Grangeville Health & Rehabilitation of Cascadia

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 8, 2025

  Based on observation, Food Drug Administration (FDA) Food Code review, record review, and staff interview, it was determined the facility failed to ensure kitchen equipment was maintained, cleaned, and sanitized. These deficiencies had the potential to affect the 42 residents who consumed food prepared by the facility. This placed residents at risk for potential foodborne illnesses and adverse health outcomes. Findings include:The FDA Food Code Section 4-602.11 Equipment Food-Contact Surfaces and Utensils documented, surfaces of utensils and equipment contacting food that is not time/temperature control for food shall be cleaned. […]

• No harm, potential for more than minimal, widespreadF727Oct 25, 2024

  Based on review of the Payroll Based Journal (PBJ) Staffing Data Report, record review, and staff interview, it was determined the facility failed to ensure an RN was on-site for 8 consecutive hours, 7 days a week. This failure created the potential for harm if routine and/or emergency nursing needs were unmet and had the potential to affect the 46 residents living at the facility. Findings include: The facility's PBJ Staffing Data Report for Fiscal Year, Quarter 3, 2024 (April 1 - June 30), documented the facility reported an RN was not on-site on the following 7 dates: -Sunday 4/7/24 -Saturday 4/20/24 -Sunday 4/21/24 -Saturday 5/4/24 -Sunday 5/5/24 -Saturday 6/1/24 -Saturday 6/15/24 The facility's Three-Week Nursing Hours worksheet, completed by the Administrator, documented there fewer… […]

• No harm, potential for more than minimal, isolatedF641Aug 8, 2025

  Based on review of the Resident Assessment Instrument (RAI) Manual, record review, and staff interview, it was determined the facility failed to ensure residents' Minimum Data Set (MDS) Assessments included correct assessment information. This was true for 1 of 2 residents (#5 and #26) whose MDS records were reviewed for accuracy. This deficient practice had the potential for negative outcomes if residents were not assessed and/or monitored due to inaccurate assessments. Findings include:The RAI Manual, revised 10/1/2024, documented section A1500, PASRR (Preadmission Screening and Resident Review), was to be coded yes when a PASRR Level II screening determined a resident had a serious mental illness and/or intellectual disability, or related condition. 1. […]

• No harm, potential for more than minimal, isolatedF726Aug 8, 2025

  Based on observation, staff interview, and record review, it was determined the facility failed to ensure a licensed nurse had the specific skill set necessary to appropriately administer an insulin injection. This was true for RN #1, when she was observed administering an insulin injection. This failure created the potential for adverse effects if the resident did not receive the complete dose of their insulin. Findings include:The [NAME] Pharmaceuticals, Semglee Prefilled Insulin Pen- Instructions For Use, approved 7/2021, documented the following instructions:- Always perform the safety test before each injection. Performing the safety test ensures that you get an accurate dose by ensuring that pen and needle work properly and removing air bubbles. […]

• No harm, potential for more than minimal, isolatedF880Aug 8, 2025

  Based on observation, staff interview, and record review, it was determined the facility failed to ensure infection prevention standards of practice were maintained during insulin administration. This was true for RN #1 when she was observed administering an insulin injection. This failure created the potential for harm to all residents in the facility by placing them at risk for cross contamination and infection. Findings include:The [NAME] Pharmaceuticals, Semglee Prefilled Insulin Pen- Instructions for Use, approved 7/2021, documented to always wipe the rubber seal on the insulin pen with alcohol before attaching a new pen needle on to the insulin pen.The Centers for Disease Control (CDC) Infection Control, Standard Precautions for All Patient Care, web page, dated 4/3/24, accessed on… […]