Cashmere Post Acute

In the surveyor’s words

From the most serious findings on record at Cashmere Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF886Oct 6, 2022

  Based on observation, interview and record review, the facility failed to conduct testing for COVID-19 (an infectious disease causing respiratory illness with symptoms including cough, fever new or worsening malaise, headache, dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases, difficulty breathing that could result in severe impairment or death) in a manner that is consistent with current standards of practice for conducting COVID-19 testing for four of four residents (87, 77, 84, 389) and eight of ten staff (P, SS, O, C, TT, UU, YY, L) reviewed for COVID-19 testing. In addition, the facility failed to provide a designated physical space for staff testing and failed to ensure infection prevention strategies were maintained. […]

• Actual harm, isolatedF689Dec 1, 2023

  Based on observation, interview, and record review, the facility failed to prevent an avoidable accident by ensuring the plan of care regarding transfers was followed for 1 of 3 residents (Resident 1) reviewed for accidents. The failure to safely transfer Resident 1 using two-person assist resulted in an assisted fall and Resident 1 experienced harm when they sustained a facial laceration (a skin wound usually caused by a sharp object or blunt trauma) requiring evaluation and intervention by the local emergency room (ER). Findings included . Review of the facility policy titled Fall Prevention Program, revised on 09/04/2023, defined a fall as an event in which an individual unintentionally comes to rest on the ground, floor, or other level. […]

• Actual harm, isolatedF684Nov 23, 2021

  Based on interview and record review, the facility failed to identify change in condition in a time consistent with the resident's needs and failed to provide the needed care, services, and monitoring for a change in mentation, decreased chewing/swallowing, and communication abilities (which started on 11/04/2021 and continued until 11/08/2021 when the resident was sent to the local emergency department for an evaluation), in one of three residents (Resident 1), reviewed for hospitalization and skin issues. […]

• No harm, potential for more than minimal, widespreadF770Apr 3, 2026

  Based on interview and record review the facility failed to maintain a current Clinical Laboratory Improvement Amendment (CLIA) certificate required to perform laboratory tests within the facility. This failure placed residents at risk for substandard care, delayed diagnosis and incorrect medical treatment. Findings included. During an observation and concurrent interview on [DATE] at 1:55 PM, Staff A, Administrator, stated they had noticed the facility's CLIA certification had expired on [DATE] (an elapsed period of 9 months and 10 days). Staff A stated that they recalled paying the renewal fee for the previous year. […]

• No harm, potential for more than minimal, widespreadF882Jan 13, 2025

  Based on interview and record review, the facility failed to ensure there was a designated Infection Preventionist (IP) who worked at least part-time at the facility and was responsible for the facility's Infection Control and Prevention Program (IPCP), including implementation of infection prevention measures to prevent the spread of communicable diseases. These failures placed the residents at risk for transmission of infectious disease and unmet care needs. Findings included . Review of the undated policy titled, Infection Preventionist, showed the infection preventionist was employed on site and at least part time. […]