Inspection Details: 2XCW


Date
9/22/2022
Event ID
2XCW
Inspection type(s)
Complaint Investig.
Deficiencies cited
3

Citation Details

C0010
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
9/22/2022
Corrected Date
N/A
Details

Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the complaint investigation conducted 9/22/2022.  The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57.  The following deficiencies were identified:



Abbreviations possibly used in this document:


ADL:activities of daily living

bid:twice a day

CBG:capillary blood glucose or

blood sugar

cc:cubic centimeter

CG:caregiver

cm:centimeter

F:Fahrenheit

HH:Home Health

HS or hs:hour of sleep

LPN:Licensed Practical Nurse

MA:Medication Aide

MAR:Medication Administration

Record

MCCMemory Care Community

mg:milligram

ml:milliliter

O2 sats:oxygen saturation in the

blood

OT:Occupational Therapist

PT: Physical Therapist

PRN:as needed

qd:every day or daily

qid:four times a day

RN:Registered Nurse

SP:service plan

TAR:Treatment Administration

Record

tid:three times a day



































































C0260
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
9/22/2022
Corrected Date
N/A
Details

Based on interview and record review it was confirmed the facility failed to have service plans readily available to staff and provide clear direction regarding the delivery of services. Findings include:


In separate interviews on 9/22/2022, both Staff #1 and #3 (S1 and S3) stated Service Plans are located in Service Plan Binders. S1 stated there is a nursing team working on updating service plans since many of them were not updated quarterly.


Record review on 9/22/2022 of the service plan binders shows 7 service plans not readily available or located in the binder.  


Facility Plan of Correction: Verbal POC: The facility has a nursing team working on updating all residents service plans and will be putting them into binders for all staff to be able to access when on duty.

C0370
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
9/22/2022
Corrected Date
N/A
Details

Based on interview and record review it was confirmed the facility failed to orient direct care staff to the resident including the resident's service plan. Findings Include:


During onsite interview on 9/22/2022 Staff #3 (S3) stated there was a staff member who fed Resident #1 (R1) donuts and other solid foods because it calmed R1 down.


Record review on 9/22/2022 of R1 Service Plan indicates s/he is to have a pureed diet and no solid foods due to possible choking.


Facility Plan of Correction: Retraining of staff to insure they look at the MARs/ residents needs and the food menus for the residents before administering food to a resident to make sure every staff is aware of their needs and preferences.