Orchards Of Cascadia, The
Inspection Findings
F-Tag F0698
F 0698 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
irregular heart rate.A Dialysis Care Plan initiated on [DATE REDACTED], documented Resident #103 had a central line
in her right chest used by dialysis, and she attended dialysis every Monday, Wednesday, and Friday. The Care Plan directed staff to monitor Resident #103 for complications such as site discomfort, signs and symptoms of infection, phlebitis, occlusion, infiltration, displacement, and bleeding.The facility's I&A report documented that on [DATE REDACTED], LPN #1 found [Resident #103] standing naked with her dialysis catheter leaking blood from the red port only it was flowing onto the floor and down her chest due to the clamp the line with the red end was unclamped and there was no end cap. LPN #1 clamped the line, left to obtain a cap, and returned to find the clamp unclipped again and blood was visibly flowing from the line. The resident was then escorted down the hallway by a CNA without continuous licensed nurse supervision of
the access site. Bleeding occurred in the resident's room [Resident #103] was slumped back with her back
on the bed and her feet were on the floor. There was blood noted coming from the catheter and had leaked onto the bed and it was also noted on the floor in front of where her feet were followed by loss of consciousness, absent respirations and pulse. CPR was initiated until EMS arrival.The facility was unable to provide evidence that the nursing staff had been trained or deemed competent in responding to dialysis access emergencies. On [DATE REDACTED] at 3:08 PM, the Director of Clinical Services (DCS) stated that the facility had not provided such training and expected nurses to have learned these skills during their initial licensing preparation. In a follow up interview on [DATE REDACTED] at 5:00 PM, the DCS acknowledged that the nurse should have applied a hemostat when the clamp failed and could not explain why a new cap was not placed on the CVC.
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ORCHARDS OF CASCADIA, THE in NAMPA, ID inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NAMPA, ID, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ORCHARDS OF CASCADIA, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.