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East Cascade Retirement Community, Llc
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175 Ne 16th Street
Madras, OR 97741
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 47 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 05/04/2011
| Date of last standard health inspection: | 05/04/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in OR: | 2 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in OR: | 0 - 5 |
Inspection, 02/07/2009
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 02/07/2009 | 01/05/2011 | 1 | Some |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 02/07/2009 | 02/06/2012 | 2 | Many |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 02/07/2009 | 01/05/2011 | 2 | Many |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 02/07/2009 | 01/05/2011 | 1 | Many |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 02/07/2009 | 01/05/2011 | 1 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 02/07/2009 | 01/05/2011 | 2 | Some |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 02/07/2009 | 01/05/2011 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/07/2009 | 01/05/2011 | 2 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 02/07/2009 | 02/06/2012 | 2 | Few |
| Develop policies and procedures for influenza and pneumococcal immunizations. | 02/07/2009 | 01/05/2011 | 2 | Some |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 02/07/2009 | 01/03/2012 | 2 | Many |
| Review or revise the resident's care plan after any major change in physical or mental health. | 02/07/2009 | 02/01/2012 | 2 | Few |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 02/07/2009 | 01/05/2011 | 2 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 02/07/2009 | 01/05/2011 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 02/07/2009 | 01/05/2011 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/07/2009 | 01/05/2011 | 2 | Few |
Inspection, 00/04/2005
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | 00/04/2005 | 02/03/2006 | 2 | Some |
Inspection, 00/08/2004
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 00/08/2004 | 01/02/2005 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 00/08/2004 | 01/01/2005 | 3 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/08/2004 | 01/02/2005 | 2 | Few |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in OR | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | NA |
| Total Number of Residents | 85 | 53 | 18 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 8 hours 41 minutes | 999 hours 59 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 8 hours 8 minutes | 999 hours 59 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 7 hours 51 minutes | 999 hours 59 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 10 hours 18 minutes | 999 hours 59 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 05/05/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 05/05/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in OR: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in OR: | 0 - 0 |
Inspection, 02/06/2009
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 02/06/2009 | 01/05/2011 | 1 | Many |
| Automatic sprinkler systems that have been maintained in working order. | 02/06/2009 | 01/05/2011 | 2 | Many |
| Portable fire extinguishers. | 02/06/2009 | 01/05/2011 | 2 | Few |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 02/06/2009 | 01/05/2011 | 2 | Few |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 02/06/2009 | 01/05/2011 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 02/06/2009 | 01/05/2011 | 2 | Few |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 02/06/2009 | 01/05/2011 | 2 | Many |
| Record of quarterly fire drills for each shift under varying conditions. | 02/06/2009 | 01/05/2011 | 4 | Many |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 02/06/2009 | 01/05/2011 | 2 | Some |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 02/06/2009 | 01/05/2011 | 2 | Few |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 02/06/2009 | 01/05/2011 | 2 | Some |
Inspection, 00/05/2005
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 00/05/2005 | 02/03/2006 | 2 | Many |
| Automatic sprinkler systems that have been maintained in working order. | 00/05/2005 | 01/09/2007 | 2 | Few |
| Portable fire extinguishers. | 00/05/2005 | 01/09/2007 | 2 | Few |
| Back-up procedures in place for a faulty automatic sprinkler system. | 00/05/2005 | 01/09/2007 | 2 | Few |
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 00/05/2005 | 02/03/2006 | 2 | Few |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | 00/05/2005 | 01/09/2007 | 2 | Many |
| Corridor and hallway doors that block smoke. | 00/05/2005 | 01/09/2007 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 00/05/2005 | 01/09/2007 | 2 | Many |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 00/05/2005 | 02/03/2006 | 2 | Few |
| Record of quarterly fire drills for each shift under varying conditions. | 00/05/2005 | 02/03/2006 | 2 | Many |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 00/05/2005 | 02/03/2006 | 2 | Few |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved back-up procedure for a faulty fire alarm system. | 00/05/2005 | 01/09/2007 | 2 | Few |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 00/05/2005 | 02/03/2006 | 2 | Some |
| Restrictions on the use of highly flammable decorations. | 00/05/2005 | 01/09/2007 | 2 | Few |
| Properly sized and located linen or trash receptacles. | 00/05/2005 | 02/03/2006 | 2 | Few |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 00/05/2005 | 01/09/2007 | 2 | Few |
| Properly installed hallway dispensers for alcohol-based hand rub. | 00/05/2005 | 01/09/2007 | 2 | Many |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." | 00/05/2005 | 02/03/2006 | 2 | Some |
Inspection, 00/07/2004
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 00/07/2004 | 02/07/2005 | 2 | Some |
| Automatic sprinkler systems that have been maintained in working order. | 00/07/2004 | 02/07/2005 | 2 | Few |
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An externally vented heating system. | 00/07/2004 | 02/07/2005 | 2 | Few |
| Properly protected cooking facilities. | 00/07/2004 | 02/07/2005 | 2 | Few |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 00/07/2004 | 02/07/2005 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 00/07/2004 | 02/07/2005 | 2 | Few |
| Properly installed electrical wiring and equipment. | 00/07/2004 | 02/07/2005 | 2 | Few |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 00/07/2004 | 02/07/2005 | 2 | Many |
| Record of quarterly fire drills for each shift under varying conditions. | 00/07/2004 | 02/07/2005 | 2 | Many |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 00/07/2004 | 02/07/2005 | 2 | Few |
| An approved installation, maintenance and testing program for fire alarm systems. | 00/07/2004 | 02/07/2005 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 00/07/2004 | 02/07/2005 | 2 | Few |
Smoking Regulations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." | 00/07/2004 | 02/07/2005 | 2 | Few |
