Deficiency Records for Cashmere Post Acute
Updated as of March 01, 2022
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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-23 | 2021-12-23 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-23 | 2021-12-23 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-18 | 2020-10-31 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-18 | 2020-10-31 | Y |
Respond appropriately to all alleged violations. | Health | 2020-09-18 | 2020-10-31 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-09-18 | 2020-10-31 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-09-18 | 2020-10-31 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-07-16 | 2020-07-29 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-30 | 2020-02-25 | Y |
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2020-01-30 | 2020-02-03 | Y |
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 | 2020-01-30 | 2020-02-03 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2019-10-29 | 2019-12-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-29 | 2019-12-23 | N |
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 |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-29 | 2019-11-19 | 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 |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
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 | 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 | 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 |
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 |
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 |
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 |
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 |