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 02/02/2023.  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, observation, and record review it was confirmed the facility failed to implement effective methods of responding to and resolving resident complaints. Findings include:

During separate interviews on 02/02/2023, Resident #2 (R2) and Witness #1 (W1) stated that R2 was without a working call pendant from 09/30/2022-10/27/2022. W1 stated that R2 is a fall risk and is unable to leave their bed without assistance. W1 stated the facility ' s  " fix "  to the problem was to tie a string to the call light in the bedroom area, where R2 is unable to pull. R2 stated they are not able to use the bedroom and bathroom pull cords for their call lights, the pendent is the only one they are able to use. Staff #1 (S1) stated that they were aware that R2 was without a call pendent, however they did not have any extra pendants in the facility and had to order them. S1 stated that the company they order them from takes 3-5 weeks to ship.

During an unannounced site visit on 02/02/2023, Compliance Specialist (CS) observed the string tied to the bedroom pull cord. CS observed that R2 is unable to grab the string.

A review of email correspondence with S1 and the call pendent company shows the facility does not have effective methods to resolving to R2 ' s needs.

On 02/02/2023, these findings were reviewed and acknowledged by S1.

Plan of Correction: S1 has provided R2 with a working call pendant.