Deficiency Records for Highland Health and Rehabilitation of Cascadia
Updated as of September 01, 2020
This is not the most recent data for Highland Health and Rehabilitation of Cascadia. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-23 | 2019-11-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-07-17 | 2019-10-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-17 | 2019-10-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-17 | 2019-10-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-07-17 | 2019-10-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-17 | 2019-10-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-17 | 2019-10-14 | 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 |
| 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 |
| 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 | Y |
| 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 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-26 | 2019-01-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-26 | 2019-01-16 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-07-31 | 2018-09-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-31 | 2018-09-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-07-31 | 2018-09-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-31 | 2018-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-31 | 2018-09-19 | 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 | 2018-07-31 | 2018-09-19 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-07-31 | 2018-09-19 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-07-31 | 2018-09-19 | 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 | 2018-07-31 | 2018-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-31 | 2018-09-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-31 | 2018-09-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-07-31 | 2018-09-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-07-31 | 2018-09-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-31 | 2018-09-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-31 | 2018-09-19 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-31 | 2018-08-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-15 | 2018-04-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-03-15 | 2018-04-24 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-03-15 | 2018-04-24 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-03-15 | 2018-04-24 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-03-15 | 2018-04-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-03-15 | 2018-04-24 | 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 | 2018-03-15 | 2018-04-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-15 | 2018-04-24 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-03-15 | 2018-04-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-12 | 2018-03-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-12 | 2018-03-02 | 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 | 2017-06-21 | 2017-07-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-25 | 2017-07-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-05-25 | 2017-07-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-25 | 2017-07-03 | 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 | 2017-05-25 | 2017-07-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-25 | 2017-07-03 | 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 | 2017-05-25 | 2017-07-03 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-25 | 2017-07-03 | Y |
| 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 | 2017-05-25 | 2017-07-03 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-05-25 | 2017-07-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-05-25 | 2017-07-03 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-05-25 | 2017-07-03 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-25 | 2017-07-03 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-05-25 | 2017-07-03 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-25 | 2017-07-03 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-25 | 2017-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-25 | 2017-07-03 | Y |
| 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 | 2017-05-25 | 2017-07-03 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-05-25 | 2017-07-03 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-25 | 2017-07-03 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-05-25 | 2017-07-03 | 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 | 2017-05-25 | 2017-07-03 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-05-25 | 2017-07-03 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-05-25 | 2017-07-03 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-25 | 2017-07-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-05-25 | 2017-07-03 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-25 | 2017-06-12 | N |
