Resident Complaints » Secora Rehabilitation of Cascadia

Health Inspection on July 9, 2018 ^[1]

1. Widespread: Immediate jeopardy to the resident health or safety

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-08-10)

2. Pattern: Immediate jeopardy to the resident health or safety

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-10)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-10)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-08-10)

3. Isolated: Immediate jeopardy to the resident health or safety

   • Provide and implement an infection prevention and control program. (Corrected 2018-08-10)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-08-10)

4. Isolated: Actual harm that is not immediate jeopardy

   • Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-08-10)

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

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-08-10)
   • 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 2018-08-10)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-08-10)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-08-10)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-08-10)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-08-10)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-08-10)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-08-10)

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

   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-08-10)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-10)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-08-10)
   • 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 2018-08-10)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-08-10)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-08-10)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-08-10)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-08-10)
   • 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. (Corrected 2018-08-10)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-08-10)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-08-10)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-08-10)
   • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Corrected 2018-08-10)