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 7/29/2022 and 7/30/2022. 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 and observation it was confirmed that the facility failed to maintain equipment in good repair and failed to provide heating and ventilation systems capable of maintaining 70 degrees Fahrenheit. Findings include but not limited to:
During an unannounced site visit on 07/29/2022 the Compliance Specialist (CS) interviewed Staff #1 (S1) and Staff 2 (S2) regarding the maintenance of equipment designed to keep the facility at a reasonable temperature. S1-3 and R1-3 stated the air conditioner has been out of order since 07/25/2022.
CS and S1 used a facility thermometer to take the ambient room temperature of R1s room and it indicated 89 degrees Fahrenheit. CS observed the hall thermostat reading 87 degrees. S1 stated that the facility is offering water, popsicles and personal fans to residents. CS observed a total of 18 cooling devices including three large portable AC units, 3 industrial sized fans throughout the facility, 2 turbo fans and several personal fans'.
During an unannounced visit on 07/30/2022, the CS observed two commercially rented portable AC units at the facility. The CS observed S1 programming the units for blowing cool air into the facility. The CS observed large 12-inch hoses coming through the window and placed in the hallway to begin the process of cooling the facility.
Facility Plan of Correction:
Facility stated that bids are being reviewed to contract with a cooling maintenance company as soon as possible to ensure the heating and cooling equipment is operational and functioning properly.
Based on interview and observation it was confirmed that the facility failed to maintain equipment in good repair and failed to provide heating and ventilation systems capable of maintaining 70 degrees Fahrenheit. Findings include but not limited to:
During an unannounced site visit on 07/29/2022 the Compliance Specialist (CS) interviewed Staff #1 (S1) and Staff 2 (S2) regarding the maintenance of equipment designed to keep the facility at a reasonable temperature. S1-3 and R1-3 stated the air conditioner has been out of order since 07/25/2022.
CS and S1 used a facility thermometer to take the ambient room temperature of R1s room and it indicated 89 degrees Fahrenheit. CS observed the hall thermostat reading 87 degrees. S1 stated that the facility is offering water, popsicles and personal fans to residents. CS observed a total of 18 cooling devices including three large portable AC units, 3 industrial sized fans throughout the facility, 2 turbo fans and several personal fans'.
During an unannounced visit on 07/30/2022, the CS observed two commercially rented portable AC units at the facility. The CS observed S1 programming the units for blowing cool air into the facility. The CS observed large 12-inch hoses coming through the window and placed in the hallway to begin the process of cooling the facility.
Facility Plan of Correction:
Facility stated that bids are being reviewed to contract with a cooling maintenance company as soon as possible to ensure the heating and cooling equipment is operational and functioning properly.