A list of the most recent deficiencies for East Cascade Retirement Community. 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? |
|---|---|---|---|---|
| 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 | 2023-06-30 | 2023-08-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-30 | 2023-08-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-30 | 2023-08-10 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-30 | 2023-08-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-30 | 2023-08-10 | Y |
| 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 | 2023-06-30 | 2023-08-10 | Y |
| Post nurse staffing information every day. | Health | 2023-06-30 | 2023-08-10 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-30 | 2023-08-10 | 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 | 2023-06-30 | 2023-08-10 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-30 | 2023-08-10 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-06-30 | 2023-08-10 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-06-30 | 2023-08-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-28 | 2023-08-10 | 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 | 2023-06-28 | 2023-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-28 | 2023-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-28 | 2023-08-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-28 | 2023-08-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-06-28 | 2023-08-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-30 | 2023-07-19 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-30 | 2023-06-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-06 | 2022-07-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-06 | 2022-06-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-06 | 2022-06-25 | 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 | 2022-05-06 | 2022-06-25 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-06 | 2022-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-06 | 2022-06-25 | 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 | 2022-05-06 | 2022-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-06 | 2022-06-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-06 | 2022-06-25 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-05-06 | 2022-06-25 | 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 | 2022-05-06 | 2022-06-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-05-06 | 2022-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-06-25 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-05-06 | 2022-06-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-06 | 2022-06-25 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-06 | 2022-06-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-06 | 2022-06-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-06 | 2022-06-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-06-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-06 | 2022-06-25 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-04 | 2022-06-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-04 | 2022-06-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-05-04 | 2022-06-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-04 | 2022-06-25 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-05-04 | 2022-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-04 | 2022-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-04 | 2022-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-04 | 2022-06-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-05-04 | 2022-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-28 | 2021-08-17 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-28 | 2021-08-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-11-09 | 2018-12-29 | 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 | 2018-11-09 | 2018-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-09 | 2018-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-09 | 2018-12-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-09 | 2018-12-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-09 | 2018-12-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-11-09 | 2018-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-09 | 2018-12-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-09 | 2018-12-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-30 | 2018-12-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-30 | 2018-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-30 | 2018-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-30 | 2018-12-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-30 | 2018-12-29 | N |
