Fairlawn Health and Rehabilitation of Cascadia

In the surveyor’s words

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

• Actual harm, isolatedF684Jan 30, 2023

  1. Based on interview and record review, it was determined the facility failed to follow physician orders for 1 of 3 (#4) residents sampled for physician orders. As a result, Resident 4 missed several doses of an anticoagulant (medication that prevents blood clots, which if not controlled could lead to heart attack or stroke), experienced a stroke and was hospitalized . The facility identified the noncompliance, immediately initiated a plan of correction, initiated in service training for staff providing services and care to residents with similar orders and completed audits to ensure resident safety. This incident was identified as meeting the criteria for past noncompliance. […]

• No harm, potential for more than minimal, widespreadF812Mar 27, 2026

  Based on observation, interview and record review it was determined the facility failed to ensure food was labeled and stored in a manner to avoid spoilage in 2 of 2 kitchens and failed to properly follow dish sanitizing practices and sanitization of food preparation surfaces for 1 of 2 kitchens. This placed residents at risk for food-borne illnesses. Findings include:Review of the US FDA 2022 Food Code indicated the following:-Food prepared and held cold must be clearly marked with date prepared or by day which the food shall be consumed or discarded.-Food must be labeled with a use-by-date if stored for at least 24 hours.-Food could be stored up to seven days.The facility's Food Safety and Storage policy, dated 11/28/2017, indicated the facility stored and handled all food, non-food… […]

• No harm, potential for more than minimal, widespreadF880Mar 27, 2026

  Based on observation, interview, and record review it was determined the facility failed to follow infection control precautions for 2 of 3 sampled hallways (north hall and west hall) reviewed for infection control. This placed the residents at risk of acquiring an infection. Findings include:According to the Center for Disease Control and Prevention (CDC) website https://www.cdc.gov/infection-control/hcp/basics/transmission-based-precautions.html: -Use contact precautions for patients with known or suspected infections that represent an increased risk for contact transmission. -Use personal protective equipment (PPE) appropriately, including gloves and gowns. Wear a gown and gloves for all interactions that may involve contact with the patient or the patient's environment. […]

• No harm, potential for more than minimal, patternF804Mar 27, 2026

  Based on observation, interview and record review the facility failed to ensure the resident meals were served at an appetizing temperature in hallways for 1 of 1 facility reviewed for food. This placed residents at risk for inadequate nutritional intake. Findings include:Review of the 12/2025, 1/2026 and 2/2026 Resident Council meeting notes revealed the Resident Council expressed food concerns including hot food served cold.Resident 36 was admitted to the facility in 2/2026 with a diagnoses including sepsis (body's extreme response to an infection damaging tissue and organs) and nutritional deficiency.A 2/12/26 admission MDS assessed Resident 36 as cognitively intact. […]

• No harm, potential for more than minimal, patternF812Dec 6, 2024

  Based on observation, interview and record review it was determined the facility failed to ensure food and beverages were labeled and stored in a manner to minimize spoilage and cross contamination for 1 of 1 kitchen reviewed for sanitary conditions. This placed residents at risk for foodborne illness. Findings include: 1. The facility's 4/2018 Food Storage: Cold Foods Policy Statement specified, All foods will be stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination. The facility's 9/2017 Food Storage: Dry Goods Policy Statement specified, All packaged and canned food items will be kept clean, dry, and properly sealed. […]