CASCADES AT:
- caused IMMEDIATE JEOPARDYi to residents
- caused ACTUAL HARMi to residents
- has received the worst ratingsi
- had unsafe staffing levelsi despite large revenues
CASCADES AT
has been placed on our NHAA Watchlist for the following:
Immediate Jeopardy Findingsi
On March 18, 2024, state nursing home surveyors found that CASCADES AT caused IMMEDIATE JEOPARDY to residents.
All Recent Surveys: 2024-03-18
In 17 separate written deficiencies, state nursing home surveyors found that CASCADES AT caused IMMEDIATE JEOPARDY to residents (from May 20, 2016 to March 18, 2024).
All Surveys: 2016-05-20 2017-03-22 2020-04-03 2022-01-13 2022-01-31 2020-07-30 2022-09-28 2022-10-13 2023-06-06 2023-11-07 2024-03-18
Actual Harm Findingsi
On March 18, 2024, state nursing home surveyors found that CASCADES AT caused ACTUAL HARM to residents.
All Recent Surveys: 2024-03-18
In 22 separate written deficiencies, state nursing home surveyors found that CASCADES AT caused ACTUAL HARM to residents (from May 2, 2016 to March 18, 2024).
All Surveys: 2016-05-02 2016-05-20 2017-03-22 2017-07-21 2020-04-03 2019-08-13 2022-01-13 2022-01-31 2020-07-30 2022-09-28 2022-10-13 2023-06-06 2023-11-07 2024-03-18
Worst Nursing Home Ratingsi
CASCADES AT received the worst ratings for the following:
85 months total between July, 2015 and September, 2023
For the last 57 consecutive months - September, 2019 to January, 2025
93 months total between July, 2016 and January, 2025
89 months total between January, 2014 and September, 2024
87 months total between January, 2014 and June, 2022
History of Unsafe Staffingi
Understaffing has a very human cost, not only to the dignity of nursing home residents but also to their basic safety and well-being. Click here for signs and symptoms of understaffing.
Understaffing has been determined to cause patient injury and deprive residents of essential care according to numerous scientific studies.
What is unsafe CNA staffing?
Below 2.0 hours of CNA time for each resident per day
"Less than 2.0 nurse aide hours per patient day is likely to result in poor care."
What is inadequate overall staffing?
Below 4.1 hours of RNs, LPNs, and CNAs time for each resident per day
"Residents need a minimum total of 4.10 hours of care from RNs, LPNs, and CNAs per day for safety and basic services.
- American Nurses Association’s Position Statement dated November 12, 2014
Was CASCADES AT staffed at Unsafe levels?:
136 days
out of 182 days In 2023: 93.5%
257 days
out of 275 days In 2022: 72.6%
265 days
out of 365 days In 2021: 67.4%
246 days
out of 365 days In 2020: 29.5%
108 days
out of 366 days In 2019: 87.4%
319 days
out of 365 days In 2018: 60.4%
166 days
out of 275 days In 2017: 89.5%
246 days
out of 275 days
per resident per day In 2024: 1.83 hours
January 1, 2024 to June 30, 2024
(Below 2.0 hours is unsafe) In 2023: 1.74 hours
April 1, 2023 to December 31, 2023
(Below 2.0 hours is unsafe) In 2022: 1.87 hours
January 1, 2022 to December 31, 2022
(Below 2.0 hours is unsafe) In 2021: 1.89 hours
January 1, 2021 to December 31, 2021
(Below 2.0 hours is unsafe) In 2020: 2.30 hours
January 1, 2020 to December 31, 2020
(Below 2.0 hours is unsafe) In 2019: 1.51 hours
January 1, 2019 to December 31, 2019
(Below 2.0 hours is unsafe) In 2018: 1.94 hours
April 1, 2018 to December 31, 2018
(Below 2.0 hours is unsafe) In 2017: 1.60 hours
April 1, 2017 to December 31, 2017
(Below 2.0 hours is unsafe)
per resident per day In 2024: 3.25 hours
of overall care per resident per day
(January 1, 2024 to June 30, 2024) In 2023: 3.12 hours
of overall care per resident per day
(April 1, 2023 to December 31, 2023) In 2022: 3.21 hours
of overall care per resident per day
(January 1, 2022 to December 31, 2022) In 2021: 3.50 hours
of overall care per resident per day
(January 1, 2021 to December 31, 2021) In 2020: 4.15 hours
of overall care per resident per day
(January 1, 2020 to December 31, 2020) In 2019: 2.53 hours
of overall care per resident per day
(January 1, 2019 to December 31, 2019) In 2018: 3.36 hours
of overall care per resident per day
(April 1, 2018 to December 31, 2018) In 2017: 2.89 hours
of overall care per resident per day
(April 1, 2017 to December 31, 2017)
Source — Payroll Based Journal daily staffing reports filed by this nursing home with CMS.
(For 2018, the most currently avaliable data is used above.)
Why do staffing levels matter to CASCADES AT residents?
- 100.0% of residents need assistance with toileting and/or incontinent care
- 97.3% of residents needed assistance transferring from bed and/or wheelchair
- 76.9% of residents confined to wheelchair and/or bed
- 44.9% of residents had dementia
Source -- Most recently published Resident Characteristics data (Form 672) submitted by this nursing home to CMS. (February 22, 2018)
Your Experience Matters
...and we want to hear it.
NHAA is here to assist families, residents, and the community by sounding the alarm on issues like those found above. Please give us a call or fill complete our form detailing your experience. If you are struggling and upset, CLICK HERE to understand your options.
NHAA Watchlist
Our Watchlist tracks those nursing homes that have been found to harm residents, have unsafe practices, unsafe staffing, and the worst ratings.
