cms_ID: 69

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
69 WEISER CARE OF CASCADIA 135010 331 EAST PARK STREET WEISER ID 83672 2016-10-21 490 F 0 1 224111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff, resident, and outside service provider interview, review of manufacturer's recommendations, and record review, the facility failed to ensure it was administered in such a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical well-being for 6 of 18 sampled residents (#1, #4, #6, #12, #13, and #14). The administration failed to ensure a) LNs and CNAs were competent for the safe transfer of residents with mechanical lifts, b) oxygen concentrator equipment was safe for resident use, and c) suction equipment, call lights, and mechanical lifts were inspected and maintained in manner that protected residents from harm. Findings include: 1. Refer to F323 (Immediate Jeopardy) as it relates to the failure of the facility to ensure residents requiring the use of mechanical sit-to-stand lifts for assistance with transfers, were monitored and re-evaluated for the continued appropriateness and safety of the devices; and that staff were trained how to use the devices. This deficient practice placed 2 residents at risk of serious harm, injury, or death. The Administrator was questioned on 10/20/16 at 11:00 am, about competency of the staff who used the sit-to-stand lifts on residents. He indicated competencies were to be reviewed annually by an outside agency who monitored the facility. The Administrator said the Staff Development Coordinator was to report to the QA (Quality Assurance Committee) on the progress of the competencies. The Administer confirmed he was not aware staff competency evaluations for the use of sit-to-stand lifts were not being completed. 2. Refer to F328 as it relates to the failure of facility administration to ensure the maintenance on the oxygen (O2) concentrators was current. The Administrator, District Director of Clinical Services, and Staff Development Coordinator were interviewed 10/18/16 at 3:00 pm, about the failed maintenance on the concentrators and a maintenance schedule. The Administrator indicated there was no scheduled maintenance plan for the oxygen concentrators in place. 3. Refer to F456 as it relates to the failure of the facility to ensure suctioning machines and resident lifts/scales were inspected within required time frames to avoid harm to residents due to their malfunction. During the Environmental Tour On 10/18/16 at 10:00 am, with the Maintenance Director, he confirmed not all equipment was checked routinely as required. The Maintenance Director could offer no explanation of the facility's failure to ensure the necessary inspections were completed. 4. Refer to F463 as it relates to the failure of the facility to ensure the resident call system was functional and equipped to receive resident Emergency calls from private bathrooms. Resident #12 who resided in room [ROOM NUMBER], and Resident #13 who resided in room [ROOM NUMBER], shared an adjoining bathroom. During environmental rounds with the Maintenance Director on 10/19/16 at 10:50 am, the emergency call bells for residents who resided in rooms [ROOM NUMBERS] were tested for proper functioning. When the bathroom emergency call bell was pulled for testing, the Maintenance Director immediately reported this call bell has not worked since 10/6/16. 2020-09-01