CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Colfax Health and Rehabilitation of Cascadia
View the most recent health deficiencies and inspection results for Colfax Health and Rehabilitation of Cascadia. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Colfax Health and Rehabilitation of Cascadia. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2026-04-07 | 2026-04-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-07 | 2026-04-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-28 | 2026-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-28 | 2026-03-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-09-11 | 2025-10-16 | 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 | 2025-06-14 | 2025-07-21 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-06-14 | 2025-07-21 | Y |
| 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 | 2025-06-14 | 2025-07-21 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-14 | 2025-07-21 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-06-14 | 2025-07-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-14 | 2025-07-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-14 | 2025-07-21 | Y |
| 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 | 2025-06-14 | 2025-07-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-06-14 | 2025-07-21 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-06-14 | 2025-07-21 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-06-14 | 2025-07-21 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-06-14 | 2025-07-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-14 | 2025-07-21 | 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 | 2025-06-14 | 2025-07-21 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-06-14 | 2025-07-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-14 | 2025-07-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-14 | 2025-07-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-14 | 2025-07-21 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-06-14 | 2025-07-21 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-06-14 | 2025-07-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-06-14 | 2025-07-21 | 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 | 2025-06-14 | 2025-07-21 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Meet other general requirements. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-14 | 2025-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-24 | 2025-04-17 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-25 | 2024-11-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-17 | 2024-11-15 | Y |
| 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 | 2024-07-22 | 2024-08-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-22 | 2024-08-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-22 | 2024-08-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-22 | 2024-08-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-22 | 2024-08-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-22 | 2024-08-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-22 | 2024-08-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-22 | 2024-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-22 | 2024-08-28 | 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 | 2024-07-22 | 2024-08-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-22 | 2024-08-28 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-07-22 | 2024-08-28 | 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 | 2024-07-22 | 2024-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-22 | 2024-08-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-22 | 2024-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-22 | 2024-08-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-22 | 2024-08-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-22 | 2024-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-22 | 2024-08-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-22 | 2024-08-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-22 | 2024-08-28 | 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 | 2024-07-22 | 2024-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-22 | 2024-08-14 | 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 | 2024-07-22 | 2024-08-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-22 | 2024-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-08-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-03 | 2024-05-28 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-05-03 | 2024-05-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-08 | 2024-05-01 | Y |
| 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 | 2024-04-08 | 2024-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-22 | 2024-02-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-12 | 2023-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-11-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-08 | 2023-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-03-29 | 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 | 2023-03-08 | 2023-03-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Develop a communication plan. | Fire Safety | 2023-03-08 | 2023-03-17 | 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 | 2023-03-08 | 2023-03-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-08 | 2023-03-17 | N |