Coeur d Alene Health of Cascadia

In the surveyor’s words

From the most serious findings on record at Coeur d Alene Health of Cascadia, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 20, 2025

  Based on incident and accident (I&A) review, record review, and staff interview it was determined the facility failed to ensure adequate supervision for residents to prevent falls. This was true for 1 of 2 residents, (Resident #79) whose records were reviewed for falls. This resulted in actual harm to Resident #79. Findings include: The Centers for Medicare and Medicaid Services (CMS) State Operation Manual (SOM), Appendix PP, revised 8/8/24, defined 'Avoidable Accident' as an accident occurred because the facility failed to: Identify environmental hazards and/or assess individual resident risk of an accident, including the need for supervision and/or assistive devices. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observation, interview, review of the food code, and facility policy review, the facility failed to ensure food was dated as to when it expired, food was sealed, frozen food was appropriately thawed, and failed to ensure towels used to clean countertops were not heavily stained for one of one kitchen with the potential to affect 73 out of 80 resident consuming oral food. This failure had the potential to lead to food borne illnesses. Findings include: During an observation on 05/04/26 at 8:09 AM, there were three frozen meat logs sticking out of a container in a sink, with water running over one of the logs. Two of the logs were extended out of the container, not fully submerged and no water running over them. The walk-in refrigerator was observed with undated and unlabeled items. […]

• No harm, potential for more than minimal, widespreadF812Nov 12, 2025

  Based on observation, review of the Food, Drug, Administration (FDA) Food Code, and staff interview it was determined the facility failed to provide employee hand hygiene, beard masks, and a cleaned and sanitized kitchen. This was true for 57 of 76 residents who received food prepared by the facilities kitchen. This deficient practice created the potential for harm by placing residents at risk for potential foodborne illnesses and adverse health outcomes. Findings include:1. The FDA Food Code Section 2-301.14 When to Wash documented food employees shall clean their hands immediately before engaging in food preparation including working with exposed food, clean equipment and utensils . […]

• No harm, potential for more than minimal, widespreadF880Mar 20, 2025

  Based on observation, CDC recommendation review, policy review, and staff interview, it was determined the facility failed to ensure infection control and prevention practices were maintained. This failure had the potential to impact all residents in the facility by placing them at risk for cross contamination and transmission of infection. Findings include: 1. The facility's Work Practices-Cleaning Policy, updated 1/1/18, documented multiple use resident care, such as resident lifts, items are properly cleaned/disinfected between each resident use. […]

• No harm, potential for more than minimal, patternF550May 7, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure food was not served in disposable dishes for residents receiving cake. The facility also failed to ensure residents seated at the same table ate at the same time for one of one resident (Resident (R)75) reviewed for dignity in dining out of a total sample of 29 residents. This failure had the potential to cause R75 to feel less dignified.Findings include:1.Review of R75's undated admission Record, located in the electronic medical record (EMR) Profile tab, revealed R75 was admitted to the facility on [DATE] with diagnoses including gastroparesis, other specified eating disorder, unspecified protein-calorie malnutrition. […]