Arbor Valley of Cascadia

In the surveyor’s words

From the most serious findings on record at Arbor Valley of Cascadia, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 20, 2021

  Based on record review, policy review, and staff interview, it was determined the facility failed to professional standards of practice were followed to prevent the development of prevent pressure ulcers for 1 of 12 residents (Resident #164) reviewed for quality of care. This failure resulted in harm when Resident #164 developed a deep tissue injury on her heel. Findings include: The facility's policy entitled Prevention and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . An avoidable injury occurred when the resident developed a pressure ulcer or injury due to the facility's failure to evaluate the resident's clinical condition and risk factors and implement interventions consistent with resident needs, goals, and professional standards of practice. […]

• No harm, potential for more than minimal, widespreadF812Aug 21, 2026

  Based on observation, interview, policy review, and review of the FDA Food Code, the facility failed to ensure food items were not past the use-by-date, food preparation supplies were in good condition, drinks were covered during transport, and hand hygiene was performed when assisting residents with meals. These deficient practices placed all 132 residents who received meals prepared by the kitchen at risk for food-borne illness and potential for cross-contamination. Findings include:The FDA Food Code Section 4-501.12 Cutting Surfaces - documented cutting surfaces such as cutting boards and blocks that become scratched and scored may be difficult to clean and sanitize. As a result, pathogenic microorganisms transmissible through food may build up or accumulate. […]

• No harm, potential for more than minimal, widespreadF812Aug 20, 2021

  Based on observation, staff interview, and policy review, it was determined the facility failed to ensure kitchen equipment was maintained in a sanitary manner. The facility failed to properly date refrigerated items when they were received and failed to monitor and discard outdated and inedible food items. This had the potential to affect the 70 residents residing in the facility who consumed food prepared by the facility. This placed residents at risk for potential contamination of food and adverse health outcomes, including food-borne illnesses. Findings include: The facility's Food Safety policy, dated 11/28/17, documented food was handled and stored in a manner to minimize the risk of and/or prevent contamination and foodborne illness. […]

• No harm, potential for more than minimal, widespreadF835Jan 7, 2021

  Based on record review, resident and staff interview, and review of staffing schedules and the Facility Assessment, it was determined the facility's administration failed to ensure care and services were planned and implemented for residents' residing in the designated COVID-19 positive unit. This was true for 6 of 11 residents (#5, and #7 - #11) on the COVID-19 positive unit reviewed for ADL care. This failure created the potential for harm when residents' cares and needs were not met. Findings include: 1.The facility was identified as a designated COVID-19 positive unit for the community starting July 2020 to current. […]

• No harm, potential for more than minimal, widespreadF838Jan 7, 2021

  Based on review of facility census data, policy review, Facility Assessment review, and staff interview, it was determined the facility failed to update the Facility Assessment identified how staffing levels and competencies met resident needs. This directly impacted 6 of 11 residents (#5, #7 - #11) residing on the COVID-19 positive unit whose ADL needs were reviewed, and had the potential to impact the remaining 59 residents residing in the facility. COVID-19 is an infectious disease by a new virus causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, or new dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases difficulty breathing that could result in severe impairment or death. […]