A list of the most recent deficiencies for Secora Rehabilitation 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-17 | 2023-12-25 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-17 | 2023-12-25 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-11-17 | 2023-12-25 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-11-17 | 2023-12-25 | 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 | 2023-11-17 | 2023-12-25 | Y |
| 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 | 2023-11-17 | 2023-12-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-17 | 2023-12-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-17 | 2023-12-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-17 | 2023-12-25 | 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 | 2023-11-17 | 2023-12-25 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-11-17 | 2023-12-25 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-11-17 | 2023-12-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-17 | 2023-12-25 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-11-17 | 2023-12-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-17 | 2023-12-25 | Y |
| 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 | 2023-11-17 | 2023-12-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-17 | 2023-12-25 | 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 | 2023-11-17 | 2023-12-25 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-20 | 2023-12-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-20 | 2023-12-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-20 | 2023-12-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-20 | 2023-12-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-11-20 | 2023-12-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-17 | 2023-08-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-10 | 2022-11-04 | 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 | 2022-10-10 | 2022-11-04 | N |
| 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 | 2022-10-10 | 2022-11-04 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-10-10 | 2022-11-04 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-10 | 2022-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-10 | 2022-11-04 | 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 | 2022-10-10 | 2022-11-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-10 | 2022-11-04 | 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 | 2022-10-10 | 2022-11-04 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-10-10 | 2022-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-10 | 2022-11-04 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-10 | 2022-11-04 | 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 | 2022-10-06 | 2022-10-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2022-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-06 | 2022-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-15 | 2019-11-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-19 | 2019-10-01 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-08-19 | 2019-10-01 | N |
| 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 | 2019-08-19 | 2019-10-01 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-19 | 2019-10-01 | 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 | 2019-08-19 | 2019-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-19 | 2019-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-19 | 2019-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-19 | 2019-10-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-19 | 2019-10-01 | 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 | 2019-08-19 | 2019-10-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-19 | 2019-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-19 | 2019-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-19 | 2019-10-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-15 | 2019-10-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-15 | 2019-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-15 | 2019-10-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-15 | 2019-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-15 | 2019-10-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-08-15 | 2019-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-15 | 2019-10-01 | N |
