Lacamas Creek Post Acute
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
concerns the patient may have regarding the procedure. The patient stated that she is afraid of needles and still denies the injection at this time. She was told that this injection may provide her with a significant amount of relief and given she seems to be very upset about this issue, it may greatly benefit her.Record
review of Resident 1's Physical Medicine and Rehabilitation Evaluation note, dated 08/24/2025, stated, .she still has pain in her right knee, she has no other acute pain.pt [patient] after sitting becomes very emotional and starts crying due to knee pain. Right knee osteoarthritis.the patient remains apprehensive towards injections. She is eligible for one if or when she decidesRecord review of Resident 1's Physical Medicine and Rehabilitation Evaluation note, dated 09/09/2025, stated, She reports ongoing right knee pain. Right knee osteoarthritis.the patient remains apprehensive towards injections. She is eligible for one if or when
she decidesRecord review of Resident 1's EHR, completed 10/07/2025, showed no documented notification from the facility to the guardian for Resident 1 regarding treatment options to address their right knee pain related to chronic osteoarthritis until a Progress Note, dated 09/17/2025-nearly seven weeks
after admission, stated, This LN [licensed nurse] and SS [social services] spoke with guardian, guardian gave verbal consent to perform injection to knee for pain. Provider notified of consent and ordered injection.In an interview on 10/10/2025 at 3:00 PM, Staff B, Registered Nurse and Director of Nursing, confirmed Resident 1 had been diagnosed with an intellectual disability, had a BIMS of 00/15, had a legal guardian, and said the guardian should have been notified by the provider or RCM (Resident Care Manager) regarding treatment options and decisions to address Resident 1s' right knee pain related to chronic osteoarthritis.WAC 388-97-0320
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/14/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Lacamas Creek Post Acute
740 NE Dallas Street Camas, WA 98607
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review, the facility failed to follow physician orders to obtain daily weights, for 2 of 3 sampled residents (Resident 1 and Resident 2), with diagnosis of heart failure. This failure placed the residents at risk of worsening heart failure, unmet care needs, and a diminished quality of life.Findings included . Resident 1Resident 1 was admitted to the facility on [DATE REDACTED]. The admission Minimum Data Set (MDS) assessment (an assessment tool), dated 08/04/2025, documented the resident had severe cognitive impairment and the Electronic Health Record (EHR) Medical Diagnosis list included congestive heart failure (a weakened heart condition that causes fluid buildup in the feet, arms, lungs, and other organs), chronic osteoarthritis (a degenerative joint disease leading to breakdown of cartilage in joints), and unspecified cognitive impairment. Record review of Resident 1's physicians' order, dated 7/30/2025, documented, Daily Weights: Weigh resident in the morning before breakfast and after first void, notify MD [medical doctor] if gains 3 pounds in 1 day or 5 pounds in 1 week. Record review of Resident 1's EHR Weight Summary, reviewed 10/07/2025, showed three occasions (09/18/2025, 09/21/2025, 09/22/2025) when Resident 1 was not weighed per physician orders. Record review of Resident 1's Treatment Administration Record (TAR), dated September 2025,, showed three occasions in September 2025 (09/18/2025, 09/21/2025, 09/22/2025) when Resident 1 was not weighed per physician orders; each date Resident 1's daily weights were omitted was accompanied by a documented chart code, 9, indicating, other/see nurses notes. Record
review of Resident 1's Progress Notes, reviewed 10/10/2025, show no nurses notes on 09/18/2025, 09/21/2025, nor 09/22/2025 pertaining to the omission of daily weights. Resident 2Resident 2 was admitted to the facility on [DATE REDACTED]. The 5-Day Minimum Data Set (MDS) assessment, dated 08/16/2025, documented
the resident was cognitively intact and the Electronic Health Record (EHR) Medical Diagnosis list included unspecified heart failure (a weakened heart condition that causes fluid buildup in the feet, arms, lungs, and other organs). Record review of a physicians' order for Resident 2, dated 08/20/2025, documented, Daily Weights: Weigh resident in the morning before breakfast and after first void, notify MD if gains 3 pounds in 1 day or 5 pounds in 1 week. Record review of Resident 2's EHR Weight Summary since admission, reviewed 10/07/2025, showed six occasions in September 2025 (09/14/2025, 09/18/2025, 09/19/2025, 09/20/2025, 09/21/2025, 09/22/2025) when Resident 2 was not weighed per physician orders. Record
review of Resident 2's Treatment Administration Record (TAR), dated September 2025, showed six occasions (09/14/2025, 09/18/2025, 09/19/2025, 09/20/2025, 09/21/2025, 09/22/2025) when Resident 2 was not weighed per physician orders; each date the daily weights were omitted was accompanied by a documented chart code. On 09/14/2025 the documented chart code was 7, indicating, sleeping. On 09/14/2025, 09/18/2025, 09/19/2025, 09/20/2025, 09/21/2025, and 09/22/2025 the documented chart code was 9, indicating, other/see nurses notes. Record review of Resident 2's Progress Notes, reviewed 10/10/2025, show no nurses notes on 09/14/2025, 09/18/2025, 09/19/2025, 09/20/2025, nor 09/21/2025 pertaining to the omissions of daily weight. A nursing note on 09/22/2025 said, not able to check resident's weight due to wheelchair scale is broken.In an interview on 10/10/2025 at 3:00PM, Staff B, Director of Nursing Services (DNS) and Registered Nurse (RN), stated that if a resident had an order to obtain daily weights, they should be taken daily as the resident allows. WAC 388-97-1060(1)
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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If continuation sheet
LACAMAS CREEK POST ACUTE in CAMAS, WA 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 CAMAS, WA, (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 LACAMAS CREEK POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.