Deficiency Records for Spokane Valley Health and Rehabilitation of Cascad
Updated as of August 01, 2019
This is not the most recent data for Spokane Valley Health and Rehabilitation of Cascad. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-16 | 2019-02-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-16 | 2019-02-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-16 | 2019-02-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-16 | 2019-02-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-14 | 2018-10-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | 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 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 ne | 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 |
| 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 | Y |
| Provide activities to meet all resident's needs. | Health | 2018-07-23 | 2018-09-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-29 | 2018-09-05 | Y |
| 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-29 | 2018-06-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-05-29 | 2018-06-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-14 | 2018-03-30 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-04-28 | 2017-06-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-04-28 | 2017-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-28 | 2017-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-28 | 2017-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-28 | 2017-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-28 | 2017-06-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-04-26 | 2017-06-09 | 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 | 2017-04-26 | 2017-06-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-26 | 2017-06-09 | 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 | 2017-04-26 | 2017-06-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-26 | 2017-06-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-26 | 2017-06-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-26 | 2017-06-09 | 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 | 2017-04-26 | 2017-06-09 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-26 | 2017-06-09 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-04-26 | 2017-06-09 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-04-26 | 2017-06-09 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-02-26 | 2016-04-08 | N |
| 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 | 2016-02-26 | 2016-04-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-26 | 2016-04-08 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-26 | 2016-04-08 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-26 | 2016-04-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-26 | 2016-04-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-02-26 | 2016-04-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-26 | 2016-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-26 | 2016-04-08 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-26 | 2016-04-08 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-02-26 | 2016-04-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-26 | 2016-04-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-26 | 2016-04-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-26 | 2016-04-08 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-22 | 2016-03-14 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-22 | 2016-03-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-22 | 2016-03-14 | N |
