Inspection Reports for
Cascade Trails Senior Living

R 325.1932 Resident medications: due to overlapping Morphine orders and conflicting documentation, it could not be determined which orders the facility staff were following during third shift on 12/11/2026 for Resident A's medication administration.

R 325.1932 Resident medications: controlled substance count sheets had missing or blank entries for administration of Lorazepam and Morphine, making it impossible to verify medication was administered as prescribed.

R 325.1932 Resident’s medications: hospice staff pre-filled morphine syringes for facility staff to administer later, which is considered pre-setting medication and is not permitted in Homes for the Aged.

R 325.1932 Resident medications: Resident A did not receive doses of her prescribed Tramadol six times in June 2023 because staff were waiting for it to arrive from the pharmacy, and there was insufficient evidence staff followed up to ensure its arrival.

R 325.1931 Employees; general provisions: Resident A's ointment was not applied and the catheter bag was not changed as required by the medication administration record.

R 325.1921 Governing bodies, administrators, and supervisors: The service plan omitted information about bedside assistive devices, including their purpose, staff responsibilities, and maintenance schedules.

R 325.1922 Admission and retention of residents: Resident A's service plan lacked updates regarding private duty care, hospice care services, and pressure relief needs.

R 325.1931 Employees; general provisions: Resident A was left in her recliner chair overnight without proper care despite requests for assistance.

R 325.1932 Resident medications: the facility had six varying physician orders with conflicting administration times and doses, making it unclear which order was followed and if the correct dosage was provided.

R 325.1922 Admission and retention of residents: Resident A’s service plan was not updated annually; last updated in September 2021.

R 325.1976 Kitchen and dietary: Inspection revealed carts of uncovered desserts in the walk-in refrigerator and kitchen hallway not protected against potential contamination.