A list of the most recent deficiencies for Cascades at Riverwalk. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-10 | 2023-11-10 | 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 | 2023-10-10 | 2023-11-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-10 | 2023-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-10 | 2023-11-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-10 | 2023-11-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-10 | 2023-11-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-10 | 2023-11-10 | N |
| 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 | 2023-10-10 | 2023-11-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-10 | 2023-11-10 | 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 | 2023-10-10 | 2023-11-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-10 | 2023-11-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-10 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-10 | 2023-11-10 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-10-10 | 2023-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-10 | 2023-11-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-03 | 2023-02-17 | Y |
| 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 | 2023-01-03 | 2023-02-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-28 | 2021-12-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-28 | 2021-12-13 | 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 | 2021-10-28 | 2021-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-28 | 2021-12-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-28 | 2021-12-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-28 | 2021-12-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-28 | 2021-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-28 | 2021-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-28 | 2021-12-13 | 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 | 2021-10-28 | 2021-12-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-28 | 2021-12-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-28 | 2021-12-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-28 | 2021-12-13 | 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 | 2021-10-28 | 2021-12-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-28 | 2021-12-13 | 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 | 2021-10-28 | 2021-12-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-12-13 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-26 | 2021-11-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-10-26 | 2021-11-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-26 | 2021-11-09 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-10-26 | 2021-11-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-26 | 2021-11-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-26 | 2021-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-26 | 2021-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-26 | 2021-11-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-12-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-10-10 | 2019-12-06 | 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 | 2019-10-10 | 2019-12-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-10 | 2019-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-12-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-10 | 2019-12-06 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-10 | 2019-12-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-10 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-12-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-10-10 | 2019-12-06 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-10-10 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-12-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-10-10 | 2019-12-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-09 | 2019-11-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-09 | 2019-11-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-10-09 | 2019-11-30 | 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 | 2019-10-09 | 2019-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-09 | 2019-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-09 | 2019-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-09 | 2019-11-30 | N |
