| General Information: CASCADE TERRACE | |
|---|---|
| Nursing home name | CASCADE TERRACE |
| Address | 5601 SE 122ND AVENUE PORTLAND, OR 97236 |
| Phone number | (503) 761-3181 |
| Located within a hospital | No |
| Type of ownership | For profit - Corporation |
| Owner operates multiple homes | Yes |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | BOTH |
| Certified number of beds | 105 |
| Total number of residents | 77 |
| Perc of occupied beds | 73 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 01/30/2009 |
| Fire survey date: | 01/30/2009 |
| Ratings Summary: CASCADE TERRACE | |
|---|---|
| Overall rating |
4 out of 5 stars |
| Nursing Home Staffing |
4 out of 5 stars |
| Registered Nurses only |
3 out of 5 stars |
| Health Inspections |
4 out of 5 stars |
| Quality Measures |
4 out of 5 stars |
| Nursing Home Staffing Info: CASCADE TERRACE | ||
|---|---|---|
| National Average | CASCADE TERRACE | |
| Overall staff rating | Not Available. |
4 out of 5 stars |
| Registered Nurses only rating | Not Available |
3 out of 5 stars |
| Total Number of Residents | 94.2 | 77 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.37 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.7 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.67 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.7 hours |
| Health Inpections: CASCADE TERRACE | |||
|---|---|---|---|
| Inspection Results: 11/05/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 12/25/2007 | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | D |
| 12/25/2007 | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | D |
| 12/25/2007 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| 12/25/2007 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| Inspection Results: 11/21/2006 | |||
| Corrected | Category | Deficiency | Severity |
| 01/05/2007 | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | G |
| 01/05/2007 | Environmental Deficiencies | Keep a resident apart from the others if the resident has an infection that can spread. | D |
| 01/05/2007 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | E |
| 01/05/2007 | Quality Care Deficiencies | Give the right treatment and services to residents who have mental or social problems adjusting. | D |
| 01/05/2007 | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | D |
| 01/05/2007 | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D |
| 01/05/2007 | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | E |
| 01/05/2007 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | E |
| 01/05/2007 | Quality Care Deficiencies | Provide activities to meet the needs of each resident. | D |
| 01/05/2007 | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | D |
| Fire Safety Inpections: CASCADE TERRACE | |||
|---|---|---|---|
| Inspection Results: 01/30/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 02/11/2009 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | D |
| Inspection Results: 11/05/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 12/25/2007 | Emergency Plans and Fire Drills Deficiencies | did not have a written emergency evacuation plan. | F |
| Inspection Results: 11/15/2006 | |||
| Corrected | Category | Deficiency | Severity |
| 12/31/2006 | Automatic Sprinkler Systems Deficiencies | back-up procedures in place for a faulty automatic sprinkler system. | F |
| 12/31/2006 | Fire Alarm Systems Deficiencies | an approved back-up procedure for a faulty fire alarm system. | F |
| 12/31/2006 | Emergency Plans and Fire Drills Deficiencies | record of quarterly fire drills for each shift under varying conditions. | F |
| 12/31/2006 | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | D |
| 12/31/2006 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | D |
| Resident Complaints: CASCADE TERRACE | |||
|---|---|---|---|
| Date Complaint Substantiated: 12/02/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 01/15/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | G |
| Quality Measures: CASCADE TERRACE | ||
|---|---|---|
| Quality Measures | National Average | CASCADE TERRACE |
| Overall quality rating | Not Available |
4 out of 5 stars |
| Long-Stay Residents | ||
| Percent of low-risk long-stay residents who have pressure sores | 2% | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 69% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 9% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 11% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 0% |
| Percent of long-stay residents who lose too much weight | 8% | 8% |
| Percent of long-stay residents who were physically restrained | 3% | 0% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 5% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 8% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 48% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 8% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 8% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 46% |
| Short-Stay Residents | ||
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 49% |
| Percent of short-stay residents who have delirium | 2% | 1% |
| Percent of short-stay residents who had moderate to severe pain | 19% | 1% |
| Percent of short-stay residents who have pressure sores | 13% | 11% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 86% |
| Severity Codes Explanation. Note: The higher the letter, the higher the severity. | |
|---|---|
| A | Isolated /Potential for minimal harm |
| B | Pattern /Potential for minimal harm |
| C | Widespread /Potential for minimal harm |
| D | Isolated /Minimal harm or potential for actual harm |
| E | Pattern /Minimal harm or potential for actual harm |
| F | Widespread /Minimal harm or potential for actual harm |
| G | Isolated /Actual harm |
| H | Pattern /Actual harm |
| I | Widespread /Actual harm |
| J | Isolated /Immediate jeopardy to resident health or safety |
| K | Pattern /Immediate jeopardy to resident health or safety |
| L | Widespread /Immediate jeopardy to resident health or safety |