Deficiency Records for Highland Health and Rehabilitation of Cascadia
Updated as of March 01, 2024
A list of the most recent deficiencies for Highland Health and Rehabilitation 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-09 | 2023-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-22 | 2023-12-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-19 | 2023-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-19 | 2023-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-28 | 2023-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-28 | 2023-08-30 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-07-27 | 2023-08-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-07-27 | 2023-08-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-27 | 2023-08-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-27 | 2023-08-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Develop a communication plan. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-27 | 2023-08-16 | 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 | 2022-06-21 | 2022-09-15 | 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 | 2022-06-21 | 2022-08-10 | 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 | 2022-06-21 | 2022-08-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-21 | 2022-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-21 | 2022-08-10 | 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 | 2022-06-21 | 2022-08-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-21 | 2022-08-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-21 | 2022-08-10 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-06-21 | 2022-08-10 | 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 | 2022-06-21 | 2022-08-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-21 | 2022-08-10 | 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 | 2022-06-21 | 2022-08-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-21 | 2022-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-21 | 2022-07-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-06-21 | 2022-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-11 | 2022-06-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-12 | 2022-05-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-12 | 2022-05-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-15 | 2021-12-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-16 | 2019-10-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-16 | 2019-10-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-16 | 2019-10-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-16 | 2019-10-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-16 | 2019-10-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-16 | 2019-10-14 | 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 | 2019-09-16 | 2019-10-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-09-16 | 2019-10-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-09-16 | 2019-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-16 | 2019-10-14 | 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 | 2019-09-16 | 2019-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-16 | 2019-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-16 | 2019-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-16 | 2019-10-14 | 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 | 2019-09-16 | 2019-10-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-16 | 2019-10-14 | 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 | 2019-09-16 | 2019-10-14 | N |
| Post nurse staffing information every day. | Health | 2019-09-16 | 2019-10-14 | 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 | 2019-09-16 | 2019-10-14 | 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 | 2019-09-16 | 2019-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-16 | 2019-10-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-16 | 2019-10-14 | N |
