Spokane Valley Health and Rehabilitation of Cascad

In the surveyor’s words

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

• Actual harm, isolatedF684Oct 18, 2023

  Based on interview and record review, the facility failed to take action or evaluate the need for action for 2 of 3 sampled residents (Resident 1 and 2), who experienced significant changes in clinical status. There was a lack of timely interventions, physician notification and adherence to the bowel management program, Resident 1 experienced harm when complaints of stomach pain were not reported or managed, Resident 2 experienced harm when pain and significant weeping edema was not addressed. Findings included: Review of the facility's policy for change of condition, dated [DATE], stated that upon recognition of a potentially life-threatening condition or significant change in status, the nurse should communicate with other health care providers to meet the needs of the resident. […]

• Actual harm, isolatedF600May 11, 2023

  Based on observation, interview, and record review, the facility failed to prevent abuse for 1 of 4 sampled residents (Resident 1), reviewed for abuse and neglect. This failure caused harm to Resident 1 who sustained physical injury, including bruising and psychosocial harm in the form of crying. Findings included . The Code of Federal Regulations (CFR) define abuse as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish . Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain, or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse including abuse facilitated or enabled through the use of technology. […]

• Actual harm, isolatedF725Apr 20, 2021

  Based on observation, interview, and record review, the facility failed to ensure sufficient staff were available to meet the care needs for five of eight sample residents (1, 5, 7, 10, 11), reviewed for activities of daily living for dependent residents, and restorative nursing (interventions that promote a resident's ability to adapt and adjust to living as independently and safely as possible). These failures placed the residents at risk for unmet care needs, a diminished quality of life, and caused psychosocial harm to Resident 1, who was oxygen dependent, and experienced emotional distress, related to not being assisted timely on several occasions. […]

• No harm, potential for more than minimal, widespreadF851May 22, 2026

  Based on interview and record review, the facility failed to ensure that direct care staffing information, including information for agency and contract staff, was electronically submitted correctly to the Centers for Medicare and Medicaid Services (CMS), for Quarter 2 of 2025, reviewed for Payroll Based Journal (PBJ - mandatory reporting of staffing information based on payroll data) submission. This failure resulted in CMS receiving inaccurate data related to nursing home staffing levels and had the potential to impact resident care and services.Findings included. […]

• No harm, potential for more than minimal, widespreadF837Apr 20, 2021

  Based on interview and record review, the governing body failed to ensure the Administrator had sufficient staff to meet the needs of the residents, to ensure the residents received restorative programs, and were provided assistance timely. SUFFICIENT STAFFING During interviews on 04/07/2021, 04/11/2021, 04/13/2021 and 04/20/2021, multiple residents and staff members stated that there was not enough staff to provide timely assistance to the residents, and to ensure the resident's restorative programs were done. The inability to provide a timely response to call lights due to insufficient staff, caused psychosocial harm to Resident 1. […]