Payette Healthcare of Cascadia

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Aug 9, 2024

  Based on observation, policy review, and staff interview, it was determined the facility failed to ensure residents were provided with a safe, clean, homelike environment. This was true for 1 of 4 residents (Resident #36) who were observed in power wheelchairs, and for all 44 residents who resided in the facility whose overall environment was observed. This deficient practice created the potential for harm if: a) residents were injured when the privacy curtains in the resident's rooms prevented the resident from moving around in their room safely and the holes in the floors caused a resident to fall, b) residents were embarrassed by dirty equipment and/or felt the lack of cleanliness in the facility was unacceptable, disrespectful, or undignified, and c) cross-contamination from spread of… […]

• No harm, potential for more than minimal, patternF880Aug 9, 2024

  Based on observation and staff interviews, the facility failed to ensure adherence to infection control and prevention practices to provide a safe and sanitary environment, when staff did not follow hand hygiene protocols, properly clean Hoyer lift equipment, and follow proper protocol during tube feeding. These failures had the potential to impact 4 of 4 residents (Residents #8, #15, #16, and #21) for hand hygiene, Hoyer lift use for transfers, and 1 of 1 resident (Resident #156) during G-tube feeding, placing them all at risk for cross-contamination and infection. […]

• No harm, potential for more than minimal, isolatedF600Sep 12, 2025

  Based on staff interview, record review, and review of the State Long Term Care Reporting System, it was determined the facility failed to ensure residents were free from abuse. This was true for 1 of 3 residents (Resident #24) reviewed for abuse, neglect, misappropriation of resident property and exploitation. The facility failed to protect Resident #24 when she experienced abuse from CNA #1 during a shower and created the potential for all residents in the facility to experience abuse. Findings include:The facility's Abuse Policy, revised 3/2024, documented the facility would prevent all types of abuse, neglect, misappropriation of residents' property and exploitation. […]

• No harm, potential for more than minimal, isolatedF628Sep 12, 2025

  Based on record review and staff interview, it was determined the facility failed to provide hospital transfer documents for 3 of 5 residents (#3, #5, and #59) whose records were reviewed for hospitalization. This deficient practice created the potential for the residents to experience harm if the residents were not treated in a timely manner due to lack of information. Findings include:The CMS State Operations Manual, revised 4/25/25, documented when a facility transfers or discharges a resident under any circumstances, the facility must ensure that the transfers or discharge is documented in the resident's medical record and appropriate information is communicated to the receiving health care institution or provider.1. […]

• No harm, potential for more than minimal, isolatedF641Sep 12, 2025

  Based on review of the Resident Assessment Instrument (RAI) Manual, record review, and staff interview it was determined the facility failed to ensure residents' Minimum Data Set (MDS) assessments reflected the residents' status. This was true for 2 of 13 residents (#2 and #27) whose MDS assessments were reviewed for accuracy. This deficient practice created the potential for negative outcomes if residents' were not assessed and/or monitored due to inaccurate assessments. Findings include:1. Resident #2 was admitted to the facility on [DATE], with multiple diagnoses including atrial fibrillation (irregular heartbeat preventing the heart from pumping efficiently), heart failure, and diabetes. […]