I Washington State Department of I ea 1 1% NOTICE OF IMMEDIATE JEOPARDY On 12/20/2016 at 10:30 AM, Washington State Department of Health surveyors determined that a condition existed at Cascade Behavioral Health Hospital that posed an immediate and serious threat to patient safety. The facility failed to provide sufficient pharmaceutical services to meet the scope, complexity, and needs of the patients served. This posed a serious risk of harm due to: '3 Medications being administered to patients prior to pharmacy verification of orders resulting in high number of automatic dispensing machine overrides risking patient safety 0 Medication variances (errors) resulting from medication overrides 1- Patient home medications not being verified by a pharmacist prior to administering 0 Expansion of hospital services with corresponding increase in average daily census without a comparable increase in pharmacy hours or personnel. Notice of a determination of Immediate Jeopardy was made on behalf of CMS to: Cascade Behavioral Health Hospital on December 20, 2016 at HYAW PM. The facility needs to respond by developing an effective system-wide plan to remove the immediate risk of harm to patients. A state of Immediate Jeopardy will remain in effect until the corrections are completed and accepted by the Washington Department of Health. ?052 MWM (if) kiwi L. i ??th Survey team leader Date/Time (j A 'i?g/xQ/tg 26? ii} i l. air/1 Facility representative Date/Time