Wellspring Health and Rehab of Cascadia
At least twice a year, every nursing facility in the United States undergoes surveys and investigations to ensure there are no violations or deficiencies. The Centers for Medicare and Medicaid Services (CMS), and the state of Idaho conduct these extensive surveys. The findings are usually posted online on the federal Medicare.gov website.
Nursing homes with the most egregious violations and deficiencies are usually placed on a Special Focus Facility (SFF) watchlist and put on notice that the substandard level of care provided to the residents will not be tolerated. The nursing home regulators provide the opportunity to the Home to make immediate corrections and adjustments to their nursing staff, policies, procedures, and guidelines.
Any failure to make the necessary corrections could result in substantial financial penalties or a breach of contract that the facility has with Medicare and Medicaid.
Nearly a year ago, Wellspring Health and Rehabilitation of Cascadia was designated a Special Focus Facility by federal and state nursing home regulators. The facility will most likely remain on the watch list for many years to come and be required to undergo substantially more scheduled surveys and unannounced inspections than normal by state investigators to ensure the Home remains compliant.Wellspring Health and Rehabilitation of Cascadia
This 120-certified bed Medicare/Medicaid-participating for-profit facility provides cares and services to the residents of Nampa and Canyon County, Idaho. The Home is located at:
2105 12th Ave., Road
Nampa, ID 83686
In addition to providing skilled nursing services, the facility also offers rehabilitation care, sub-acute care, and long-term care options.More Than a $1 Million in Penalties
Regulators who work on behalf of Medicare and Medicaid have the power to issue monetary fines and citations to penalize the nursing home for serious problems and violations. Over the last three years, Wellspring Health and Rehabilitation of Cascadia has received more than $1.1 million and fines.
The financial penalties include $1040 on April 24, 2015, and $1,127,000 on July 19, 2016. The publicly available information also reveals that over the last three years there were two formal complaints filed against the facility that both resulted in a citation.Current Nursing Home Patient Safety Concerns
A release of information to the public concerning nursing homes throughout the US helps families make the best decision possible in choosing where to place a loved one who needs the highest level of care. This data on the federal Medicare.gov website is available as a comparative analysis tool. The information is provided in a star rating summary system to compare one facility quickly against another in the local area.
Currently, this facility maintains a below average overall two out of five stars compared to other nursing homes nationwide. This ranking includes one out of five stars for health inspections, four out of five stars for staffing, and three out of five stars for quality measures. Some major concerns over violations and deficiencies involving Wellspring Health Rehabilitation of Cascadia are listed below.
Failed to Provide Appropriate and Necessary Care and Services That Led to the Resident’s Ultimate Death
In a summary statement of deficiencies dated July 19, 2016, the state investigator noted that the facility had “failed to ensure care and services necessary for the resident to achieve their highest practicable physical, emotional and psychosocial well-being.” In one incident, a resident “was harmed when the facility failed to identify, treat, and monitor significant changes in his condition, which culminated in his hospitalization and subsequent death two days later.”
The investigator also noted that the resident “was also harmed when the facility failed to secure his urinary catheter resulting in it being pulled out frequently, causing damage to his penis and urinary tract.” The resident was admitted to the facility with a “catheter, was on a ventilator” and resided in the facility until “he was transferred to the hospital, where he died two days later.”
The resident “had a long history of catheter use with the condition of his penis being compromised. His catheter was not adequately secured and was pulled out during his stay” even though there were physician’s orders to ensure the resident’s catheter was secured.”
The resident had an identifiable change in their condition before being hospitalized that was “not identified and monitored by the facility staff.” The resident began following a tube feeding regimen and was “allowed ice chips and ice cream orally and no other food or beverages.” The surveyor noted that there were “no Nurses Notes for 2-day period [before the resident’s] hospitalization.” The resident was “being sent to the emergency department to be evaluated for a stroke.”
While the resident was in the emergency room, the physician noted the resident’s “quite poor hygiene, primarily oral hygiene. Oral mucosa is significantly dried with brownish crusting over the tongue and oral mucosa. He is edentulous [without teeth].
Tongue is significantly dried with a layer brownish crusting.” Other emergency room documentation revealed “altered level of consciousness, intracranial mass, dehydration… Severe dehydration and rehydration risk of [cerebral problems].” The resident passed away at the Hospital.
The resident’s Power of Attorney stated that the resident had “died the hospital. The [emergency room] doctor said he didn’t know how the resident could get so dehydrated. His electrolytes were through the roof. It was like he had been in the desert for weeks. Nobody bothered giving him fluids.”
Failure to Provide Care to Ensure That the Resident’s Highest Well-Being Is Maintained
In a summary statement of deficiencies dated July 19, 2016, the state investigator noted that a resident “was harmed when he experienced pain for which he was not assessed and treated, and be caring tearful, expressing concern the facility staff did not listen to him.” In a separate incident, another resident “had the potential for harm when his pain was not assessed for needing pre-medication prior to Wound Care and needing a schedule pain medication, given his high [as needed] usage and could have experienced uncontrolled pain.”
A third failure was noted when a different resident’s “had the potential for harm in the facility failed to provide a home at replacement due to the resident’s craniotomy and she could have experienced with their head injury.” A fourth resident “had the potential for harm when the facility failed to follow [their physician’s orders].”
Failure to Assist Residents Who Require Help with Hygiene and Grooming
In a summary statement of deficiencies dated July 19, 2016, the state investigator noted that the facility had failed to “provide assistance with ADLs (activities of daily living) for six” residents at the facility. In one incident, a resident “was harm when he did not receive oral care for his mouth [that] contained a brownish crust when he was admitted to the hospital.”
In a separate incident, another resident “was harmed when her hair became so matted and entangled from the lack of assistance with grooming that she had to have her head shaved.” Two other residents “had the potential for psychosocial harm when they were not provided with grooming and hygiene to meet their needs and were observed unkempt, odorous and soiled, which could lead to feeling a loss of self-worth.” Two other residents “were a risk of harm when they did not receive bathing or oral hygiene consistent with their needs.”
Failure to Ensure That Every Resident Receives Proper Treatment to Prevent the Development of a New Bedsore or Allow an Existing Bedsore to Heal
In a summary statement of deficiencies dated July 19, 2016, the State surveyor noted the facility’s failure “to provide services to prevent the development pressure ulcers, promote healing of pressure ulcers and adhere to infection control measures designed to prevent cross-contamination.” This failure had the potential for increasing the opportunity for “development and worsening of avoidable pressure sores” for five residents at the facility with pressure ulcers.
A resident was harmed by the failure when “he developed a Stage III pressure ulcer on his left heel, and a Stage II pressure ulcer on his right heel.” Another resident “was harmed when a blister on his right heel worsen to an unstable pressure ulcer,” and a third resident “was harmed when she developed multiple Stage II pressure ulcers on her coccyx and a blood blister on her left great toe.”
Two additional residents “experienced the potential for harm when they were not turned, or their skin was not monitored, placing them at risk of developing pressure ulcers.”
Failure to Ensure That All Residents Entering the Nursing Facility without a Catheter Are Not Given a Catheter and Instead Receive Proper Care to Prevent Urinary Tract Infections
After a record review, and interviews with family, residents and staff members, the surveyor made an observation and noted the facility’s failure “to ensure cares were provided for residents to be able to retain their highest practical physical and psychosocial well-being.” These failures involved different toileting [needs], decreased bladder control, urinary tract infections, and indwelling urinary catheters.
Surveying documents reveal that the one resident “experienced psychosocial harm when the facility failed to offer him timely opportunities to any started to refuse medication, respiratory treatments, TF feedings and stated [that] ‘if I have to piss and [****] on myself, I would rather be dead.’”
Another resident “was harmed when the facility failed to ensure that the resident received the appropriate cares and services to maintain and indwelling catheter in proper working order, and provide sufficient medical information to the transferred treating facility and to prevent infections.”
A third resident “was harmed when the facility failed to provide care on an as-needed basis [that would be] provided three times a day, and she experienced frequent urinary tract infections.”
Two other residents “had the potential to be harmed when the facility failed to ensure residents with indwelling urinary catheters were provided appropriate care.” This failure “had the potential to cause harm, to include the development of urinary tract infections.”
A sixth resident “had the potential harm when the facility failed to complete a bladder assessment evaluation form to assess toileting needs and cleaning, [that has] the potential [of causing] psychosocially embarrassing incidents of incontinence.”
A seventh resident “has the potential to be harmed when the facility failed to complete a bladder retraining program after his Foley catheter was discontinued by the physician.” This failure “created the potential for harm of the resident’s incontinence status declined, skin was compromised for prolonged exposure to urine, or the resident experienced psychosocially embarrassing incidents of incontinence.”
Failure to Provide Appropriate Treatment to Residents with Feeding Tubes to Prevent Problems
In a summary statement of deficiencies dated July 19, 2016, state investigator noted the facility’s failure “to ensure that residents with gastric feeding tubes were provided care and services to avoid dehydration.” The Home also failed to “ensure that the resident was not lying flat on the bed during and immediately after administration of feeding” through a tube.
The “deficient practices created the potential for the resident’s experienced dehydration, aspiration, or choking.”
Failure to Ensure That the Nursing Home is Free from Accident Hazards and Risks
In a summary statement of deficiencies dated July 19, 2016, the State surveyor noted the facility’s failure “to ensure supervision to prevent accidents” involving two residents at the facility. “The deficient practice created the potential for harm of [a resident] when he sustained an injury while staff assisted him in his wheelchair.” An additional resident was harmed “when he fell during a transfer due to the lack of sufficient assistance.”
One incident involved a quadriplegic resident with “total loss of the use of all four limbs and torso” and “totally dependent on staff to ensure his safety” whose “breathing muscles were affected, and he required a ventilator to assist with breathing.” The state investigator reviewed the facility’s Investigation of Incident/Accident Form that revealed “Patient was on the way to his room to use the urinal. The wheelchair was moving when the door swung back and bumped the resident’s toe.”
The resident was interviewed on July 13, 2016, and revealed that “one of the Aides almost broke my toe. I was in the wheelchair, and the Aide was in a hurry to get me into the room. She is the type was always [be in a hurry]. Every room is on fire. She was pushing me into the room and pushed my left foot into the door jamb. Accidents are going to happen, but this was a day they were short of help. I worry that someone is going to get hurt.”
Failure to Develop, Implement and Enforce Programs and Investigate, Control and Keep Infection from Spreading
In a summary statement of deficiencies dated July 19, 2016, based on interviews and observations, the surveyor noted the facility “didn’t have a policy and procedure regarding identifying prohibiting contact with residents by employees with open lesions and communicable diseases.” The state investigator also said that the facility “failed to ensure staff demonstrated proper infection control. This failed practice placed all residents at risk for infection.”
If you, or a loved one, was injured through neglect, mistreatment or abuse while residing in any nursing facility, including Wellspring Health and Rehabilitation of Cascadia, you likely have the right to sue for compensation. Hiring an attorney can help ensure your family receives the monetary recovery they deserve.
Nearly all personal injury and abuse cases are handled through contingency arrangements. These agreements allow plaintiffs to begin the process of building their case with legal representation without paying any upfront fees. The lawyers are paid only after the case is successfully resolved.