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 7/25/2022.  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 document review it was confirmed that facility failed to carry out medication orders as prescribed. Findings include, but is not limited to:

In an interview with Staff #1 on 7/25/2022 stated that Resident #1 (R1) had 3 medications that were flagged in the system waiting for follow up. Since medications were flagged medication aide did not administer these medications for the dates of 7/9/2022, 7/10/2022 and 7/11/2022.

Compliance Specialist (CS) reviewed incident report on 7/25/2022 confirming medication error.

Findings reviewed and acknowledged with S1 on 7/25/2022

Facility Plan of Correction:

Administrator and RN reviewed medication process immediately with Medication aide. Medication Aide reviewed training guide, job description and medication and administration training.