Inspection Reports for Cascade Trails Senior Living

The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.

The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license.

The investigation was initiated due to a complaint alleging a staff person was observed sleeping in the secured memory care unit on 6/13/23 and that Resident A did not receive her prescribed Tramadol from 6/7/23 through 6/15/23.

The investigation found insufficient evidence to establish the allegation that staff were sleeping on duty or that there was inadequate staffing on 6/20-6/21/23. However, it was established that Resident A did not receive six doses of prescribed Tramadol due to medication not arriving from the pharmacy, indicating a violation of medication administration rules.

The complaint alleged a staff person was observed sleeping in the secured memory care unit on 6/13/23 and no third shift staff were present from 6/20/23 through 6/21/23. It also alleged Resident A did not receive prescribed Tramadol from 6/7/23 through 6/15/23. The sleeping staff allegation was not substantiated, but the medication administration allegation was substantiated.

The inspection was conducted in response to a complaint alleging that Resident A received improper care, including failure to apply ointment, change catheter bag, and check on the resident throughout the night.

The investigation confirmed violations including failure to provide proper care to Resident A as per the medication administration record and service plan. Additional findings included improper use of bed rails and incomplete service plan details regarding assistive devices, private duty care, hospice care, and pressure relief.

Complaint received on 07/26/2023 alleging Resident A received improper care including failure to apply ointment, change catheter bag, and lack of overnight monitoring. The complaint was substantiated. Resident A passed away on 08/08/2023 and the APS case was dismissed.

The investigation was initiated due to a complaint alleging that facility staff did not follow physician medication administration orders for Resident A.

Interviews and review of documentation initially indicated that the facility followed physician medication orders and Resident A did not miss any medication. However, upon re-opening the investigation, conflicting physician orders with overlapping dates and varying doses were found, making it unclear if the correct dosage was administered. A violation was established.

The complaint alleged that facility staff did not follow physician medication administration orders. The allegation was substantiated with a violation established after further review of medication administration records revealed conflicting physician orders.

The inspection was conducted as a renewal licensing study to assess compliance with regulatory requirements for Cascade Trails Senior Living.

The facility was found to be in non-compliance with two rules: failure to update a resident's service plan annually and uncovered desserts in the kitchen not protected against contamination. Both violations were established.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Cascade Trails Senior Living.

The facility was found to be in substantial compliance with home for the aged public health code and administrative rules. The study recommended issuance of a temporary license with a maximum capacity of 71.