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Deficiency Records for Cashmere Post Acute
View the most recent health deficiencies and inspection results for Cashmere Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cashmere Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-13 | 2025-03-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-01-13 | 2025-02-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-01-13 | 2025-02-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-13 | 2025-02-28 | 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 | 2025-01-13 | 2025-02-28 | 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 | 2025-01-13 | 2025-02-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-13 | 2025-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-01-13 | 2025-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-13 | 2025-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-13 | 2025-02-28 | N |
| Post nurse staffing information every day. | Health | 2025-01-13 | 2025-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-13 | 2025-02-28 | 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 | 2025-01-13 | 2025-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-13 | 2025-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-13 | 2025-02-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-01-13 | 2025-02-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-01-13 | 2025-02-11 | N |
| Respond appropriately to all alleged violations. | Health | 2024-12-17 | 2025-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-17 | 2025-01-17 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-08-27 | 2024-09-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2023-12-21 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-11-15 | 2023-12-20 | 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 | 2023-11-15 | 2023-12-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-15 | 2023-12-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-15 | 2023-12-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-15 | 2023-12-20 | 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 | 2023-11-15 | 2023-12-20 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-11-15 | 2023-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-15 | 2023-12-20 | 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 | 2023-11-15 | 2023-12-20 | 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 | 2023-11-15 | 2023-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-15 | 2023-12-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-15 | 2023-12-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-15 | 2023-12-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-15 | 2023-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-12-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-11-15 | 2023-11-14 | N |
| Meet other general requirements. | Fire Safety | 2023-11-15 | 2023-11-14 | 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 | 2023-11-15 | 2023-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-06 | 2022-12-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-06 | 2022-12-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-06 | 2022-11-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-10-06 | 2022-11-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-06 | 2022-11-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-06 | 2022-11-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-06 | 2022-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2022-11-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-06 | 2022-11-10 | 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 | 2022-10-06 | 2022-11-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-06 | 2022-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-06 | 2022-11-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-06 | 2022-11-01 | 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 | 2022-10-06 | 2022-11-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-10-06 | 2022-11-01 | 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 | 2022-10-06 | 2022-11-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-06 | 2022-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-06 | 2022-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-06 | 2022-11-01 | 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 | 2022-10-06 | 2022-11-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-06 | 2022-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-06 | 2022-11-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-06 | 2022-11-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-06 | 2022-10-17 | N |
| Meet other general requirements. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-06 | 2022-10-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-06 | 2022-10-05 | N |