A list of the most recent deficiencies for Colfax of Cascadia, LLC. 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? |
|---|---|---|---|---|
| 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 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 |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | 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 |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-03-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-02-13 | 2023-03-17 | N |
| Develop a communication plan. | Fire Safety | 2023-02-13 | 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 | 2023-02-13 | 2023-03-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-02-13 | 2023-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-13 | 2023-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-13 | 2023-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-13 | 2023-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-13 | 2023-03-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-13 | 2023-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-13 | 2023-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-06 | 2023-02-27 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-30 | 2023-02-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-12 | 2023-01-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-12 | 2023-01-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-28 | 2022-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-12 | 2022-08-25 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-14 | 2022-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-15 | 2022-07-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-03 | 2022-06-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-10 | 2022-06-08 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-01-28 | 2022-03-04 | Y |
| Report COVID19 data to residents and families. | Health | 2022-01-28 | 2022-03-04 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-28 | 2022-03-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-03 | 2022-01-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-14 | 2022-01-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-14 | 2022-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-14 | 2022-01-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-12-14 | 2022-01-06 | Y |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2021-10-04 | 2021-10-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-04 | 2021-10-27 | Y |
| Provide appropriate foot care. | Health | 2021-10-04 | 2021-10-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-07 | 2021-10-13 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-07 | 2021-10-13 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-05-05 | 2021-06-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-05 | 2019-10-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-08-05 | 2019-10-14 | 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 | 2019-08-05 | 2019-10-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-05 | 2019-10-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-05 | 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 | 2019-08-05 | 2019-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-05 | 2019-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-05 | 2019-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-05 | 2019-10-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-05 | 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 | 2019-08-05 | 2019-10-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-05 | 2019-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-05 | 2019-10-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-05 | 2019-10-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-05 | 2019-10-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-06 | 2019-08-17 | 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 | 2019-08-06 | 2019-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-06 | 2019-08-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-06 | 2019-08-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-08-06 | 2019-08-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-06 | 2019-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-08-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-09-27 | 2018-10-27 | 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 | 2018-09-27 | 2018-10-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-10-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-27 | 2018-10-27 | 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 | 2018-09-27 | 2018-10-27 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-09-27 | 2018-10-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-27 | N |
