | 2020-02-04 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-12-13 | 2020-02-04 | 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 | 2019-12-13 | 2020-02-04 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-12-13 | 2020-02-04 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-13 | 2020-02-04 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2019-10-09 | 2019-10-28 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-10-09 | 2019-10-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-09 | 2019-10-24 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-09 | 2018-09-01 | N |
Provide and implement an infection prevention and control program. | Health | 2018-08-09 | 2018-09-01 | N |