Northpark Health and Rehabilitation of Cascadia

In the surveyor’s words

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

• Actual harm, isolatedF760Jan 23, 2026

  Based on clinical record review, staff interviews, facility documentation, policy, and procedures the facility failed to ensure that Resident (#79) was administered only the medications ordered by the provider. The deficient practice resulted in the administration of medications that were not ordered for resident. -Findings include:Resident #79 was re-admitted to the facility on [DATE], with diagnoses of hypertension, chronic kidney disease, and type 2 diabetes.A Comprehensive MDS (Minimum Data Set) assessment dated [DATE], revealed a BIMS (Brief Interview for Mental Status) score of 15, indicating that the resident was cognitively intact.The care-plan initiated on January 05, 2026 revealed that Resident # 79 is on Anticoagulant therapy related to atrial fibrillation and at risk for… […]

• No harm, potential for more than minimal, patternF812Sep 1, 2022

  Based on observations, staff interviews, and policy reviews, the facility failed to ensure that the fan in the dishwashing room/drying area was clean/dust free, and dishware stored in the ready to use area were clean/free of debris. The deficient practice could increase the risk of foodborne illness. Findings include: Regarding fan in the dishwashing room/drying area During the initial kitchen observation conducted on August 29, 2022 at 8:32 a.m., a wall-mounted fan blowing air directly on the shelf where dishware was washed and dried was observed to be dusty. The Culinary Manager (staff #48) was asked to see the kitchen's cleaning logs. Staff #48 stated that they did not have a cleaning log. He said that he checks the kitchen daily for cleanliness. […]

• No harm, potential for more than minimal, isolatedF842Feb 11, 2026

  Based on the clinical record review, staff interviews, facility documentation, and policy review, the facility failed to ensure that it maintained medical records that were accurately documented and complete for one of the three sample Residents (#111) for wandering/elopement risk. The deficient practice may result in a medical record that is inconsistent with person-centered plan of care and goals. Findings include: Resident #111 was admitted on [DATE], with a diagnosis of dementia, encephalopathy, hypertension, and osteoarthritis. The admission Minimum Data Set (MDS) assessment completed January 22, 2026, revealed a Brief Interview for Mental Status (BIMS) score of 03, which indicated that Resident #111 was severely cognitively impaired. […]

• No harm, potential for more than minimal, isolatedF761Jan 23, 2026

  Based on observations, staff interviews, and a review of facility policy, the facility failed to ensure medications were not stored past their expiration date. The deficient practice could result in expired drugs stored in the facility available to be used for the residents. Findings include:An observation of a medication storage room was conducted on January 23, 2026, at 9:07 am, in the presence of the Assistant Chief Nursing Officer (ACNO/Staff #21). The following medications were found to be stored past expiration:- 1 bottle of Geri-Dryl (Diphenhydramine Hydrochloride), expiration date of 07/2025During a observation of a second medication storage room on January 23, 2026 at 9:17 am, in the presence of Staff #21, the following medications were found to be stored past expiration:- 2… […]

• No harm, potential for more than minimal, isolatedF684Oct 17, 2024

  Based on observation, clinical record review, facility documentation, interviews, and review of facility policies and procedures, the facility failed to ensure one resident (#34) received services according to professional standards regarding notification to a provider, required communication, and clarifying and following a physician's order. The deficient practice could result in residents not receiving adequate care and/or suffering from preventable injuries. -Findings Include: Resident #34 was admitted into the facility on [DATE], with diagnoses that included hypertension, diabetes mellitus, non-Alzheimer's dementia, syncope and collapse, and chronic right humeral fracture. […]