Deficiency Records for Brookfield Health and Rehab of Cascadia
Updated as of March 01, 2024
A list of the most recent deficiencies for Brookfield 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-08 | 2024-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-08 | 2024-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-08 | 2024-02-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-08 | 2024-02-09 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-15 | 2023-10-20 | 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 | 2023-09-15 | 2023-10-20 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-09-15 | 2023-10-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-15 | 2023-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-15 | 2023-10-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-15 | 2023-10-20 | N |
| Post nurse staffing information every day. | Health | 2023-09-15 | 2023-10-20 | 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 | 2023-09-15 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-15 | 2023-10-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-09-13 | 2023-09-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-13 | 2023-09-23 | N |
| Meet other general requirements. | Fire Safety | 2023-09-13 | 2023-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-13 | 2023-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-13 | 2023-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-13 | 2023-09-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-13 | 2023-09-23 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-08-03 | 2023-08-18 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-27 | 2022-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-27 | 2022-12-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-27 | 2022-12-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-27 | 2022-12-02 | N |
| Post nurse staffing information every day. | Health | 2022-10-27 | 2022-12-02 | 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 | 2022-10-27 | 2022-12-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-27 | 2022-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-12-02 | 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 | 2022-10-25 | 2022-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-25 | 2022-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-25 | 2022-11-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-25 | 2022-11-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-25 | 2022-11-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-25 | 2022-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-25 | 2022-11-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-14 | 2022-11-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-14 | 2022-11-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-14 | 2022-11-07 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-27 | 2022-02-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-03-06 | 2020-04-24 | 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 | 2020-03-06 | 2020-04-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-06 | 2020-04-24 | 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 | 2020-03-06 | 2020-04-24 | N |
| 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 | 2020-03-06 | 2020-04-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-06 | 2020-04-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-06 | 2020-04-24 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-03-06 | 2020-04-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-03-06 | 2020-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-04-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-06 | 2020-04-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-06 | 2020-04-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
