Deficiency Records for Curry Village Health and Rehab of Cascadia
Updated as of March 01, 2024
A list of the most recent deficiencies for Curry Village 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? |
|---|---|---|---|---|
| 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 | 2023-09-22 | 2023-11-09 | 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 | 2023-09-22 | 2023-11-08 | 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 | 2023-09-22 | 2023-11-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-22 | 2023-11-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-09-22 | 2023-11-08 | N |
| 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 | 2023-11-08 | 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 | 2023-09-22 | 2023-11-08 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-22 | 2023-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-22 | 2023-11-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-22 | 2023-11-08 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-09-22 | 2023-11-08 | 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 | 2023-09-22 | 2023-11-08 | 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 | 2023-09-22 | 2023-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-11-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-22 | 2023-11-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-22 | 2023-11-08 | 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 | 2023-09-22 | 2023-11-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-22 | 2023-11-08 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-22 | 2023-11-08 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-22 | 2023-11-08 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-09-26 | 2023-11-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-09-26 | 2023-11-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-26 | 2023-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-26 | 2023-11-01 | 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 | 2022-07-29 | 2022-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-29 | 2022-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-29 | 2022-09-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-29 | 2022-09-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-29 | 2022-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-29 | 2022-09-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-27 | 2022-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-27 | 2022-09-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-07-27 | 2022-09-16 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2022-07-27 | 2022-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-27 | 2022-09-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-27 | 2022-09-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-27 | 2022-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-27 | 2022-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-27 | 2022-09-16 | 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 | 2021-06-11 | 2021-07-30 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-11 | 2021-07-30 | N |
| Provide activities to meet all resident's needs. | Health | 2021-06-11 | 2021-07-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-11 | 2021-07-30 | 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 | 2021-06-11 | 2021-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-07-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-11 | 2021-07-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-09 | 2021-07-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-09 | 2021-07-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-06-09 | 2021-07-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-09 | 2021-07-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-09 | 2021-07-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-09 | 2021-07-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-09 | 2021-07-30 | N |
