Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CLARKSTON HEALTH AND REHAB OF CASCADIA

CLARKSTON, WA · 90 certified beds · Last Life Safety survey January 26, 2024

CMS Certification Number 505283 · first certified January 1984

Ownership

Operated by CASCADIA HEALTHCARE · For profit - Limited Liability company

Ownership changed December 1, 2021 (change of ownership)to CLARKSTON HEALTH AND REHABILITATION OF CASCADIA from CARE CENTER CLARKSTON, INC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within WA

36 citations — more than 64% of the 193 certified nursing homes in WA. Compared within WA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 13 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2025 to April 2025), and past the point by which nine in ten WA facilities have been surveyed. This facility’s last Life Safety survey was January 2024. Facilities in WA are typically surveyed 12–15 months after the last one (median 13), measured over 320 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about CLARKSTON HEALTH AND REHAB OF CASCADIA

One email when it happens. No account; stop it any time with one click.

5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

7 of the 36 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 36 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in WA, and nationally. Surveyors differ markedly between states, so the WA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	36
Median facility in WA	31
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
June 21, 2019	4
October 28, 2022	19
January 26, 2024	13

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2024-01-26
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2024-01-26
E-0039	Conduct testing and exercise requirements.	2	2024-01-26
K-0712	Have simulated fire drills held at unexpected times.	2	2024-01-26
K-0100	Meet other general requirements.	2	2024-01-26
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-01-26
K-0363	Install corridor and hallway doors that block smoke.	2	2024-01-26
K-0511	Have properly installed electrical wiring and gas equipment.	2	2024-01-26

What the citations cover

Citations by CMS category

Smoke Deficiencies 13
Emergency Preparedness Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 5
Services Deficiencies 4
Other 7

Citations by CMS category
Category	Citations
Smoke Deficiencies	13
Emergency Preparedness Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	5
Services Deficiencies	4
Construction Deficiencies	3
Miscellaneous Deficiencies	3
Egress Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 26, 2024 — 13 citations

Citations issued on January 26, 2024
Tag	What the surveyor checks	Status
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (February 23, 2024)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (February 23, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (February 23, 2024)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (February 23, 2024)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (February 23, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 23, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 23, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 23, 2024)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (February 23, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 23, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 23, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 23, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 23, 2024)

October 28, 2022 — 19 citations

Citations issued on October 28, 2022
Tag	What the surveyor checks	Status
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (November 30, 2022)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (November 30, 2022)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (November 30, 2022)
E-0042	Meet the requirements of an integrated health system.	Deficient, Provider has date of correction (November 30, 2022)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (November 30, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (November 30, 2022)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (November 30, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 30, 2022)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (November 30, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (November 30, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 30, 2022)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (November 30, 2022)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (November 30, 2022)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (November 30, 2022)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (November 30, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 30, 2022)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (November 30, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 30, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (November 30, 2022)

June 21, 2019 — 4 citations

Citations issued on June 21, 2019
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (July 30, 2019)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (July 30, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 30, 2019)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (July 30, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.