Inspection Results » Secora Rehabilitation of Cascadia

Health Inspection on January 12, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2018-03-17)
   • Maintain 15 months of resident assessments in the resident's active clinical record. (Corrected 2018-03-17)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-03-17)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-04-17)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-04-05)
   • 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 ne (Corrected 2018-03-17)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2018-03-17)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-03-17)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-03-17)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-04-17)
   • Assess the resident when there is a significant change in condition (Corrected 2018-03-17)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-03-17)
   • 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. (Corrected 2018-04-05)
   • 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. (Corrected 2018-03-17)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-03-18)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-03-17)
   • Provide and implement an infection prevention and control program. (Corrected 2018-03-17)