Based on interview and record review, conducted during a site visit on 01/09/24, it was confirmed the facility failed to update an acuity-based staffing tool (ABST). Findings include, but are not limited to:

On 01/09/24, the facility's ABST was reviewed, and the staffing levels generated indicated the facility required six care staff on day shift, five care staff on swing shift, and three care staff on night shift. There were 17 of 53 residents' profiles had not been updated quarterly. The posted staffing plan matched the facility's ABST.

In an interview on 01/09/24, Staff 1 (RN) stated, "The facility has been using the ODHS ABST." Staff 2 (LPN) stated, "I have been working on updating our resident's service plans and services in our ABST."  

The facility failed to update an acuity-based staffing tool.

On 01/09/24, the findings were reviewed with and acknowledged by Staff 1.