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Deficiency Records for Alderwood Park Health and Rehab of Cascadia
View the most recent health deficiencies and inspection results for Alderwood Park Health and Rehab of Cascadia. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Alderwood Park Health and Rehab of Cascadia. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Create arrangements with other facilities to receive patients. | Fire Safety | 2026-01-16 | 2026-02-16 | 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 | 2026-01-16 | 2026-02-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-01-16 | 2026-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-16 | 2026-02-16 | 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 | 2026-01-16 | 2026-02-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-01-16 | 2026-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-16 | 2026-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-16 | 2026-02-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2026-01-16 | 2026-02-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-01-16 | 2026-02-16 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2026-01-16 | 2026-02-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-16 | 2026-02-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-16 | 2026-02-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-16 | 2026-02-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-02-28 | 2025-04-21 | 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 | 2025-02-28 | 2025-04-21 | 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 | 2025-02-28 | 2025-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-28 | 2025-04-21 | 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 | 2025-02-28 | 2025-04-21 | N |
| Post nurse staffing information every day. | Health | 2025-02-28 | 2025-04-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-28 | 2025-04-21 | 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 | 2025-02-28 | 2025-04-21 | 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 | 2025-02-28 | 2025-04-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-28 | 2025-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-28 | 2025-04-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-02-28 | 2025-04-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-28 | 2025-03-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-07 | 2025-01-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-28 | 2024-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-29 | 2024-07-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-29 | 2024-07-05 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-26 | 2024-05-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-03-26 | 2024-05-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-03-26 | 2024-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-26 | 2024-05-06 | 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 | 2024-03-26 | 2024-05-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-26 | 2024-05-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-26 | 2024-05-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-26 | 2024-05-06 | N |
| 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 | 2024-03-26 | 2024-05-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-26 | 2024-05-06 | 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 | 2024-03-26 | 2024-05-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-26 | 2024-05-06 | 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 | 2024-03-26 | 2024-05-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-26 | 2024-05-06 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-03-26 | 2024-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-26 | 2024-05-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-26 | 2024-05-06 | 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 | 2024-03-26 | 2024-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-26 | 2024-05-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-26 | 2024-04-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-03-26 | 2024-04-15 | N |
| Develop a communication plan. | Fire Safety | 2024-03-26 | 2024-04-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-03-26 | 2024-04-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-26 | 2024-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-26 | 2024-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-26 | 2024-04-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-11 | 2024-04-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-02 | 2024-02-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-21 | 2023-09-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-21 | 2023-09-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-31 | 2023-09-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-31 | 2023-09-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-31 | 2023-09-05 | Y |