Lewiston Transitional Care of Cascadia

In the surveyor’s words

From the most serious findings on record at Lewiston Transitional Care of Cascadia, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Aug 21, 2025

  Based on observation, review of the Food, Drug, Administration (FDA) Food Code, and staff interview, it was determined the facility failed to ensure staff food and physical therapy ice packs were stored separately from resident food in a freezer, resident food was not dated correctly, and pest control measures were not followed. This was true for the 66 residents who consumed food stored and prepared by the facility. This placed residents at risk for potential contamination of food and adverse health outcomes, including food-borne illnesses. Findings include: 1. […]

• No harm, potential for more than minimal, patternF812Jun 13, 2024

  Based on policy review, observation, and staff interview, it was determined the facility failed to ensure food was not expired and the stove hood was cleaned in 1 of 1 kitchen. These deficiencies had the potential to affect 69 residents residing in the facility who consumed food prepared by the facility. This placed residents at risk for potential contamination of food and adverse health outcomes, including food-borne illnesses. Findings include: 1. The facility's Food and Supply Storage policy, dated [DATE], documented All food .shall be stored in such a manner as to maintain safety and sanitation of the food or supply for human consumption. […]

• No harm, potential for more than minimal, isolatedF657Aug 21, 2025

  Based on record review and staff interview it was determined the facility failed to update a resident's care plan for 1 of 17 residents (Resident #54) reviewed for care plan accuracy. This deficient practice created the potential for harm if resident's care plan was not current for health care interventions. Findings include:Resident #54 was admitted to the facility on [DATE] with multiple diagnoses including COPD (Chronic Obstructive Pulmonary Disease: an irreversible lung disease that progressively makes breathing difficult), dependence on supplemental oxygen, diabetes, dementia, depression, and cognitive communication deficit.A physician's order, dated 5/31/23, documented Resident #54 was to receive oxygen at 2 liters/minute via nasal cannula continuously. […]

• No harm, potential for more than minimal, isolatedF684Aug 21, 2025

  Based on record review and staff interview it was determined the facility failed to follow a dietary restriction related to a food allergy. This was true for 1 of 1 resident (Resident #14) whose medical record was reviewed for food allergies. This deficient practice had the potential to cause harm or death related to anaphylaxis (a severe, potentially life-threatening allergic reaction) when staff failed to follow dietary restrictions related to food allergies. Findings include: Resident #14 was admitted to the facility on [DATE] with multiple diagnoses including dementia, diabetes, high blood pressure, depression, and anxiety. Resident #14's admission MDS assessment, dated 6/18/25, documented Resident #14 was not cognitively intact. […]

• No harm, potential for more than minimal, isolatedF697Aug 21, 2025

  Based on record review, and resident and staff interviews, it was determined the facility failed to ensure resident's pain was effectively managed and treated. This was true for 1 of 3 residents (Resident #31) reviewed for pain management. This deficient practice created the potential for harm should residents not receive effective pain management. Findings include:Resident #31 was admitted to the facility on [DATE] and readmitted on [DATE] with multiple diagnoses including lymphedema (accumulation of fluid due to disruption of lymphatic flow for a variety of reasons) and congestive heart failure (when the heart is unable to pump enough blood to meet the body's needs, leading to a buildup of fluid in the body).A physician's order, dated 8/13/25 documented Resident #31 was to receive the… […]