Highland Health and Rehabilitation of Cascadia

In the surveyor’s words

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

• Actual harm, isolatedF694Feb 13, 2026

  Based on interview and record review, the facility failed to ensure the nursing staff used professional standards of care and aseptic (to prevent healthcare associated infections, surgical site infections and laboratory contamination) technique when changing Resident 20's PICC line [a peripherally inserted central catheter (PICC) is a long, soft, flexible tube inserted into a vein in the upper arm and advanced to a large vein above the heart] dressing. Resident 20 experienced harm when they required an emergency transfer to the emergency department (ED) to have their PICC line replaced, and additional diagnostic procedures (ultrasound and Xray) performed when their PICC line was cut with unclean and unsterile scissors. […]

• Actual harm, isolatedF686Jan 9, 2024

  Based on interview, and record review the facility failed to ensure staff provided the necessary assessment, interventions, monitoring of the impacted skin area, and care for 1 of 1 resident (Resident 1) who was identified to have a Deep Tissue Injury (DTI) from a knee brace/immobilizer and subsequently developed an avoidable unstageable pressure ulcer/pressure Injury (PU/PI). Resident 1 experienced harm when they developed an unidentified wound to the area under their brace (also known as an immobilizer - a medical device that stabilizes your knee joint and holds it in place) and this practice placed all other residents with a brace or appliance at risk of the development of a PU/PI. […]

• Actual harm, isolatedF689Nov 22, 2023

  Based on interview and record review, the facility failed to ensure 1 of 3 sampled residents (Resident 1), reviewed for falls, received supervision with two-person assist with transfers and was not left unattended while on a bedside commode (BSC), had the effectiveness of current interventions evaluated, and had additional fall measures implemented to prevent future falls. Resident 1 was harmed when they had five falls within a nine-week period from their admission to the facility while they were self-transferring to or from the toilet or BSC, and during the last fall, the resident experienced a fractured hip. This failed practice placed all residents at risk for prevention of falls and possible injury. Findings included . […]

• Actual harm, isolatedF684Oct 19, 2023

  Based on interview and record review the facility failed to thoroughly provide professional standards of care and services, for 1 of 1 resident (Resident 1) reviewed for wound care. The facility failed to timely and accurately assess the resident's surgical wound site, follow physician orders as indicated post-surgical amputation of a toe on the resident's right foot, monitor and assess other open areas to the resident's right foot, left foot, and coccyx (tailbone), manage a wound vac (vacuum assisted closure device that assists in wound healing) device, and communicate concerns and status of the surgical wound to the surgeon. […]

• Actual harm, isolatedF600Apr 12, 2022

  Based on observation, interview, and record review the facility failed to ensure a cognitively impaired resident (Resident 2) was free from physical abuse by an unsupervised cognitively impaired resident (Resident 1) who had a known history of physical aggression towards other residents and staff. Failure to maintain the supervision of Resident 1 lead to an actual physical assault to Resident 2's face and caused an injury to their lower lip and placed all other residents at risk for further abuse. […]