Boswell Transitional Care of Cascadia

In the surveyor’s words

From the most serious findings on record at Boswell Transitional Care of Cascadia, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761May 9, 2025

  -Regarding Resident #82: Resident #82 was admitted on [DATE], diagnosis included chronic systolic congestive heart failure, pleural effusion, Hypo-osmolality, Hyponatremia, hypertension, and hyperlipidemia. The Admissions Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating that resident is cognitively intact. Resident #82 ' s care plan did not address that resident is able to self-administer medication. Review of the physician ' s orders revealed no orders to self-administer medications. Further review of the Physicians orders revealed no orders for Estradiol 0.01% vaginal cream 42.5gm or Betamethasone Dipropionate Ointment, USP 0.05%. […]

• No harm, potential for more than minimal, patternF812Mar 17, 2022

  Based on observations, staff interviews, and review of the Food and Drug Administration's (FDA) 2017 Food Code, the facility failed to ensure foods were appropriately stored in the refrigerator and freezer, that expired food goods were disposed of, and that serving of meals was conducted in accordance with professional standards for food service safety. The deficient practice could result in foodborne illness. Findings include: Regarding food storage in refrigerator and freezer: An observation was conducted with the food service manager (staff #25) on [DATE] at 8:31 AM during the initial kitchen visit. Upon entering the first walk-in refrigerator, an unlabeled, undated, Ziplock bag of sliced white swiss cheese was noted to be in there. […]

• No harm, potential for more than minimal, patternF684May 7, 2021

  Based on clinical record review, staff interviews, and review of facility policies and procedures, the facility failed to ensure that one resident (#2) received physician ordered cold therapy (ice packs), and one resident (#6) received physician ordered treatments for a non-pressure wound. The deficient practice could result in additional residents not receiving care in accordance with professional standards. Findings include: -Resident #2 was admitted on [DATE] and readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A care plan for acute pain initiated on December 17, 2020 included to identify non-pharmacological methods of pain relief, and to attempt non-pharmacological pain interventions and repositioning for comfort. […]

• No harm, potential for more than minimal, patternF686May 7, 2021

  Based on clinical record reviews, staff interviews, observations of care, and review of policies and procedures, the facility failed to ensure that a provider was notified after that a pressure ulcer for one resident (#8) had developed an odor, and failed to ensure that two residents (#8, and #9) with pressure injuries received accurate wound assessments and monitoring of their wounds. The deficient practice could result in additional residents with pressure injuries not being provided necessary care and services to prevent worsening of their wounds. […]

• No harm, potential for more than minimal, patternF880May 7, 2021

  Based on observations, review of facility records, staff interviews, review of policies and procedures, and review of guidance from the CDC (Centers for Disease Control), the facility failed to ensure infection control guidelines and standards were followed regarding the screening of visitors entering the facility, and during a wound care observation for one resident (#8). The deficient practice could result in the spread of infections including COVID-19. Findings include: On May 3, 2021 at 8:55 a.m. the following observations were made in the facility lobby: -Two visitors were at a reception desk being screened by a receptionist (staff #23). Staff #23 asked the visitors if they had any symptoms? The visitors replied No and entered the facility. […]