Inspection Details: 4K5W


Date
7/29/2025
Event ID
4K5W
Inspection type(s)
Complaint Investig.
Deficiencies cited
2

Citation Details

C0010
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
7/29/2025
Corrected Date
N/A
Details

Abbreviations possibly used in this document:

 

ADL:               activities of daily living

CBG:               capillary blood glucose or blood sugar

CG:                 caregiver

CS:                  Compliance Specialist

cm:                  centimeter

ED:                  Executive Director

F:                     Fahrenheit

HH:                 Home Health

LPN:               Licensed Practical Nurse

MT:                 Medication Tech

MAR:              Medication Administration Record

MCC:              Memory Care Community

OT:                  Occupational Therapist

PT:                  Physical Therapist

PRN:               as needed

RCC:               Resident Care Coordinator

RN:                 Registered Nurse

C0360
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
7/29/2025
Corrected Date
N/A
Details

The findings of the on-site investigation, conducted on 07/29/25 are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 and Division 57 for Residential Care and Assisted Living Facilities.



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