Mountain View of Cascadia

In the surveyor’s words

From the most serious findings on record at Mountain View of Cascadia, in the surveyor’s own words.

• Actual harm, isolatedF697Nov 24, 2021

  Based on observation, interview, and record review, the facility failed to ensure pain management was provided to 1 (#29) of 19 sampled residents, and this resident voiced pain, at the level of 10 out of 10 on a pain scale, had pain during the provision of care, and staff were aware of the resident's pain. Findings include: During an observation on 11/22/21 at 3:36 p.m., resident #29 was observed in her room, moaning, her shirt was pulled up with her breast exposed, she was rubbing her abdomen saying, Ow, please help me. Her door was open to the hallway. Staff member F was in the hall and was informed of the observation. She went in to help resident #29. During an interview on 11/22/21 at 4:16 p.m., resident #29 was alert and oriented to person, place, and time. […]

• No harm, potential for more than minimal, widespreadF801Jun 29, 2026

  Based on interview and record review, the facility failed to employ a Certified Dietary Manager or a full-time dietitian to direct the dietary department functions, and this resulted in inadequate oversight and systemic problems being identified in the facility's dietary department. This failure may affect any resident receiving services from the dietary department. Refer to F803 - Menus Meet Resident Needs, Prepared in Advance and Followed, F804 Nutritive Value and Appearance, Palatable and Preferred Temperatures, and F812 Food Procurement, Store, Prepare and Serve, Sanitary for other regulatory areas cited due to the lack of oversight and maintaining compliance. […]

• No harm, potential for more than minimal, widespreadF804Jun 29, 2026

  Based on observation, interview and record review, the facility failed to ensure the food was consistently served at a palatable temperature and delivered within the facility's established meal service time for 8 (#s 2, 14, 15, 25, 42, 43, 55, 58) of 18 sampled residents. These deficient practices resulted in repeated resident complaints of cold food, delayed meal service, and decreased resident satisfaction with the dining experience. Findings include:During an interview on 6/27/26 at 3:39 p.m., resident #2 reported the food was sometimes served cold.During an interview on 6/27/26 at 4:24 p.m., resident #55 stated he received his meals in his room and they were served cold. […]

• No harm, potential for more than minimal, widespreadF812Jun 29, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was stored, monitored, and served under sanitary conditions; failed to monitor consistently and document refrigerator and freezer temperatures; failed to implement and maintain food holding temperature logs and ensure hot food was maintained at safe serving temperatures; and failed to maintain the kitchen in a clean and sanitary condition. These deficient practices increased the risk for foodborne illness and contamination of food for all residents served food from the facility kitchen. Findings include:1. During an interview on 6/27/26 at 3:11 p.m., staff member H was asked about the multiple missing entries on the refrigerator and freezer temperature logs. […]

• No harm, potential for more than minimal, widespreadF839Jun 5, 2025

  Based on interview and record review, the facility failed to ensure they employed qualified and competent staff to provide social work services. This deficient practice had the potential to affect all residents in need of social services. Findings include: During an interview on 6/4/25 at 10:05 a.m., staff member A stated NF3 was originally hired as a business office assistant. She was later promoted to social service director. He stated she had some on-the-job training when she first assumed the role. Stating she went to another corporate facility and received on-site training there with the social worker at that facility. A request submitted on 6/4/25 at 10:30 a.m., for additional training/education for NF3, for acting as a social work director, was submitted. […]