Inspection Results » North Cascades Health and Rehabilitation Center

Health Inspection on April 24, 2019 ^[1]

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

   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-05-23)
   • 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 2019-05-21)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-05-23)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-05-21)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-05-21)
   • 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 2019-05-21)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-05-21)

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

   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2019-05-21)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-05-21)
   • Provide and implement an infection prevention and control program. (Corrected 2019-05-21)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-05-21)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-05-21)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-21)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-21)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-05-21)
   • Provide or obtain dental services for each resident. (Corrected 2019-05-21)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-21)
   • 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. (Corrected 2019-05-21)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-21)