Alderwood Park Health and Rehab of Cascadia

In the surveyor’s words

From the most serious findings on record at Alderwood Park Health and Rehab of Cascadia, in the surveyor’s own words.

• Immediate jeopardy, isolatedF609Apr 24, 2023

  Based on observation, interview and record review the facility failed to immediately report and take action for 2 of 2 (Residents 8 and 9) related to a witnessed event where a night shift, male caregiver was leaning over with their hands on either side of a female resident's (Resident 8) face with the resident stating stop, and insisting to change the resident despite being told the resident had been changed, and additional allegation of sexual abuse of a female resident (Resident 9) reviewed for allegations of abuse. […]

• No harm, potential for more than minimal, widespreadF801Mar 26, 2024

  Based on interview, and record review, the facility failed to ensure the Dietary Manager (Staff Q) had proper qualifications. This failure placed residents at risk of receiving dietary services from staff without the required competencies and skills to carry out food and nutrition services. Findings included . In an interview on 03/19/2024 at 09:19 AM, Staff Q, Dietary Manager (DM), stated they had been in the position for two to three months as the facility DM. Staff Q stated they did not currently have a certificate of completion for a DM course. Staff Q stated they had not finished their class to be a certified DM. […]

• No harm, potential for more than minimal, widespreadF868Apr 24, 2023

  Based on interview and record review, the facility failed to have a functioning Quality Assessment and Assurance (QA&A) committee that met at least quarterly to conduct required Quality Assurance and Performance Improvement (QAPI) and QA&A activities. This failed practice placed residents at risk for quality deficiencies, adverse events, and diminished quality of life. Findings included . Review of the facility policy titled, Quality Assurance and Performance Improvement (QAPI), with a revised date of 10/15/2022, showed the committee met monthly as necessary or at a minimum quarterly to identify performance improvement opportunities through tracking and trending of data that necessitate quality assessments. […]

• No harm, potential for more than minimal, widespreadF838Dec 9, 2022

  Based on interview and record review, the facility failed to ensure the Facility Assessment was reviewed and updated at least annually. This failure resulted in an assesment lacking current information related to required resources necessary to care for its residents during day to day operations and emergencies and had the potential to impact all residents. Findings included . Review of the Facility Assessment on 12/08/2022 showed the date range listed as May 14, 2020- May 13, 2021. There had been no updates since that time. […]

• No harm, potential for more than minimal, patternF585Jan 16, 2026

  Based on interview and record review, the facility failed to ensure thorough investigation and resolution of grievances for one of one resident facility groups. This failure resulted in continued dissatisfaction among residents regarding how their grievances are being addressed and had the potential to impact residents quality of life. Findings included .Review of the facility policy titled: Grievance Process, with a revised date of 08/2025, documented that the Nursing Home Administrator or Designee was responsible for the grievance process including tracking and conclusion. […]