17 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Clarkston, WA
4-star overall rating with 3-star inspections with $32,711 in total fines with 17 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
1242 Eleventh Street, Clarkston, WA
(509) 758-2523
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
75
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cascadia Healthcare
Operator or chain grouping
Approved since
1984-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
1.25
Registered nurse staffing
LPN hours / resident day
0.29
Licensed practical nurse staffing
Aide hours / resident day
2.19
Nurse aide staffing
Weekend hours
3.13
Weekend nurse staffing
RN turnover
30%
Annual RN turnover
Total nurse turnover
32%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.4
0.3 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.5
0.9 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.0%
4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.8%
6.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.6% |
2.6%
4 pts worse
|
3.3%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 29.7% |
16.3%
13.4 pts worse
|
11.4%
18.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 0.4% |
5.8%
5.4 pts better
|
5.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.6% |
12.1%
1.5 pts worse
|
19.6%
6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.1% |
15.9%
8.8 pts better
|
16.7%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.5% |
20.0%
3.5 pts worse
|
16.3%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.0% |
15.8%
0.8 pts better
|
14.9%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.2%
1.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.7%
0.9 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.2% |
23.5%
3.7 pts worse
|
19.8%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
4.7%
2.3 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
87.7%
10.5 pts better
|
81.7%
16.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.3% |
13.2%
5.1 pts worse
|
12.0%
6.3 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.4%
1.4 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.2% |
82.0%
14.2 pts better
|
79.7%
16.5 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.7% |
19.9%
5.2 pts better
|
23.9%
9.2 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
19 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-02-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-02-23
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-02-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-23
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-02-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-02-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-02-23
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-02-23
Fire Safety
Meet other general requirements.
Corrected 2024-02-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-23
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-11-30
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-11-30
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-11-30
Fire Safety
Meet the requirements of an integrated health system.
Corrected 2022-11-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-11-30
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2022-11-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-11-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-30
Fire Safety
Meet other general requirements.
Corrected 2022-11-30
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-11-30
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-11-30
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-11-30
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-11-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-11-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-11-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-07-30
Fire Safety
Use approved construction type or materials.
Corrected 2019-07-30
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2019-07-30
Inspection history
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-05-16
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-12-03
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-12-03
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-11-15
Health
Provide or obtain dental services for each resident.
Corrected 2024-11-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-01
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-03-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-01
Health
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.
Corrected 2024-03-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-01
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-01
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-03-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-01
Health
Provide activities to meet all resident's needs.
Corrected 2024-03-01
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-01
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-03-01
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-03-01
Health
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.
Corrected 2024-03-01
Health
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.
Corrected 2024-03-01
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-03-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-01
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-03-01
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-10-16
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-10-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-31
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-09
Health
Provide or obtain dental services for each resident.
Corrected 2023-06-09
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-12-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-12-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-12-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-12-09
Health
Respond appropriately to all alleged violations.
Corrected 2022-12-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-12-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-09
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-12-09
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-12-09
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-12-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-07-29
Health
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.
Corrected 2019-07-29
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2019-07-29
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2019-07-29
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-07-29
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2019-07-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-07-29
Health
Respond appropriately to all alleged violations.
Corrected 2019-07-29
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2019-07-29
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-07-29
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-07-29
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-07-29
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2019-07-29
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2019-07-29
Penalties and ownership
Fine · fine $32,711
Fine
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Security Interest · Organization
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