A list of the most recent deficiencies for Village Manor 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? |
|---|---|---|---|---|
| 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 | 2024-01-17 | 2024-03-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-17 | 2024-03-07 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-01-17 | 2024-03-07 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-01-17 | 2024-03-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-17 | 2024-03-07 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-01-17 | 2024-03-07 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-23 | 2024-03-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-23 | 2024-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-23 | 2024-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-23 | 2024-03-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-07 | 2023-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-07 | 2023-01-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-07 | 2023-01-26 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-12-07 | 2023-01-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-07 | 2023-01-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2023-01-26 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-12-01 | 2023-01-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-01 | 2023-01-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-01 | 2023-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-01 | 2023-01-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-01 | 2023-01-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-30 | 2022-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-10 | 2021-09-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-07-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-13 | 2021-06-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-13 | 2021-06-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-23 | 2018-09-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-23 | 2018-09-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-07-23 | 2018-09-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-23 | 2018-09-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-23 | 2018-09-05 | 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 | 2018-07-23 | 2018-09-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-23 | 2018-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-23 | 2018-09-05 | N |
