Deficiency Records for Creekside Health and Rehab of Cascadia
Updated as of August 01, 2021
This is not the most recent data for Creekside Health and Rehab of Cascadia. For the most recent information, click here.
A list of the most recent deficiencies for Creekside Health and Rehab 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-25 | 2021-07-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-25 | 2021-07-14 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-02-05 | 2021-03-22 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-02-05 | 2021-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-24 | 2020-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-22 | 2019-04-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-22 | 2019-04-13 | Y |
| 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 | 2019-02-22 | 2019-04-13 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-02 | 2018-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-02 | 2018-09-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-02 | 2018-09-22 | 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 | 2018-08-03 | 2018-09-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-03 | 2018-09-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-03 | 2018-09-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-03 | 2018-09-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-03 | 2018-09-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-03 | 2018-09-22 | N |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2018-08-03 | 2018-09-22 | 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 | 2018-08-03 | 2018-09-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-03 | 2018-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-03 | 2018-09-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-03 | 2018-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-03 | 2018-09-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-03 | 2018-09-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-03 | 2018-09-22 | 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 | 2018-08-03 | 2018-09-22 | Y |
| Post nurse staffing information every day. | Health | 2018-08-03 | 2018-09-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-06 | 2017-07-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-06-06 | 2017-07-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-06-06 | 2017-07-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-06 | 2017-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-06 | 2017-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-06 | 2017-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-06 | 2017-07-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-06 | 2017-07-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-02 | 2017-07-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-02 | 2017-07-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-04-13 | 2016-06-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-04-13 | 2016-06-09 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-12 | 2016-05-17 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-04-13 | 2016-05-17 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-04-13 | 2016-05-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-13 | 2016-05-17 | N |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2016-04-13 | 2016-05-17 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-04-13 | 2016-05-17 | N |
