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 8/29/2022. 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
Based on interview, observation and record review, it has been confirmed that the facility failed to provide household services. Findings include:
During an unannounced site visit on 08/29/2022, Compliance Specialist (CS) interviewed Staff #1 (S1). It was stated that the facility had 3 housekeepers, but that 2 left without any notice. The facility administrator and other staff attempted to assist with housekeeping in the meantime.
CS completed a walkthrough of the facility, and the following was found:
-Extensive stains throughout the facility common areas and in R4 ' s apartment.
-Debris found in living room of Resident #4 ' s (R4s) apartment.
-Urine residue found in commode in R4 ' s apartment.
-Brown substance that appeared to be feces in R4 ' s bathroom and toothbrush.
-Sticky floors found in Resident #3 ' s (R3s) apartment.
CS reviewed care plans for sampled residents, which revealed residents are signed up weekly for housekeeping with scheduled dates as required by rule.
The above information was shared with Staff #2.
Facility Plan of Correction: CS consulted with Safety,Oversight and Quality (SOQ) central office and an agreement has been made between facility and Policy Analyst to rectify areas of non-compliance