Deficiency Records for North Cascades Health and Rehabilitation Center
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-12-13 | 2022-01-07 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-10-22 | 2021-11-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-22 | 2021-11-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-23 | 2021-08-05 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-23 | 2021-08-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-23 | 2021-08-05 | 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 | 2021-06-23 | 2021-08-05 | 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 | 2021-06-23 | 2021-08-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-23 | 2021-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-23 | 2021-08-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-23 | 2021-08-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-23 | 2021-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-23 | 2021-08-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-23 | 2021-08-05 | 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 | 2021-06-23 | 2021-08-05 | 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 | 2021-06-23 | 2021-08-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-23 | 2021-08-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-23 | 2021-08-05 | 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 | 2021-06-23 | 2021-08-05 | 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 | 2021-06-23 | 2021-08-05 | N |
| Provide or obtain dental services for each resident. | Health | 2021-06-23 | 2021-08-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-23 | 2021-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-23 | 2021-08-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-23 | 2021-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-10 | 2021-06-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-10 | 2021-06-11 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-03-26 | 2021-04-01 | Y |
| Keep all essential equipment working safely. | Health | 2019-11-07 | 2019-11-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-24 | 2019-05-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-24 | 2019-05-24 | 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 | 2019-04-24 | 2019-05-24 | 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 | 2019-04-24 | 2019-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-24 | 2019-05-24 | 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 | 2019-04-24 | 2019-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-24 | 2019-05-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-24 | 2019-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-24 | 2019-05-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-24 | 2019-05-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-04-24 | 2019-05-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-24 | 2019-05-24 | N |
| Provide or obtain dental services for each resident. | Health | 2019-04-24 | 2019-05-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-24 | 2019-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-24 | 2019-05-24 | 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 | 2019-04-24 | 2019-05-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-24 | 2019-05-24 | Y |
| 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 | 2019-04-24 | 2019-05-24 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2019-04-24 | 2019-05-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-05-03 | 2019-05-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-03 | 2019-05-24 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-05-03 | 2019-05-24 | Y |
| 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 |
| 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 |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 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 |
