Cascadia of Lewiston

In the surveyor’s words

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

• Actual harm, isolatedF760Apr 3, 2025

  Based on record review, review of the facility's policy and procedure, review of Incidents and Accidents (I&A's) reports, and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This was true for 2 of 2 residents (#133 and #134) reviewed for medication errors. Resident #134 was harmed when his J-tube had to be surgically replaced after being administered medications through it instead of by mouth per the physician's order and Resident #133 was potentially harmed when he was found to have 2 Fentanyl patches on his body instead of the ordered one patch. […]

• No harm, potential for more than minimal, widespreadF812Apr 3, 2025

  Based on observation, interview, policy review, and review of the Idaho Food Code, the facility failed to appropriately store, label, and serve foods. This deficient practice had the potential to affect all 27 residents who received meals from the facility kitchen served in the dining room and resident rooms. This placed residents at risk for potential contamination and use of spoiled foods, and adverse health outcomes, including food-borne illnesses. Findings include: Review of the Idaho Food Code, revised February 2021, stated 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking . […]

• No harm, potential for more than minimal, patternF695Apr 3, 2025

  Based on observation, record review, policy review, and staff interview, it was determined the facility failed to ensure staff rinsed and stored the nebulizer mouthpiece appropriately after each use. This was true for 5 of 5 residents (#7, #13, #15, #78, and #80). This failure placed residents at risk of respiratory infection due to growth of pathogens (organism that cause illnesses) in the respiratory equipment. Findings include: An article from American Heart Association website, accessed on 4/9/25 at https://www.lung.org, titled ABCs of Using a Nebulizer documented the following: - After each treatment, disassemble and wash the nebulizer parts in warm soapy water or in the dishwasher. - Rinse and let the pieces air dry and store in clean dry place. […]

• No harm, potential for more than minimal, patternF804Apr 3, 2025

  Based on observation, record review, resident interview, test tray evaluation, and staff interview, it was determined the facility failed to ensure palatable food was served. This affected 5 of 16 residents (#2, #14, #16, #17, and #127) who were reviewed for dietary concerns. This failed practice created the potential to negatively affect residents' nutritional status and psychosocial well-being. Findings include: The facility's Food Preparation policy dated 8/1/23, documented food is prepared by methods that conserve nutritive value, flavor, and appearance. The following resident interviews were conducted: On 3/31/24 at 4:04 PM, Resident #14 said the food is terrible, as if it came from a box like hamburger helper, no taste, the chicken has no flavor and sometimes food is too salty. […]

• No harm, potential for more than minimal, patternF756May 3, 2024

  Based on record review, policy review, and staff interview, the facility failed to ensure a licensed pharmacist reviewed each residents' medications at least monthly, and the physician/prescriber addressed the medications irregularities identified by the pharmacist. This was true for 2 of 5 residents (#3 and #17) whose medications were reviewed. These deficient practices created the potential for harm if residents' medications were administered without a clinical rationale. Findings include: The facility's policy, Pharmacy Consultation, dated 11/28/17, documented the Pharmacy Consultant would conduct monthly medication regimen review (MRR) for each resident in the facility. […]