Creekside Health and Rehabilitation of Cascadia

In the surveyor’s words

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

• Actual harm, isolatedF684Mar 30, 2022

  Based on interview and record review it was determined the facility failed to address a resident's change in condition, failed to ensure provision of care and services for wounds and failed to follow physicians' orders for 4 of 6 sampled residents (#s 1, 4, 5 and 11) reviewed for wounds and medications. Resident 11 required acute care intervention due to [CONDITION(S)] (infection that causes life-threatening injury to the body's own tissues and organs) and amputation. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF727Sep 9, 2022

  Based on interview and record review it was determined the facility failed to ensure adequate RN charge nurse staffing for 15 of 28 days reviewed for staffing. This placed residents at risk for unmet needs. Findings include: A review of the facility's Direct Care Staff Daily Reports from 10/24/22 through 11/20/22 revealed 15 days with no RN coverage for eight hours each day. On 11/21/22 at 10:56 AM Staff 1 (Administrator) confirmed the lack of RN staffing.

• No harm, potential for more than minimal, widespreadF727Sep 9, 2022

  Based on interview and record review it was determined the facility failed to ensure adequate RN charge nurse staffing for 15 of 28 days reviewed for staffing. This placed residents at risk for unmet needs. Findings include: A review of the facility's Direct Care Staff Daily Reports from 10/24/22 through 11/20/22 revealed 15 days with no RN coverage for eight hours each day. On 11/21/22 at 10:56 AM Staff 1 (Administrator) confirmed the lack of RN staffing.

• No harm, potential for more than minimal, patternF584May 22, 2026

  Based on observation and interview it was determined the facility failed to maintain a homelike environment for 1 of 1 facility reviewed. This placed residents at risk for living in an uncomfortable and un-homelike environment. Findings include: Resident 38 was admitted to the facility in 2023 with a diagnosis of quadriplegia.On 5/19/26 at 10:11 AM, Resident 38 stated the carpets were stained in several spots and needed to be replaced.On 5/21/26 at 10:12 AM, observation of all facility halls revealed multiple areas of stained and discolored carpeting throughout resident hallways. Large dark stains were observed on the carpeted walking surfaces. Multiple light-colored bleach stains were observed adjacent to resident room doorways. […]

• No harm, potential for more than minimal, patternF732Sep 9, 2022

  Based on interview and record review it was determined the facility failed to ensure the daily staff posting was accurate and complete for 12 of 36 sampled days reviewed for staffing. This placed residents and visitors at risk for lack of staffing information. Findings include: Review of the Direct Care Staff Daily Report postings from 8/1/22 through 9/5/22 revealed the following: *Nine days (8/5/22, 8/8/22, 8/26/22, 8/27/22, 8/30/22, 8/31/22, 9/1/22, 9/2/22 and 9/4/22) the actual hours worked by the RN, LPN or CNAs were not documented as required for one or more of the shifts each day. […]