Inspection Reports for
Cascadia Of Nampa

900 North Happy Valley Rd, Nampa, ID, 83687

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5 CMS Surveys

Inspection Report — Dec 5, 2025

Routine
Date: Dec 5, 2025

Visit Reason
A health care licensure and follow-up survey was conducted to evaluate compliance with state and federal regulations, including resident care, safety, and infection control.

Findings
The facility was found deficient in multiple areas including medication self-administration assessments, accurate resident assessments, PASARR coordination and screening, quality of care leading to immediate jeopardy, smoking evaluations, respiratory care, food service quality and safety, infection control practices, and antibiotic stewardship. These deficiencies posed risks ranging from minimal harm to immediate jeopardy to residents' health and safety.

Deficiencies (12)
.0554 Allow residents to self-administer drugs if determined clinically appropriate: the facility failed to assess residents #49, #52, and #87 for safety to self-administer medications, leaving medications at bedside without proper assessment (previously cited 12/03/2021).
.0641 Ensure each resident receives an accurate assessment: Resident #1's MDS assessment was inaccurate as it failed to document oxygen therapy despite observed use.
.0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed: Resident #9's PASARR was submitted 26 days late, missing the required submission deadline.
.0645 PASARR screening for Mental disorders or Intellectual Disabilities: Resident #44's PASARR Level I was inaccurately completed, omitting PTSD diagnosis, and Level II assessment was not completed as required.
.0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals: Immediate Jeopardy was identified due to failure to promptly assess and treat Resident #60's acute condition changes, resulting in sepsis and Stevens-Johnson Syndrome requiring hospitalization and burn unit transfer.
.0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: Resident #90's smoking evaluations were inaccurate and incomplete, with smoking paraphernalia not stored as required and missing quarterly assessments.
.0695 Provide safe and appropriate respiratory care for a resident when needed: Resident #1 was observed not using prescribed oxygen continuously as ordered.
.0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature: Residents reported food was often cold, bland, and coffee tasted burnt; test tray temperatures confirmed food served was out of safe temperature range and lacked seasoning.
.0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: Food items were stored opened and undated; ice machines and scoops were unclean; staff food was stored with resident food; and contamination risks were present.
.0848 Provide a neutral and fair arbitration process and agree to arbitrator and venue: The facility's arbitration agreement lacked provision for a convenient arbitration location for both parties.
.0880 Provide and implement an infection prevention and control program: Staff failed to perform proper hand hygiene during medication preparation and administration; medication handling was improper; dentures were not stored properly; CPAP mask was unsanitary; laundry practices risked contamination; and infection control policies were not consistently followed.
.0881 Implement a program that monitors antibiotic use: The facility failed to ensure appropriate antibiotic stewardship for Resident #1, who received antibiotics without meeting McGeer's criteria for urinary tract infection and without proper culture and sensitivity testing.
Report Facts
date: Dec 5, 2025 count: 19 count: 5 count: 3 count: 2 count: 1

Inspection Report — Dec 5, 2025

Routine
Date: Dec 5, 2025

Visit Reason
A routine health care licensure and follow-up survey was conducted to assess compliance with state and federal regulations, including resident care, safety, and facility operations.

Findings
The facility was found deficient in multiple areas including medication self-administration assessments, call light accessibility, accuracy of resident assessments, PASARR coordination and screening, quality of care leading to immediate jeopardy for one resident, food service quality, food safety and storage, infection control practices, and antibiotic stewardship. These deficiencies posed risks ranging from minimal harm to immediate jeopardy to resident health and safety.

Deficiencies (13)
.0554 Allow residents to self-administer drugs if determined clinically appropriate: the facility failed to assess residents #49, #52, and #87 for safety to self-administer medications, leaving medications at bedside without proper assessment.
.0558 Reasonably accommodate the needs and preferences of each resident: residents #28 and #89 were denied access to call lights while left alone, preventing them from summoning assistance.
.0641 Ensure each resident receives an accurate assessment: Resident #1's MDS assessment was inaccurate as it failed to document oxygen therapy use.
.0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed: Resident #9's PASARR was submitted 26 days late, delaying appropriate care planning.
.0645 PASARR screening for Mental disorders or Intellectual Disabilities: Resident #44's PASARR Level I was inaccurately completed, omitting PTSD diagnosis and delaying Level II assessment.
.0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals: failure to identify and act upon Resident #60's acute changes in condition led to immediate jeopardy with sepsis and Stevens-Johnson Syndrome requiring hospitalization.
.0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: Resident #90's smoking assessments were inaccurate and incomplete, and care plans did not reflect his ability to safely manage smoking paraphernalia.
.0695 Provide safe and appropriate respiratory care for a resident when needed: Resident #1 was observed not using prescribed oxygen continuously, risking respiratory compromise.
.0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature: food was served cold, bland, and coffee tasted burnt, causing resident dissatisfaction.
.0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: failure to clean hands before glove use, improper glove use, undated and open food items in storage, and unclean ice machines and storage areas.
.0848 Provide a neutral and fair arbitration process and agree to arbitrator and venue: the arbitration agreement lacked provision for a venue convenient to both parties.
.0880 Provide and implement an infection prevention and control program: staff failed to perform proper hand hygiene during medication preparation and administration, improperly stored dentures and CPAP mask, and laundry procedures risked contamination.
.0881 Implement a program that monitors antibiotic use: Resident #1 received antibiotic treatment without meeting McGeer's criteria for urinary tract infection, and culture and sensitivity testing was not properly completed or followed up.
Report Facts
dates: Array counts: Array

Inspection Report — Jun 21, 2024

Routine
Date: Jun 21, 2024

Visit Reason
A routine health care licensure survey was conducted to assess compliance with resident rights, fall prevention, waste management, and vaccination policies.

Findings
The facility failed to honor residents' rights to self-determination regarding TV use during meals, did not implement a fall prevention intervention after a fall, failed to properly contain waste leading to pest risk, and did not ensure eligible residents were offered pneumococcal vaccinations.

Deficiencies (4)
F 0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice: the facility failed to ensure residents' preferences for having the TV on during meals were honored, causing potential decreased well-being and frustration.
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to implement a fall prevention intervention by not placing an impact floor mat next to Resident #10's bed after a fall, increasing risk of injury.
F 0814 Dispose of garbage and refuse properly: the facility failed to ensure waste was properly contained with lids or covered, exposing trash in the dumpster area and creating potential for insect and pest infestation.
F 0883 Develop and implement policies and procedures for flu and pneumonia vaccinations: the facility failed to ensure residents eligible for the PCV20 pneumococcal vaccine were offered it or documented shared decision-making, increasing risk of pneumococcal illness.
Report Facts
: 3 : 1 : 90 : 2

Inspection Report — Jun 21, 2024

Routine
Date: Jun 21, 2024

Visit Reason
A routine health care licensure survey was conducted to assess compliance with resident rights, safety, and health care standards.

Findings
The facility was found deficient in honoring residents' rights for self-determination regarding TV use during meals, implementing fall prevention interventions after a fall, properly containing waste to prevent pest infestation, and ensuring eligible residents were offered pneumococcal vaccinations.

Deficiencies (4)
F 0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice: the facility failed to ensure residents' preferences for having the TV on during meals were honored, with staff inconsistently turning off the TV despite residents' objections.
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to implement a fall prevention intervention by not placing an impact floor mat next to Resident #10's bed after a fall, increasing the risk of injury.
F 0814 Dispose of garbage and refuse properly: the facility failed to ensure waste was properly contained with lids or otherwise covered, as an open dumpster was observed, creating potential for insect and pest infestation.
F 0883 Develop and implement policies and procedures for flu and pneumonia vaccinations: the facility failed to ensure residents eligible for the PCV20 pneumococcal vaccine were offered it, lacking documentation of shared decision-making for Residents #31 and #52.
Report Facts
residents_affected: 3 residents_affected: 1 residents_affected: 90 residents_affected: 2

Inspection Report — Feb 1, 2019

Routine
Date: Feb 1, 2019

Visit Reason
A health care licensure and follow-up survey was conducted to evaluate compliance with state and federal regulations. Deficiencies were identified related to resident rights, care planning, supervision, medication management, pressure ulcer care, and food safety.

Findings
The facility was found deficient in multiple areas including failure to ensure proper self-administration medication orders, inadequate resident council functioning and grievance response, incomplete advance directive documentation, failure to notify physician and family of significant changes, environmental maintenance issues, incomplete care plans and care conference participation, inadequate assistance with activities of daily living, failure to complete neurological checks after falls, delayed medication administration, pressure ulcer prevention and treatment deficiencies, inadequate fall prevention supervision, improper use of bed rails without consent, and food safety violations including improper dishwasher temperature and unsafe food holding temperatures.

Deficiencies (20)
.0554 Allow residents to self-administer drugs: Resident #15 and #168 were allowed to self-administer medications without proper assessment or physician orders.
.0565 Resident council and family groups: The facility failed to provide guidance, agendas, and timely responses to resident group concerns, including call light response times and grievances.
.0578 Advance directives: The facility failed to ensure residents were provided information, assisted with formulation, and had documentation of advance directives in their records for 6 of 13 residents reviewed.
.0580 Notification of changes: Resident #319's physician and family were not timely notified of his decreased level of consciousness after falls and clinical decline.
.0584 Homelike environment: Wall damage in rooms of Residents #16, #24, #29, and #41 was not repaired, affecting the homelike environment.
.0585 Grievances: The facility failed to respond to, investigate, and resolve grievances consistently, including call light response concerns and missing personal items.
.0622 Transfer and discharge: Resident #318 was transferred to hospital without documented physician order or transfer summary and family was not notified in writing.
.0637 Significant change assessment: Resident #65 was placed on hospice without a significant change MDS assessment.
.0656 Care planning: Resident #40 required feeding assistance not documented in care plan; Resident #43's code status was not included in care plan.
.0657 Care plan review and involvement: Nine residents including #1, #7, #14, #15, #32, #54, #64, #267, and #318 had care plans not reviewed or revised timely and lacked resident or representative involvement.
.0677 Activities of daily living: Residents #1, #7, #15, #37, and #41 did not consistently receive assistance with bathing and eating as needed, including Resident #7 missing multiple showers.
.0684 Falls and neurological checks: Resident #1, #43, #54, #65, and #319 had incomplete neurological checks after falls; Resident #1 lacked pressure relieving device in wheelchair; Resident #15 and #32 had medication delays.
.0686 Pressure ulcer care: Resident #318 developed Stage 2 pressure ulcers on buttocks and coccyx due to inadequate prevention and treatment; Resident #1 at risk due to lack of pressure relief.
.0688 Fall supervision: Resident #65 had repeated falls due to inadequate supervision, ineffective 1:1 staff use, and poor communication among staff.
.0689 Bed safety: Residents #7, #24, and #41 had beds observed unlocked; staff were not adequately trained on bed locking mechanisms.
.0690 Bowel and bladder care: Resident #267's bowel care protocol was not consistently followed, including delayed administration of laxatives and enemas.
.0692 Weight monitoring: Resident #44's weights were not obtained in December 2018 as required by her care plan, risking further weight loss.
.0695 Oxygen therapy: Resident #318 received oxygen therapy without a physician's order in the clinical record.
.0700 Bed rails: Resident #54 had bed canes (small bed rails) without documented safety assessment or consent from resident or representative.
.0812 Food safety: Dishwasher rinse temperature was below required 180°F, risking improper sanitation; hot food on steam table was held below 135°F, risking foodborne illness.
Report Facts
: 169 : 180 : 124 : 131 : 134 : 175 : 176 : 172.2 : 171.6 : 163.4 : 1-5 times per day : 2-3 times per 8 hour shift

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