Based on interview and record review, conducted during a site visit on 10/02/24, it was confirmed the facility failed to update an acuity-based staffing tool (ABST). Findings include, but are not limited to:

During an interview on 10/02/24, Staff 1 (ED) stated the following:

 The facility used the ODHS ABST.

 There were 11 residents who resided in the facility, 13 residents were entered into the ABST tool, however, one resident passed away and one resident moved out and were not removed from the tool yet.

 Resident 3 had moved into the facility on 09/11/24.

 The facility staffed two care staff for each shift.

A review of the facility's ABST indicated the following:

 There were 13 residents entered into the tool.

 Four of the 11 residents had not been updated quarterly.

 The care time required for Resident 3 had been incomplete.

 The "minimum time needed based on acuity" on day shift was 1.45 direct care staff; on swing shift was 1.32 direct care staff; and less than one direct care staff on night shift.

The facility had not had a staffing plan posted throughout the facility.

A review of the facility's staff schedule dated 09/01/24 through 10/03/24, and timecards, dated 09/15/24 through 09/28/24, indicated the facility was consistently staffing to the staffing requirements per their ABST.

During an interview, Staff 1 (ED) confirmed Resident 3's time had not been added into the ABST tool. S/he confirmed the facility's posted staffing plan had not been posted throughout the facility.

It was confirmed the facility failed to update an acuity-based staffing tool.

On 10/02/24, the findings were reviewed with and acknowledged by Staff 1.

Based on interview and record review, conducted during a site visit on 10/02/24, it was confirmed the facility failed to update an acuity-based staffing tool (ABST). Findings include, but are not limited to:

During an interview on 10/02/24, Staff 1 (ED) stated the following:

 The facility used the ODHS ABST.

 There were 11 residents who resided in the facility, 13 residents were entered into the ABST tool, however, one resident passed away and one resident moved out and were not removed from the tool yet.

 Resident 3 had moved into the facility on 09/11/24.

 The facility staffed two care staff for each shift.

A review of the facility's ABST indicated the following:

 There were 13 residents entered into the tool.

 Four of the 11 residents had not been updated quarterly.

 The care time required for Resident 3 had been incomplete.

 The "minimum time needed based on acuity" on day shift was 1.45 direct care staff; on swing shift was 1.32 direct care staff; and less than one direct care staff on night shift.

The facility had not had a staffing plan posted throughout the facility.

A review of the facility's staff schedule dated 09/01/24 through 10/03/24, and timecards, dated 09/15/24 through 09/28/24, indicated the facility was consistently staffing to the staffing requirements per their ABST.

During an interview, Staff 1 (ED) confirmed Resident 3's time had not been added into the ABST tool. S/he confirmed the facility's posted staffing plan had not been posted throughout the facility.

It was confirmed the facility failed to update an acuity-based staffing tool.

On 10/02/24, the findings were reviewed with and acknowledged by Staff 1.