Paradise Creek Health and Rehab of Cascadia

In the surveyor’s words

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

• Actual harm, isolatedF684Aug 29, 2024

  Based on interview, observation, record review, and policy review, the facility failed to ensure two out of 20 sampled residents (Residents (R)30 and R43) were provided with adequate and or timely nursing care and services after: 1. R30 experienced a fall in which she sustained a significant laceration to her forehead and 2. R43's hospice orders were not implemented in a timely manner. The failure to send R30 to the emergency department (ED) timely resulted in harm when R30's laceration could not be sutured and then required debridement and continued treatment three weeks after the fall. […]

• Actual harm, isolatedF600Jul 14, 2023

  Based on policy review, record review, review of the State Agency's Long-Term Care Reporting Portal, review of I&A reports, and staff interview, it was determined the facility failed to ensure residents were free from abuse. This was true for 2 of 4 residents (#23 and #39) reviewed for abuse. This failure resulted Resident #39 and Resident #23 not being free from verbal abuse. Findings include: The facility's Abuse policy, revised 7/23/19, documented the facility prohibited abuse and implemented policies and procedures to prevent all types of abuse, including and not limited to verbal, sexual, physical, and mental abuse. The prohibitions on abuse applied to facility staff, other residents, consultants, volunteers, agency staff, family members, legal guardians, friends, and visitors. […]

• Actual harm, isolatedF689Jul 14, 2023

  Based on policy review, record review, I&A review, and staff and resident representative interview, it was determined the facility failed to ensure adequate supervision and interventions for residents to prevent falls. This was true for 2 of 7 residents (#24 and #31) reviewed for falls. This resulted in harm to Resident #31 and created risk of injury to Resident #24. Findings include: The facility's Fall Response and Management policy, revised 5/17/21, documented for a fall without injury staff were to implement immediate interventions to prevent a repeat fall, and for a fall with injury, to revise the care plan with interventions and communicate the event and intervention changes to staff. The policy was not followed. 1. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observations, interviews, and policy review, the facility failed to maintain sanitary conditions in the walk-in freezer and in the ice scoop holder on the side of the ice machine. These failures had the potential to cause contamination which could affect 46 residents who consumed food from the kitchen. Findings include:During the initial tour of the kitchen on 05/04/26 at 9:20AM, an observation in the walk-in freezer identified that ice had built up on the freezer lines. […]

• No harm, potential for more than minimal, widespreadF812Aug 29, 2024

  Based on observation, record review, interview, and policy review, the facility failed to ensure food was not expired, freezer temperatures were of proper parameters and thermometers were properly sanitized. This had the potential to affect food safety for the 41 residents served food from the kitchen. Findings include: Review of the facility's policy titled, Refrigerator & Freezer Temperature Monitoring, release date [DATE], revealed Freezers: Recommended temperature range is 0 F [degree Fahrenheit] +/-10 .Post a temperature log for each refrigerator and freezer at the beginning of the month. […]