Deficiency Records for Spokane Valley Health and Rehabilitation of Cascad
Updated as of March 01, 2024
A list of the most recent deficiencies for Spokane Valley Health and Rehabilitation of Cascad. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-18 | 2023-11-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-11 | 2023-05-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-10 | 2023-05-16 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-04-10 | 2023-05-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-10 | 2023-05-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-10 | 2023-05-16 | Y |
| 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 | 2023-04-10 | 2023-05-16 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-10 | 2023-05-16 | 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 | 2023-04-10 | 2023-05-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-10 | 2023-05-16 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-04-06 | 2023-05-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-06 | 2023-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-06 | 2023-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-06 | 2023-05-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-06 | 2023-05-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-06 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-06 | 2023-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-06 | 2023-05-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-06 | 2023-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-04-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-05 | 2022-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-04 | 2022-04-15 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-04 | 2022-04-15 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-11-04 | 2021-11-23 | Y |
| 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 | 2021-04-20 | 2021-05-24 | 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 | 2021-04-20 | 2021-05-24 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-04-20 | 2021-05-24 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-08-21 | 2019-10-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-21 | 2019-10-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-21 | 2019-10-02 | 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 | 2019-08-21 | 2019-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-21 | 2019-10-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-21 | 2019-10-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-21 | 2019-10-02 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-08-21 | 2019-10-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-22 | 2019-09-20 | 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 | 2019-08-22 | 2019-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-22 | 2019-09-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-22 | 2019-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-22 | 2019-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-22 | 2019-09-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-07-23 | 2018-09-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-23 | 2018-09-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-07-23 | 2018-09-05 | 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 | 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 activities to meet all resident's needs. | Health | 2018-07-23 | 2018-09-05 | 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 | 2018-07-23 | 2018-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-23 | 2018-09-05 | 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 | 2018-07-23 | 2018-09-05 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2018-07-23 | 2018-09-05 | 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 | 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 |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-23 | 2018-09-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-23 | 2018-09-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-23 | 2018-07-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-23 | 2018-07-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-23 | 2018-07-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-07-23 | 2018-07-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-07-23 | 2018-07-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-23 | 2018-07-30 | N |
