Accura Healthcare of Cascade LLC

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Cascade LLC, in the surveyor’s own words.

• Actual harm, isolatedF600May 28, 2026

  Based on observation, record review, staff interviews, and facility policy review the facility failed to protect the resident's right to be free from physical abuse by a staff member for one out of one resident reviewed (Resident #14), when staff physically forced a resident to transfer. This deficient practice resulted in a bruised arm for Resident #14. The facility identified a census of 42 residents. Findings include: Review of Resident #14's Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severely impaired cognitive skills for daily decision making. Per the MDS, the resident had a short and long term memory problem. The MDS did not have any behaviors indicated. […]

• No harm, potential for more than minimal, patternF812May 15, 2025

  Based on observations, staff interviews, and facility cleaning lists the facility failed to maintain clean dry goods storage containers for 2 out of 2 containers, failed to clean 4 out of 4 vents, and failed to maintain a clean floor in the kitchen. The facility reported a census of 42 residents. Findings include: On 5/12/25 at 10:08 AM, Staff B, [NAME] stood in the kitchen at the prep table as he seasoned chicken while his hair net failed to contain the back part of his hair that left about 4 inches that hung onto his neck and shoulders. On 5/12/25 10:10 AM, the sugar and the flour plastic covers held light gray film and white powder over the handles and the top 50% of the lids. The wall to the right of the stove was 75% covered in splattered brown residue. […]

• No harm, potential for more than minimal, patternF921Jun 1, 2023

  Based on observations and staff interviews the facility failed to maintain a clean and sanitary environment for the residents. The facility identified a census of 38 residents. Findings include: On 5/30/23 at 10:15 a.m. in the Chronic Confusion Dementing Illness (CCDI) unit, observed the carpet with dirty areas of dried spills and dried food matted in the carpet of the main dining area. On 5/31/23 at 10:00 a.m. observed staff in the CCDI unit vacuuming the carpet in the main dining area after breakfast. Dried spills and matted food still present in the carpet. On 5/31/23 at 12:28 p.m. observed the general population dining room with carpet dirty and dried up spills in the main dining area. An interview on 5/31/23 at 1:55 p.m. […]

• No harm, potential for more than minimal, isolatedF658May 28, 2026

  Based on observation, staff interviews, and facility policy review the facility failed to ensure a nurse remained with a resident after medications were provided to the resident for one of three residents reviewed (Resident #7). The facility reported a census of 42 residents. Findings include: The Minimum Data Set (MDS) Resident #7 dated 3/4/26 listed diagnoses of atrial fibrillation, heart failure, diabetes mellitus (DM), Schizophrenia, and Post Traumatic Stress Disorder (PTSD). The Brief Interview for Mental Status (BIMS) showed a score of 15 out of 15, which indicated intact cognition. The Care Plan for Resident #7 revealed a current intervention to give medications as ordered.On 5/27/26 at 8:10 AM, Staff B Registered Nurse prepared the oral medications scheduled for Resident #7. […]

• No harm, potential for more than minimal, isolatedF880Mar 4, 2026

  Based on clinical record review, employee file review, staff interview, and facility document review the facility failed to complete hand hygiene and change their gloves during wound care for one out of two residents reviewed (Resident #5). The facility reported a census of 43 residents.Findings include:Resident #5's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. The MDS included diagnoses of diabetes mellitus (DM), anemia (low iron levels in the blood), chronic kidney disease (CKD), and arthritis. […]