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 04/12/2023. 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
Based on interview and record review, it was confirmed that the facility failed to administer medications and prescribed. Findings include:
Review of Residents 1(R1) medication administration records (MARs) and progress notes for March 2023 revealed medication not given medication not available.
Review of Medication Management Policy.
Interviews on 04/12/2023, Staff 1-3 stated there was concerns in March 2023 around medication being available due to reordering of medications.
Plan of Correction:
Facility has hired a Nurse Consultant to review MARs, update procedures, and train staff.
Based on interview and record review it was confirmed the facility failed to fully implement and update an acuity-based staffing tool (ABST). Findings include:
During an interview on 04/12/2023 with Staff #1(S1) stated have not updated the ABST. Current census is 59. The ABST has 50 residents listed. S1 been working with ODHS to get staff access to the ABST.
Review of ABST revealed 50 residents listed. Review of resident census revealed 59 residents.