Cascade Park Gardens, L.L.C.

No documentation was provided for the most recent annual forward flow test. A test was initiated by Patriot Fire during the inspection.

Corridor Fire Door 4 had a broken latch. Corridor Fire Door 2 and door to Room 306 A/B failed to self-close and latch during test.

Facility failed to ensure that 2 of 4 sampled residents (including a former resident) had negotiated service agreements (NSA) signed by the resident or representative annually. Records for R1 and R2 were undated and unsigned.

The facility failed to follow policies and procedures regarding Resident Rights and Discharging a resident by failing to allow Resident 1 to return after a hospital stay and failing to provide proper written discharge notification.

Facility failed to monitor Resident 1's meal intake and provide required nutritional supplement shakes, contributing to weight loss and hunger.

No staff observed wearing eye protection.

The facility failed to place 6 out of 9 sample residents on alert status after incidents, and failed to properly document incidents in progress notes.

During the inspection on 5/13/2025, Corridor Fire Door 4 had a broken latch, Corridor Fire Door 2 failed to self-close and latch, and Room 306 A/B failed to self-close and latch. During the reinspection on 7/29/2025, Corridor Fire Door 4 still had a broken latch.

No documentation was provided for the most recent annual forward flow test for the sprinkler system.