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 8/2/2022.  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 keep all equipment in good repair.  Findings include, but is not limited to:

In an interview on 8/2/2022, Witness #1 (W1) reported receiving a phone call from a family member of Resident #1 (R1) who stated the facility's A/C unit was not working in Cottage A, staff were shifting residents to other cottages during the day and returning them to their rooms to sleep at night.

In an interview on 8/2/2022, Staff #1-2 (S1-2) reported there is a blower that is  "out"  located in Cottage A (Rose Cottage) that is affecting temperatures in the common area and the walkway that links the facility's 3 cottages together. S1 reported that Resident rooms in Cottage A are not affected by this, their rooms remain at 70 degrees.  S1 reported that during the days with temperatures reaching 110 degrees, they try to keep the residents in their air conditioned rooms, however with some of them it is not possible as they prefer to wander throughout the common areas.  In order to accommodate these residents, they move them to the other 2 cottages to provide some relief from heat during the day.  

During an unannounced visit on 8/2/2022, Compliance Specialist (CS) observed several standing fans located in Cottage A's common area and kitchen.  

*CS used a thermal gun to test temperatures in the common area, kitchen area and adjoining hallway at the time of visit, temperatures were at 78 degrees at 11AM.  

*CS tested temperatures in five resident rooms,  all were consistent at 70 degrees.  *CS observed thermostats for the remaining cottages and temp controlled hallways, all were consistent at 70 degrees.

S1 acknowledged the findings.

Plan of Correction:

S1 reported that Comfort Flow was out to assess the issue and they are now waiting on bids for the parts/repairs.  S1 stated they already have approval from Corporate Office for whatever bid they receive, they are hoping to receive the bid by 8/3/2022 and will proceed with repairs as soon as parts arrive.