Deficiency Records for Clarkston Health and Rehab of Cascadia
Updated as of January 01, 2021
This is not the most recent data for Clarkston Health and Rehab of Cascadia. For the most recent information, click here.
A list of the most recent deficiencies for Clarkston Health and Rehab of Cascadia. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-12-08 | 2020-12-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-10-12 | 2020-10-27 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-25 | 2019-07-30 | 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 | 2019-06-25 | 2019-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-25 | 2019-07-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-25 | 2019-07-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-21 | 2019-07-29 | 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 | 2019-06-21 | 2019-07-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-21 | 2019-07-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-21 | 2019-07-29 | 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 | 2019-06-21 | 2019-07-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-21 | 2019-07-29 | 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 | 2019-06-21 | 2019-07-29 | 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 | 2019-06-21 | 2019-07-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-21 | 2019-07-29 | 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 | 2019-06-21 | 2019-07-29 | 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 | 2019-06-21 | 2019-07-29 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-06-21 | 2019-07-29 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-06-21 | 2019-07-29 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-06-21 | 2019-07-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-30 | 2019-07-29 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-30 | 2019-07-29 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-03-07 | 2019-03-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-07 | 2019-03-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-07 | 2019-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-09 | 2019-01-25 | 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 | 2018-10-30 | 2018-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-02 | 2018-08-24 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2018-04-19 | 2018-06-15 | 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 | 2018-04-19 | 2018-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-19 | 2018-06-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-19 | 2018-06-15 | 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 | 2018-04-19 | 2018-06-15 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-19 | 2018-06-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-04-19 | 2018-06-15 | 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 | 2018-04-19 | 2018-06-15 | 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 | 2018-04-19 | 2018-06-15 | 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 | 2018-04-19 | 2018-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-25 | 2018-06-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-18 | 2018-06-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-18 | 2018-06-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-18 | 2018-06-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-18 | 2018-06-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-18 | 2018-06-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-18 | 2018-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-26 | 2018-01-18 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-03-02 | 2017-04-14 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-03-02 | 2017-04-14 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-02 | 2017-04-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-03-02 | 2017-04-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-02 | 2017-04-14 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-03-02 | 2017-04-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-02 | 2017-04-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-02 | 2017-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-03-07 | 2017-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-07 | 2017-04-11 | N |
