Inspection Results » Caldwell Care of Cascadia

Health Inspection on June 29, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • 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 2018-10-25)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-25)

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

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-10-25)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-08-22)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-08-22)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-10-25)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-25)
   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2018-08-22)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-08-22)

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

   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-08-22)
   • 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 2018-08-22)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-08-22)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-08-22)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-10-25)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-25)
   • Provide appropriate foot care. (Corrected 2018-08-22)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-08-22)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-08-22)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-22)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-22)