Deficiency Records for Las Cruces of Cascadia, LLC
Updated as of October 01, 2019
This is not the most recent data for Las Cruces of Cascadia, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Las Cruces of Cascadia, LLC. 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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Be properly staffed | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-06-05 | 2019-07-18 | 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 | 2019-06-11 | 2019-07-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-11 | 2019-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-11 | 2019-07-18 | 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 | 2019-06-11 | 2019-07-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-11 | 2019-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-11 | 2019-07-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-11 | 2019-07-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-11 | 2019-07-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-11 | 2019-07-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-11 | 2019-07-18 | 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 | 2019-06-11 | 2019-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-11 | 2019-07-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-11 | 2019-07-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-13 | 2019-01-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-13 | 2019-01-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2018-09-02 | 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 | 2018-04-11 | 2018-04-11 | N |
