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Deficiency Records for North Cascades Health and Rehabilitation
View the most recent health deficiencies and inspection results for North Cascades Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for North Cascades Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Post nurse staffing information every day. | Health | 2026-04-13 | 2026-05-22 | 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 | 2026-04-13 | 2026-05-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-04 | 2026-03-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-04 | 2026-03-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-04 | 2026-03-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-04 | 2026-03-23 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2026-02-06 | 2026-02-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-02-06 | 2026-02-19 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-01-28 | 2026-02-09 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2026-01-28 | 2026-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-28 | 2026-02-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-01-28 | 2026-02-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-28 | 2026-02-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-17 | 2026-01-16 | 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 | 2025-12-17 | 2026-01-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-12-17 | 2026-01-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-17 | 2026-01-16 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2025-12-17 | 2026-01-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-28 | 2025-04-14 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-03-28 | 2025-04-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-28 | 2025-04-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-24 | 2025-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-24 | 2025-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-24 | 2025-02-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-24 | 2025-02-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-01-24 | 2025-02-21 | 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 | 2025-01-24 | 2025-02-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-24 | 2025-02-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-24 | 2025-02-21 | 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 | 2025-01-24 | 2025-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-24 | 2025-02-21 | 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 | 2025-01-24 | 2025-02-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-24 | 2025-02-21 | N |
| Develop a communication plan. | Fire Safety | 2025-01-24 | 2025-01-31 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-01-24 | 2025-01-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-01-24 | 2025-01-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-24 | 2025-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-24 | 2025-01-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-24 | 2025-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-24 | 2025-01-31 | N |
| Provide or obtain dental services for each resident. | Health | 2024-12-30 | 2025-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-05 | 2024-10-04 | Y |
| 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 | 2024-09-05 | 2024-10-04 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-08-12 | 2024-09-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-20 | 2024-07-25 | Y |
| 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 | 2024-06-20 | 2024-07-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-20 | 2024-07-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-17 | 2024-05-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-17 | 2024-05-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-08 | 2024-04-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-08 | 2024-04-18 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-08 | 2024-04-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-08 | 2024-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-08 | 2024-04-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-08 | 2024-04-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-08 | 2024-04-18 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-08 | 2024-04-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-08 | 2024-04-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-08 | 2024-04-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-08 | 2024-04-18 | 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 | 2024-03-08 | 2024-04-18 | 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 | 2024-03-08 | 2024-04-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-08 | 2024-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-04-18 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-03-08 | 2024-04-18 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-08 | 2024-04-18 | 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 | 2024-03-08 | 2024-04-18 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-08 | 2024-04-12 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Develop a communication plan. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-08 | 2024-04-08 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-12-21 | 2024-01-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-01-19 | 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 | 2023-12-21 | 2024-01-19 | 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 | 2023-12-21 | 2024-01-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-21 | 2024-01-19 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-21 | 2024-01-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-21 | 2024-01-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-21 | 2024-01-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-13 | 2023-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2023-12-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-30 | 2023-12-07 | 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 | 2023-10-30 | 2023-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-30 | 2023-12-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-19 | 2023-10-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-19 | 2023-10-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-09 | 2023-07-26 | 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 | 2023-06-09 | 2023-07-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-09 | 2023-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-07-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-06-09 | 2023-07-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-09 | 2023-07-26 | 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 | 2023-06-09 | 2023-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-07-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-09 | 2023-07-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-09 | 2023-07-26 | N |
| Post nurse staffing information every day. | Health | 2023-06-09 | 2023-07-26 | 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 | 2023-06-09 | 2023-07-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-09 | 2023-07-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-06-09 | 2023-07-26 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-06-09 | 2023-07-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-09 | 2023-07-26 | 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 | 2023-06-09 | 2023-07-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-09 | 2023-07-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-09 | 2023-07-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-09 | 2023-07-26 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Establish methods for sharing information. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-09 | 2023-07-06 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-06-09 | 2023-06-16 | N |