CLARKSTON HEALTH AND REHAB OF CASCADIA
CLARKSTON HEALTH AND REHAB OF CASCADIA is a 90-bed nursing home in CLARKSTON, Washington. CMS has certified it for Medicare and Medicaid since 1984-01-01. It averages 81.8 residents a day.
What harm was found in the violations cited at CLARKSTON HEALTH AND REHAB OF CASCADIA?
CMS lists 53 health-inspection deficiencies for CLARKSTON HEALTH AND REHAB OF CASCADIA since 2022-10-28, 42 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-08-18.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-08-18 | F0577, F0804, F0812 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-08-18 | F0645, F0657, F0684, F0728, F0842 | PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-08-18 | F0609, F0628, F0656, F0688, F0690, F0760, F0791, F0880 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that residents are free from significant medication errors. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program. | D |
| 2025-04-15 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2024-11-01 | F0760 | Ensure that residents are free from significant medication errors. | E |
| 2024-11-01 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2024-10-04 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E |
| 2024-10-04 | F0791 | Provide or obtain dental services for each resident. | D |
| 2024-01-26 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-01-26 | F0552, F0684, F0761, F0842, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-01-26 | F0610, F0645, F0677, F0679, F0692, F0730, F0756, F0758, F0801, F0802 | Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide enough food/fluids to maintain a resident's health. / Observe each nurse aide's job performance and give regular training. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D |
| 2024-01-16 | F0609, F0694 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2023-09-25 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | G |
| 2023-09-25 | F0552, F0684 | Ensure that residents are fully informed and understand their health status, care and treatments. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2022-10-28 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2022-10-28 | F0812, F0842 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2022-10-28 | F0607, F0609, F0610, F0677, F0684, F0757, F0759, F0921 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
Why was CLARKSTON HEALTH AND REHAB OF CASCADIA fined?
| Date | Type | Amount |
|---|---|---|
| 2023-09-25 | Fine | $32,711 |
How is CLARKSTON HEALTH AND REHAB OF CASCADIA staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.46820 | 4.36934 |
| Total nursing staff turnover (%) | 22.5 | 45.1 |
| Average number of residents per day | 81.8 | 76.0 |
Who owns CLARKSTON HEALTH AND REHAB OF CASCADIA, and what chain is it in?
CLARKSTON HEALTH AND REHAB OF CASCADIA is registered with CMS as For profit - Limited Liability company, operates under the legal business name CLARKSTON OF CASCADIA, LLC and belongs to the CASCADIA HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | CASCADIA WASHINGTON OPERATIONS LLC | since 12/01/2021 |
| INDIRECT OWNERSHIP INTEREST | CASCADIA HC GROUP LLC, CASCADIA HEALTHCARE LLC, CASCADIA HOLDCO LLC, HAMMOND, OWEN, LAFORTE, STEPHEN, NELSON, TIMOTHY | since 06/05/2025 |
| 5% OR GREATER SECURITY INTEREST | TIMBERLINE OHI TENANT LLC, WHITE OAK HEALTHCARE FINANCE LLC | since 06/05/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | CASCADIA SERVICES LLC, HAMMOND, OWEN, LAFORTE, STEPHEN, NELSON, TIMOTHY, RUDOLPH, JOHN, SCHILLER, ANDREW | since 05/28/2021 |
| ADP OF THE SNF | CASCADIA SERVICES LLC, TIMBERLINE OHI TENANT LLC, RUDOLPH, JOHN, SCHILLER, ANDREW | since 01/13/2025 |
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