Based on interview, observation and record review, it was confirmed that the facility failed to fully implement and update an acuity-based staffing tool (ABST). Findings include:

CS observed that the facility does not have a posted staffing plan.  Schedule for July and August reflects staffing levels listed in the Uniform Disclosure Statement (UDS).

Interview with Staff #1 on 07/13/2022 stated the facility has not implemented the ABST.  Will be using ODHS tool.  Has put a few residents in the system.  Is currently staffing to the level listed in the UDS.  Stated there are around 5 or 6 2-person transfers.  

The above information was shared with Staff #1 on 07/13/22, who acknowledged the findings.

Plan of Correction: The facility will get all residents inputted in the ODHS ABST tool and start staffing the to those levels.