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 12/07/2022.  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 provide heating systems capable of maintaining 70 degrees Fahrenheit in resident areas. Findings include:

In an interview with Staff #1 on 12/07/22, they stated that the heat is turned up, but the facility has high ceilings in the dining room, and it doesn't keep the heat as well. There are 2 units that will be replaced in February that the parts have been on backorder for 5 months now. All the units are functioning; however, this will make them more efficient. The heating in the rooms is working fine and have not been affected.

Compliance Specialist (CS) observed thermostats in the building on 12/07/22 and found that the dining room thermostat was set to 77 degrees and the inside temperature was reading 69 degrees. CS tested with a temperature gun and the reading was 68.7 degrees. No issues regarding the heat in the residents' rooms was observed. The 2nd floor hallway was set at 70 degrees and was reading as 67.8 degrees on the monitor.

The above information was shared with Staff #1 on 12/07/22 who acknowledged the findings.

Plan of Correction: Facility will be getting 2 units replaced in February to make the heating more efficient. Administrator reported that on 12/12/22 a technician was out and able to restore more functioning to the heat units and the dining room is warmer now.