Deficiency Records for Stafholt Health and Rehabilitation of Cascadia
Updated as of March 01, 2019
This is not the most recent data for Stafholt Health and Rehabilitation of Cascadia. For the most recent information, click here.
A list of the most recent deficiencies for Stafholt Health and Rehabilitation 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-12 | 2018-06-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-04-20 | 2018-06-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-20 | 2018-06-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-04-20 | 2018-06-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-04-20 | 2018-06-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-20 | 2018-06-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-20 | 2018-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-20 | 2018-06-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-20 | 2018-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-20 | 2018-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-20 | 2018-06-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-04-20 | 2018-06-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-20 | 2018-06-04 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-04-20 | 2018-06-04 | 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 | 2018-04-20 | 2018-06-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-20 | 2018-06-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-20 | 2018-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-20 | 2018-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-20 | 2018-06-04 | 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 | 2018-04-20 | 2018-06-04 | 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 | 2018-04-20 | 2018-06-04 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-12 | 2018-05-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-12 | 2018-05-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-04-12 | 2018-05-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-12 | 2018-04-16 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-03-13 | 2017-05-25 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-13 | 2017-05-25 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-03-13 | 2017-05-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-13 | 2017-05-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-13 | 2017-05-25 | N |
| 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 | 2017-03-13 | 2017-05-25 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-13 | 2017-05-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-13 | 2017-05-25 | 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 | 2017-03-08 | 2017-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-08 | 2017-04-19 | 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 | 2017-03-08 | 2017-04-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-03-08 | 2017-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-08 | 2017-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-08 | 2017-04-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-03-08 | 2017-04-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-03-08 | 2017-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-03-08 | 2017-04-19 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-10-04 | 2016-11-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-04 | 2016-11-09 | Y |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-01-20 | 2016-03-02 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-01-20 | 2016-03-02 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2016-01-20 | 2016-03-02 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-20 | 2016-03-02 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-20 | 2016-03-02 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-01-20 | 2016-03-02 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-01-25 | 2016-02-23 | 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 | 2016-01-25 | 2016-02-23 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-01-25 | 2016-02-23 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-01-25 | 2016-02-23 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-01-25 | 2016-02-23 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-25 | 2016-02-23 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-01-25 | 2016-02-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-01-25 | 2016-02-23 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-01-25 | 2016-02-23 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-01-25 | 2016-02-23 | N |
| 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 | 2016-01-25 | 2016-02-23 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-01-25 | 2016-02-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-25 | 2016-02-23 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-01-25 | 2016-02-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-01-25 | 2016-02-23 | N |
