Deficiency Records for North Cascades Health and Rehabilitation Center
Updated as of May 01, 2019
This is not the most recent data for North Cascades Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for North Cascades Health and Rehabilitation Center. 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 | 2019-03-01 | 2019-04-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-14 | 2019-02-12 | 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 | 2018-06-25 | 2018-07-06 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-02-14 | 2018-03-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-14 | 2018-03-22 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-02-14 | 2018-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-14 | 2018-03-22 | 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 | 2018-02-14 | 2018-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-14 | 2018-03-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-14 | 2018-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-14 | 2018-03-22 | 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 | 2018-02-14 | 2018-03-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-02-14 | 2018-03-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-14 | 2018-03-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-14 | 2018-03-22 | 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 | 2018-02-14 | 2018-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-14 | 2018-03-22 | 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 | 2018-02-14 | 2018-03-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-14 | 2018-03-22 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-02-14 | 2018-03-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-02-14 | 2018-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-14 | 2018-03-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-14 | 2018-03-22 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-02-14 | 2018-03-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-01-31 | 2018-02-22 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-01-31 | 2018-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-31 | 2018-02-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-11-18 | 2016-12-22 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-18 | 2016-12-22 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-18 | 2016-12-22 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-11-18 | 2016-12-22 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-11-18 | 2016-12-22 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-18 | 2016-12-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-18 | 2016-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-18 | 2016-12-22 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-18 | 2016-12-22 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-11-18 | 2016-12-22 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2016-11-18 | 2016-12-22 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-18 | 2016-12-22 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-18 | 2016-12-22 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-18 | 2016-12-22 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-10-28 | 2016-12-22 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-11-17 | 2016-12-20 | 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 | 2016-11-17 | 2016-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-17 | 2016-12-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2016-11-17 | 2016-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-17 | 2016-12-20 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2015-10-06 | 2015-11-09 | N |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2015-10-06 | 2015-11-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-10-06 | 2015-11-09 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-10-06 | 2015-11-09 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-10-06 | 2015-11-09 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-10-06 | 2015-11-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2015-10-06 | 2015-11-09 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-10-06 | 2015-11-09 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-10-06 | 2015-11-09 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-10-06 | 2015-11-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-10-06 | 2015-11-09 | N |
| Provide or obtain dental services for each resident. | Health | 2015-10-06 | 2015-11-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-10-06 | 2015-11-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-10-06 | 2015-11-09 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2015-10-06 | 2015-11-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-10-06 | 2015-11-09 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2015-10-16 | 2015-10-28 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-10-16 | 2015-10-28 | N |
