Deficiency Records for Cashmere Post Acute
Updated as of March 01, 2020
This is not the most recent data for Cashmere Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Cashmere Post Acute. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2019-10-24 | 2019-12-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-24 | 2019-12-02 | 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 | 2019-10-24 | 2019-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-24 | 2019-12-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-24 | 2019-12-02 | 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 | 2019-10-24 | 2019-12-02 | N |
| 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 | 2019-10-24 | 2019-12-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-24 | 2019-12-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-24 | 2019-12-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-29 | 2019-11-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-29 | 2019-11-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-29 | 2019-11-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-29 | 2019-11-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-29 | 2019-11-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-29 | 2019-11-09 | N |
| Be properly staffed | Fire Safety | 2019-10-29 | 2019-11-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-31 | 2019-09-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-12 | 2019-01-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-12-12 | 2019-01-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-12 | 2019-01-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-12 | 2019-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-12 | 2019-01-21 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-12 | 2019-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-12 | 2019-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-12 | 2019-01-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-12 | 2019-01-21 | 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 | 2018-12-12 | 2019-01-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-12-12 | 2019-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-12 | 2019-01-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-12-12 | 2019-01-21 | 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 | 2018-12-12 | 2019-01-21 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Develop a communication plan. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-11 | 2019-01-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-29 | 2018-09-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-21 | 2018-07-01 | 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 | 2018-06-21 | 2018-07-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-25 | 2018-07-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-25 | 2018-07-01 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2018-01-31 | 2018-03-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-01-31 | 2018-03-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-31 | 2018-03-17 | 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 | 2018-01-31 | 2018-03-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-01-31 | 2018-03-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-31 | 2018-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-31 | 2018-03-17 | 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 | 2018-01-31 | 2018-03-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-01-31 | 2018-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-31 | 2018-03-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-23 | 2018-02-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-23 | 2018-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-07 | 2017-11-27 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-07-27 | 2017-08-18 | Y |
