Based on interview and observation the facility failed to implement an ABST. Findings include, but not limited to:

During an interview on 09/08/2022 Staff #1(S1) stated that the facility is not using an acuity-based staffing tool.

On 09/08/2022, the CS observed the absence of documentation informing the status of resident acuity.

On 09/08/2022, these findings were reviewed with and acknowledged by S1.

Plan of Correction:

S1 stated that the ODHS ABST will be implemented as soon as possible. S1 will email the CS when an updated plan is in place.