Deficiency Records for Alderwood Park Health and Rehab of Cascadia
Updated as of June 01, 2018
This is not the most recent data for Alderwood Park Health and Rehab of Cascadia. For the most recent information, click here.
A list of the most recent deficiencies for Alderwood Park Health and Rehab 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-26 | 2018-05-02 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-01-25 | 2018-05-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-04 | 2018-05-02 | 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 | 2018-01-04 | 2018-05-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-04 | 2018-05-02 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-01-04 | 2018-05-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-04 | 2018-05-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-04 | 2018-05-02 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-01-04 | 2018-05-02 | Y |
| 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 | 2018-01-04 | 2018-05-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-04 | 2018-05-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-25 | 2018-02-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-25 | 2018-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-25 | 2018-02-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-04 | 2018-02-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-01-04 | 2018-02-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-01-04 | 2018-02-13 | 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 | 2018-01-04 | 2018-02-13 | Y |
| 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 | 2018-01-04 | 2018-02-13 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-01-04 | 2018-02-13 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-30 | 2017-04-27 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-30 | 2017-04-27 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-03-30 | 2017-04-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-30 | 2017-04-27 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-03-30 | 2017-04-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-30 | 2017-04-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-30 | 2017-04-27 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-30 | 2017-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-30 | 2017-04-27 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-30 | 2017-04-27 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-30 | 2017-04-27 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-03-30 | 2017-04-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-30 | 2017-04-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-30 | 2017-04-27 | N |
| Keep all essential equipment working safely. | Health | 2017-03-30 | 2017-04-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-30 | 2017-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-23 | 2017-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-23 | 2017-04-26 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-15 | 2016-07-14 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-01-25 | 2016-03-30 | N |
| Provide housekeeping and maintenance services. | Health | 2016-01-25 | 2016-03-30 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-25 | 2016-03-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-01-25 | 2016-03-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-25 | 2016-03-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-01-25 | 2016-03-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-25 | 2016-03-30 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-01-25 | 2016-03-30 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-01-25 | 2016-03-30 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-02-10 | 2016-03-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-10 | 2016-03-30 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-02-10 | 2016-03-30 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-02-10 | 2016-03-30 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-10 | 2016-03-30 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-10 | 2016-03-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-01-12 | 2016-03-30 | Y |
| Approved construction type or materials. | Fire Safety | 2016-01-19 | 2016-02-16 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-01-19 | 2016-02-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-19 | 2016-02-16 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-01-19 | 2016-01-26 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-07-08 | 2015-08-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-08 | 2015-08-06 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-07-08 | 2015-08-06 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-08 | 2015-08-06 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-06-03 | 2015-06-24 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-10-09 | 2014-11-18 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-10-09 | 2014-11-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-10-09 | 2014-11-18 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-10-09 | 2014-11-18 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-10-09 | 2014-11-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-10-09 | 2014-11-18 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2014-10-09 | 2014-11-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-10-09 | 2014-11-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2014-10-09 | 2014-11-18 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2014-10-09 | 2014-11-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-10-09 | 2014-11-18 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-10-09 | 2014-10-24 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-10-09 | 2014-10-24 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-10-09 | 2014-10-24 | N |
