Clearwater Health & Rehabilitation of Cascadia

In the surveyor’s words

From the most serious findings on record at Clearwater Health & Rehabilitation of Cascadia, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Jun 26, 2026

  Based on observation, interview, and review of the U.S. Food and Drug Administration 2022 Food Code, it was determined the facility failed to ensure garbage cans were properly closed with lids to minimize attracting pests and rodents into the kitchen. This was true for 1 of 2 garbage cans observed in the kitchen. This deficient practice had the potential to affect all residents and staff in the facility. Findings include:U.S Food and Drug Administration 2022 Food Code, 5-501.113 Covering Receptacles. […]

• No harm, potential for more than minimal, patternF812Jun 26, 2026

  Based on observation, review of the FDA Food Code, and staff interviews, it was determined the facility failed to ensure the kitchen equipment, ice machines, and cutting surfaces were maintained, clean, and food was stored in a safe and sanitary manner. These deficiencies had the potential to affect the 36 residents 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. […]

• No harm, potential for more than minimal, patternF812Apr 17, 2025

  Based on observation, Food Drug Administration (FDA) Food Code, and staff interview, it was determined the facility failed to ensure kitchen equipment was maintained. This deficiency had the potential to affect the 35 residents who consumed food prepared by the facility. This placed residents at risk for potential foodborne illnesses and adverse health outcomes due to contaminated food services equipment. Findings include: The FDA Code Section 4-602.12 Cooking and Baking Equipment documented: Food-contact surfaces of cooking equipment must be cleaned to prevent encrustation's that may impede heat transfer necessary to adequately cook food. […]

• No harm, potential for more than minimal, patternF657Feb 4, 2022

  Based on observation, record review, policy review, and resident and staff interview, it was determined the facility failed to ensure residents' care plans were revised to reflect current needs and interventions. This was true for 3 of 12 residents (#26, #30, and #32) whose care plans were reviewed. This placed residents at risk of adverse outcomes if cares and services were not provided as ordered due to care plans not being revised as residents' needs changed. Findings include: The facility's care plan policy, revised 11/28/19, documented care plans were to be monitored and revised quarterly and annually, or as needed with significant change to reflect change in the resident condition. […]

• No harm, potential for more than minimal, patternF755Jun 14, 2021

  Based on record review, policy review, and staff interview, it was determined the facility failed to ensure narcotic counts were consistently verified by an oncoming and outgoing nurse, and pharmacy receipts for delivery of controlled substances were consistently signed by the receiving facility staff. This was true for 2 of 2 medication carts reviewed. This failure created the potential for undetected misuse and/or diversion of controlled medications and had the potential to affect all residents who received narcotic medication in the facility. Findings include: The facility's policy for Management and Destruction of Controlled Substances, released on 11/28/17, documented the following: * A licensed nurse verified contents of delivery from the pharmacy. […]