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 7/26/2022.  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 observations and interviews it was confirmed that the facility failed to provide reasonable precautions against any condition that may threaten the health, safety, or welfare of residents. Findings include, but is not limited to:

In separate interviews on 7/26/2022 with Staff #1 & 2 (S1 & S2), S1 states that "most of the facility staff are new and training has been provided to all staff. Reminding staff that masks need to be worn appropriately has been a challenge".

S2 states that when entering the facility the medication aide has the thermometer and checks all of the temperatures of residents and visitors".

During an unannounced site visit by Compliance Specialist (CS) on 7/26/2022 the facility had signs posted for screening to be completed by facility staff. CS was let into the facility and was not screened. CS was then directed to another area of the facility. CS observed dining staff serving residents the breakfast meal had masks pulled down below the chin.

Findings were reviewed and acknowledged with S1 on 7/26/2022.

Facility Plan of Correction:

Executive Director will review all policies with administrators, review all screening policies with staff and provide ongoing training for infection control.