Clarkston Health and Rehab of Cascadia

In the surveyor’s words

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

• Actual harm, isolatedF686Jan 26, 2024

  Based on observation, interview, and record review, the facility failed to prevent development of a pressure ulcer (injury to skin and underlying tissue resulting from prolonged pressure) for 1 of 3 sampled residents (16), reviewed for pressure ulcers. Failure to implement pressure relieving interventions resulted in actual harm to Resident 16, who required surgical treatment after developing a pressure ulcer to the left heel which after being admitted to the facility. These failures placed other residents at risk for pressure ulcer development and a decreased quality of life. […]

• Actual harm, isolatedF757Sep 25, 2023

  Based on observation, interview, and record review, the facility failed to ensure anticoagulant (AC) medication (medication that stops blood from clotting) side effects were consistently monitored for 3 of 4 sampled residents (Residents 1, 5 and 6), reviewed for unnecessary medications. This failure caused Resident 1 re-hospitalization and treatment to reverse blood thinning and placed additional residents at risk of experiencing medication side-effects and a diminished quality of life. […]

• Actual harm, isolatedF697Oct 28, 2022

  Based on observation, interview, and record review, the facility failed to accurately assess and document pain levels and administer pain medication timely as ordered/needed for 1 of 3 sampled residents (267), reviewed for pain. These failures caused actual harm to the resident, who experienced inadequate pain control and a diminished quality of life. Findings included . An admission assessment dated [DATE] showed Resident 267 was cognitively intact and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A pain assessment completed by a registered nurse on 10/18/2022 showed the resident had verbally reported frequent significant pain at a level of 7 on a scale of 0 to 10 (0 meaning no pain, and 10 the worst pain a person could experience), which was rated on a pain severity scale. […]

• Actual harm, isolatedF580Mar 17, 2021

  Based on interview and record review, the facility failed to contact the resident's physician in a timely manner for one of three sample residents (#1), reviewed for a change in condition. Failure to follow the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings included . Review of Resident #1's 12/30/2020 comprehensive assessment showed the resident had significant cognitive impairment, and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident's Medication Administration Records for January and February 2021 showed the resident required Insulin (an injectable medication for diabetics), to control her blood glucose levels. […]

• No harm, potential for more than minimal, widespreadF577Aug 18, 2025

  Based on observation and interview, the facility failed to post survey results in a place readily accessible and frequented by most residents, as required. This failure placed residents at risk of being unable to exercise their resident rights.Findings included .During observation on 08/11/2025 at 4:45 AM, the facility's main lobby was entered. The lobby was a small foyer and contained a reception desk to the right with a few chairs. Within of few feet of walking into the building an elevator was observed straight ahead, to the left of the elevator was a set of stairs that led downstairs to the first floor that contained resident rooms, to the left of that was a set of stairs that led upstairs to the second floor that contained resident rooms, and a binder that contained survey results was… […]