North Cascades Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at North Cascades Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Feb 6, 2026

  Based on observation, interview, and record review, the facility failed to ensure staff immediately performed Cardio-Pulmonary Resuscitation (CPR) to 2 of 2 residents (Residents 1 & 2) who were found unresponsive (not breathing and without a pulse) and had a physician order to initiate CPR. Resident 1 had a signed POLST (Physician Order for Life Sustaining Treatment- a form indicating the resident's wishes to have or not have CPR) for life-sustaining care and services, facility staff were unable to locate Resident 2's POLST after they became unresponsive. […]

• Immediate jeopardy, isolatedF689Jan 24, 2025

  Based on observation, interview and record review, the facility failed to ensure residents who engaged in smoking were assessed for adequate supervision to prevent injury from burns, provided a safe environment, necessary devices, and supplies to safely smoke, and to protect other residents from potential fire hazard for 2 of 2 residents (Residents 66 and 78) reviewed for smoking. These failures potentially placed all residents at risk for injury related to unsafe smoking practices and constituted an Immediate Jeopardy (IJ). The failed practice resulted in an IJ on 01/16/2025 when the facility failed to ensure residents, and the resident environment were safe from injury from burns and fire. […]

• Actual harm, isolatedF600Mar 4, 2026

  Based on interview and record review, the facility failed to ensure a resident was free from sexual abuse by a staff member for 1 of 1 resident (Resident 1) reviewed for abuse. The facility failed to recognize and report the allegation immediately to protect the resident from the potential further abuse. This failure allowed the alleged perpetrator to continue to work with other residents and allowed them to still have access to Resident 1. Resident 1 who had a known history of domestic violence, was a victim of a home robbery by a past caregiver, experienced psychosocial harm when they experienced increased panic attacks, a change in their sleeping pattern and increased anxiety related to fear of the staff member. […]

• Actual harm, isolatedF689Jan 28, 2026

  Based on observation, interview and record review, the facility failed to provide an environment that was free from accident hazards over which the facility has control for 1 of 3 residents (Resident 1) reviewed for falls. Resident 1, who had a known history of falls experienced harm when the facility failed to safely administer medications which resulted in cumulative adverse effects contributing to a fall with a significant injury. Findings included .Review of the facility policy titled: Fall Management and Neurological Check, with a revised date of January 2025, stated care plans were updated to reflect individualized interventions to reduce falls and a systematic review of current interventions was completed post fall and root causes identified. […]

• Actual harm, isolatedF760Jan 28, 2026

  Based on interview and record review, the facility failed to ensure 1 of 3 residents (Resident 1) reviewed for falls were free from significant medication errors. Failure to follow physician ordered medication parameters for antihypertensive (blood pressure lowering) medications resulted in harm when Resident 1 experienced dizziness and a fall resulting in significant injury. Findings included .Review of the facility policy titled, Medication Administration Guidelines, dated 01/23 stated prior to administration of medication, review and confirm the orders for each individual medication. Resident 1 admitted [DATE] with diagnoses which included hypertension (high blood pressure) chronic kidney disease and congestive heart failure. Resident 1 had a history of falls. […]