Colfax Health And Rehabilitation Of Cascadia
Inspection Findings
F-Tag F0725
F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
of their room on 09/10/2025 at 10:45 AM and again at 12:00 PM found their urinal, most of the way full of urine, on the resident's bedside table, with a strong urine odor in the room, and their bed unmade.In an
interview on 09/04/2025, with Staff C, Medication Technician and Nursing Assistant, they stated that they worked as both a medication technician (pass out scheduled medications under the supervision of a nurse) and a nursing assistant in the facility for the last four years. They further stated that they were sometimes scheduled to work as a medication technician but then would sometimes be pulled to the floor if the nursing assistants were short staffed. They thought the goal for staffing was for there to be a medication technician, another nurse who worked on the second medication administration cart, as well as a registered nurse who would oversee the medication technician and help the nurse on the other cart, if they needed help. They further stated that if they were pulled to work as a nursing assistant that would just leave two nurses for the floor. They further stated that they felt there were times when there was not enough staff, that the goal was for there to be five nursing assistants for the 12-hour period of 6:00 AM to 6:00 PM, and that there were frequently four nursing assistants. They stated that the staffing coordinator tried to fill the open spots, but
they were not always able to. They stated that when there are four nursing assistants, then the residents had to wait longer for assistance, they sometimes did not get out of bed when they wanted to and the nursing assistants did not get their breaks.In an interview on 09/04/2025 at 12:10 PM, Staff D, Registered Nurse, stated that she had been working at the facility for three weeks and there had been a shortage of nursing assistants on some of the days they worked. They stated that they had been supposed to have training on 09/02/2025 but that they had to work on the floor because the medication technician was pulled to work as a nursing assistant. They stated that that day it had just been them and another nurse and that
they had to pass medications, do assessments, dressing changes and give intravenous antibiotics for 28 residents and that it was a big challenge, even though the Director of Nursing had helped them.In an
interview on 09/10/2025 at 12:05 PM, Staff E, Nursing Assistant, stated that they worked for an agency and
in the last month had worked about eight shifts. They stated that they thought staffing was okay, but that the 100 hallway was very busy and sometimes the residents complained they had to wait for assistance and that the residents were on their call lights all the time.In an interview on 09/10/2025 at 10:10 AM, Staffing Coordinator, stated that the facility had recently opened a wing that had been closed for several years. At that time, they had tried to staff five nursing assistants, instead of four but there had been a lot of challenges. They stated that they had at least three agency staff per day and on that day, there were six of
the ten nursing assistant positions filled by agency staff. They further stated that agency staff would sometimes call off an hour prior to the start of a shift and then the spot was very difficult to fill. Staff B further stated that two agency staff had also recently had to be sent home because one was found sleeping and another was found in an empty resident room not answering resident call lights.In an interview on 09/10/2025 at 12:18 PM, Staff A, Director of Nursing, stated that the facility had recently opened a wing that had been closed for several years and there had been some challenges scheduling enough staff and then the agency staff who were scheduled, to follow the facility expectations. They stated that the expectation was that a resident call light be answered in 20 minutes or less. They further stated that the facility was trying to hire more permanent staff. Reference WAC 388-97-1080 (1), 1090 (1)
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Colfax Health and Rehabilitation of Cascadia in COLFAX, 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 COLFAX, 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 Colfax Health and Rehabilitation of Cascadia or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.