Secora Rehabilitation of Cascadia

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 28, 2025

  Based on observation, interviews and record review it was determined the facility failed to ensure dishwasher temperatures met the minimum requirements for 1 of 1 dishwasher reviewed for the kitchen. This placed residents at risk for communicable diseases, un-sanitized dishware and utensils. Findings include: The facility's Dishwashing in the Dish Machine Policy dated 1/1/2018 states: - Test the dish machine for proper water temperatures and sanitizer levels (for low-temp machine), and record readings prior to washing the dishware. - Do not use the dish machine if sanitizer and water temperatures are not acceptable. On 3/27/25 at 11:45 AM the facility's dishwashing machine was observed with instructions stating the minimum operating temperature was 120 degrees F. […]

• No harm, potential for more than minimal, widespreadF812Oct 10, 2022

  Based on observation and interview it was determined the facility failed to prevent potential contamination of the ice machine in 1 of 1 kitchen reviewed for sanitation. This placed residents at risk for potential infections related to foodborne pathogens. Findings include: The Federal Food Sanitation Rules code 5-402.11 Backflow Prevention directed facilities to ensure a direct connection may not exist between the sewage system and a drain originating from equipment in which food, portable equipment, or utensils are placed. On 10/3/22 at 9:30 AM the ice machine was observed to drain directly into the plumbing without an air gap. This allowed for backflow into the ice machine from the sewer. […]

• No harm, potential for more than minimal, patternF880Jul 10, 2026

  Based on observation, interview and record review the facility failed to ensure infection control practices were observed for 1 or 2 halls reviewed for CBG monitoring. This placed residents at risk for bloodborne organisms. Findings include: A 2017 Evencare G2 glucometer Manufacturer Manual indicated, Disinfect common use glucometers with the use of approved disinfectant wipes. The glucometer was to be wiped with the disinfecting wipe and left wet for two minutes to ensure disinfection. Resident 22 was admitted to the facility in 9/2024 with diagnoses including diabetes.On 7/7/26 at 11:54 AM, Staff 25 (Agency RN) was observed using a shared Evencare G2 glucometer to obtain Resident 22's blood sugar. […]

• No harm, potential for more than minimal, patternF847Mar 28, 2025

  Based on interview and record review it was determined the facility failed to ensure residents were fully informed and understood the binding arbitration agreement for 2 of 2 sampled residents (#s 16 and 304) reviewed for binding arbitration agreement. This placed residents at risk of being uninformed of their legal rights. Findings include: The facility's undated arbitration agreement included the following: - The Resident and/or Legal Representative understands that his Arbitration Agreement may be rescinded by giving written notice to the Facility within 10 days of its execution, this Arbitration of its execution. If not rescinded within 10 days of its execution, this Arbitration Agreement shall remain in effect for all claims arising out of the Resident's stay at the Facility. 1. […]

• No harm, potential for more than minimal, patternF947Mar 28, 2025

  Based on interview and record review it was determined the facility failed to ensure CNA staff received 12 hours of in-service training annually for 2 of 5 randomly selected staff members (#s 9 and 18) reviewed for evidence of in-service training. This placed residents at risk for lack of quality care. Findings include: The facility's Inservice Education/Training policy, last revised on 10/15/22, indicated employee education and in-service training was provided to assist in maintaining the continuing competence and knowledge of the staff. On 3/27/25 at 2:44 PM, Staff 3 (Clinical Resource) provided a list of annual training hours for CNA staff which revealed the following: -Staff 9 (CNA): 7.5 annual training hours and -Staff 18 (CNA): 1.5 annual training hours. […]