OAR 411-054-0036 (1-4) Service Plan: General (1) If the resident has a Person-Centered Service Plan pursuant to 411- 004-0030, the facility must incorporate all elements identified in the person centered service plan into the resident's service plan. (2) SERVICE PLAN. The service plan must reflect the resident's needs as identified in the evaluation and include resident preferences that support the principles of dignity, privacy, choice, individuality, and independence. (a) The service plan must be completed: (A) Before resident move-in, with updates and changes as appropriate within the first 30-days; and (B) Following quarterly evaluations. (b) The service plan must be readily available to staff and provide clear direction regarding the delivery of services. (c) The service plan must include a written description of who shall provide the services and what, when, how, and how often the services shall be provided. (d) Changes and entries made to the service plan must be dated and initialed. (e) When the resident experiences a significant change of condition the service plan must be reviewed and updated as needed. (f) A copy of the service plan, including each update, must be offered to the resident or to the resident's legal representative. (g) The facility administrator is responsible for ensuring the implementation of services. (h) Changes to the service plan, including updates due to a significant change of condition and quarterly updates must be reflected in the facility’s ABST care elements. (3) SERVICE PLAN REQUIREMENTS BEFORE MOVE-IN. (a) Based on the resident evaluation performed before move-in, an initial service plan must be developed before move-in that reflects the identified needs and preferences of the resident. (b) The initial service plan must be reviewed within 30-days of movein to ensure that any changes made to the plan during the initial 30- days, accurately reflect the resident's needs and preferences. (c) Staff must document and date adjustments or changes as applicable. (4) QUARTERLY SERVICE PLAN REQUIREMENTS. (a) Service plans must be completed quarterly after the resident moves into the facility. (b) The quarterly evaluation is the basis of the resident's quarterly service plan. (c) If the resident's service plan is revised and updated at the quarterly review, changes must be dated and initialed, and prior historical information must be maintained. This Rule is not met as evidenced by: Based on observation, interview, and record review, it was determined the facility failed to ensure service plans were reflective of residents' needs and provided clear direction to staff regarding care and services for 2 of 5 sampled residents (#s 2 and 5) whose service plans were reviewed. Findings include, but are not limited to: 1. Resident 2 moved into the facility in 02/2025 with diagnoses including dementia and anxiety. The resident’s 01/20/26 through 04/20/26 clinical record was reviewed, observations were made, and interviews were conducted. The 03/22/26 service plan was not reflective of the resident’s current care needs and/or lacked clear instructions in the following areas: * Eating, including use of a scooped plate, intermittent meal assistance and remain upright for 30 minutes after eating; * Behaviors including how exhibited and interventions for staff; * Skin including when to use gloves for protection; * Use of positioning pillows when in bed and instructions to staff regarding what to monitor; and * Evacuation status. During an interview on 04/21/26 at 9:50 am, Staff 8 (CG) indicated the resident needed meal assistance depending on the day, scratched his/her skin to the point of causing skin tears and would wear gloves as protection. On 04/20/26 Resident 5 was observed to wear gloves, and on 04/21/26 s/he was repeatedly scratching his/her neck and was not wearing gloves. During lunch observations on 04/21/26, Resident 2 received meal assistance, and the food was served on a scooped plate. The need to ensure service plans were reflective of resident needs and provided clear instructions to staff was discussed with Staff 1 (ED), Staff 2 (RN) Staff 3 (Resident Services Director) and Staff 5 (Senior ED) on 04/22/26 at 3:35 pm. They acknowledged the findings. 2. Resident 5 moved into the facility in 06/2022 with diagnoses including dementia, mood disturbance and anxiety. The resident’s 01/21/26 through 04/20/26 clinical record was reviewed, observations were made, and interviews were conducted. The 02/06/26 service plan was not reflective of the resident’s current care needs and/or lacked clear instructions in the following areas: * Behaviors including how exhibited and interventions for staff; * History of resident-to-resident altercations toward another resident, including interventions to help staff prevent future occurrences; * Preferences for waking up in the morning and possible triggers for behavior; and * Evacuation status. During an interview on 04/21/26 at 12:40 pm, Staff 8 (CG) indicated Resident 5’s mood was improved if s/he woke up on his/her own, and s/he would specifically “taunt” an unsampled resident often, requiring staff to intervene. On 04/22/26 at 9:32 am, a CG was observed to seat the unsampled resident at the same table next to Resident 5. No interactions between the two residents were observed during the 30-minute observation. The need to ensure service plans were reflective of resident needs and provided clear instructions to staff was discussed with Staff 1 (ED), Staff 2 (RN) Staff 3 (Resident Services Director) and Staff 5 (Senior ED) on 04/22/26 at 3:35 pm. They acknowledged the findings.

1) Service plans for resident #2 will be updated to include eating preferences and assistance, including use of a scooped plate, intermittent meal assistance, to remain upright for 30 minutes after eating; behaviors including how exhibited and interventions for staff; skin including when to use gloves for protection; use of positioning pillows when in bed and instructions to staff regarding what to monitor and evacuation status. Resident #5's service plan will be updated to include behaviors including how exhibited and interventions for staff; history of resident-to-resident altercations, including interventions to help staff prevent future occurrences; preferences for waking up in the morning and possible trigger behavior, and current evacuation status. Resident 2 and 5's service plans will be reviewed and updated to accurately reflect their current health conditions, behavioral needs, personal preferences, and care needs of these residents. Each service plan will include clear, staff directed interventions to ensure consistent implementation of care. 2) All service plans will be reviewed and updated timely with changes in condition to ensure they are reflective of the resident's current health conditions, behavioral needs, care needs and evacuation status, and will have clear instructions for staff. 3) Monthly 4)Wellness Director/RN, Resident Services Director, and Executive Director

OAR 411-054-0036 (1-4) Service Plan: General (1) If the resident has a Person-Centered Service Plan pursuant to 411- 004-0030, the facility must incorporate all elements identified in the person centered service plan into the resident's service plan. (2) SERVICE PLAN. The service plan must reflect the resident's needs as identified in the evaluation and include resident preferences that support the principles of dignity, privacy, choice, individuality, and independence. (a) The service plan must be completed: (A) Before resident move-in, with updates and changes as appropriate within the first 30-days; and (B) Following quarterly evaluations. (b) The service plan must be readily available to staff and provide clear direction regarding the delivery of services. (c) The service plan must include a written description of who shall provide the services and what, when, how, and how often the services shall be provided. (d) Changes and entries made to the service plan must be dated and initialed. (e) When the resident experiences a significant change of condition the service plan must be reviewed and updated as needed. (f) A copy of the service plan, including each update, must be offered to the resident or to the resident's legal representative. (g) The facility administrator is responsible for ensuring the implementation of services. (h) Changes to the service plan, including updates due to a significant change of condition and quarterly updates must be reflected in the facility’s ABST care elements. (3) SERVICE PLAN REQUIREMENTS BEFORE MOVE-IN. (a) Based on the resident evaluation performed before move-in, an initial service plan must be developed before move-in that reflects the identified needs and preferences of the resident. (b) The initial service plan must be reviewed within 30-days of movein to ensure that any changes made to the plan during the initial 30- days, accurately reflect the resident's needs and preferences. (c) Staff must document and date adjustments or changes as applicable. (4) QUARTERLY SERVICE PLAN REQUIREMENTS. (a) Service plans must be completed quarterly after the resident moves into the facility. (b) The quarterly evaluation is the basis of the resident's quarterly service plan. (c) If the resident's service plan is revised and updated at the quarterly review, changes must be dated and initialed, and prior historical information must be maintained. This Rule is not met as evidenced by:

OAR 411-054-0036 (5) Service Plan: Service Planning Team (5) SERVICE PLANNING TEAM. The service plan must be developed by a Service Planning Team that consists of the resident, the resident's legal representative, if applicable, any person of the resident's choice, the facility administrator or designee and at least one other staff person who is familiar with, or who is going to provide services to the resident. Involved family members and case managers must be notified in advance of the service-planning meeting.(a) As applicable, the Service Planning Team must also include:(A) Local APD or AAA case managers and family invited by the resident, as available.(B) A licensed nurse if the resident shall need, or is receiving nursing services or experiences a significant change of condition as required in 411-054-0045(1)(f)(D) (Resident Health Services).(C) The resident's physician or other health practitioner.(b) Each resident must actively participate in the development of the service plan to the extent of the resident's ability and willingness to do so. If resident participation is not possible, documentation must reflect the facility's attempts to determine the resident's preferences. This Rule is not met as evidenced by: Based on interview and record review, it was determined the facility failed to ensure service plans were developed by a service planning team which consisted of the resident, the resident's legal representative if applicable, any person of the resident's choice, the facility administrator or designee, and at least one other staff person who was familiar with or provided services to the resident for 4 of 5 sampled residents (#s 1, 2, 4 and 5) whose service plans were reviewed. Findings include, but are not limited to: Resident 1, 2, 4 and 5’s most recent service plans lacked evidence a service planning team consisting of the required individuals participated in the development of the service plans. During an interview on 04/22/26 at 2:45 pm, Staff 1 (ED) confirmed the facility lacked evidence of a service planning team for all residents. The need to ensure service plans were developed by a service planning team was discussed with Staff 1, Staff 2 (RN), Staff 3 (Resident Services Director) and Staff 5 (Senior ED) on 04/22/26 at 5:30 pm. They acknowledged the findings.

1) Facility will schedule a service plan meeting to review current service plans with Residents 1,2,4, and 5 and include their service planning team which consists of the resident's legal representative if applicable, any person of resident choice, the facility administrator or designee and at least one other staff person familiar with or provides services for these residents. Service plan will reflect changes discussed during this meeting and evidence of this meeting will be documented in resident record. 2) Service plan meeting will be scheduled for all service plan updates, including move in, within 30 days after move in, quarterly and changes of condition. Required service planning members will be notified of meeting time/date, including the resident, resident's legal representative if applicable, any person of resident choice, the facility administrator or designee and at least one other staff person familiar with or provides services for these residents. Evidence of service planning team notification will be documented in resident record and include participants who were notified and attended the service plan meeting. 3) Monthly 4) Wellness Director/RN, Resident Services Director, and Executive Director

OAR 411-054-0036 (5) Service Plan: Service Planning Team (5) SERVICE PLANNING TEAM. The service plan must be developed by a Service Planning Team that consists of the resident, the resident's legal representative, if applicable, any person of the resident's choice, the facility administrator or designee and at least one other staff person who is familiar with, or who is going to provide services to the resident. Involved family members and case managers must be notified in advance of the service-planning meeting.(a) As applicable, the Service Planning Team must also include:(A) Local APD or AAA case managers and family invited by the resident, as available.(B) A licensed nurse if the resident shall need, or is receiving nursing services or experiences a significant change of condition as required in 411-054-0045(1)(f)(D) (Resident Health Services).(C) The resident's physician or other health practitioner.(b) Each resident must actively participate in the development of the service plan to the extent of the resident's ability and willingness to do so. If resident participation is not possible, documentation must reflect the facility's attempts to determine the resident's preferences. This Rule is not met as evidenced by:

OAR 411-054-0090 (1-2) Fire and Life Safety: Safety (1) FIRE DRILLS. All fire drills shall be conducted according to the Oregon Fire Code (OFC). (a) Unannounced fire drills must be conducted and recorded every other month at different times of the day, evening, and night shifts. (b) Fire and life safety instruction to staff must be provided on alternate months. (c) The Fire Authority may develop an alternative fire drill plan for the facility. Any such plan must be submitted to the Department. (d) A written fire drill record must be kept to document fire drills that include: (A) Date and time of day; (B) Location of simulated fire origin; (C) The escape route used; (D) Problems encountered and comments relating to residents who resisted or failed to participate in the drills; (E) Evacuation time period needed; (F) Staff members on duty and participating; and (G) Number of occupants evacuated. (e) Alternate exit routes must be used during fire drills to react to varying potential fire origin points. (f) The evacuation capability of the residents and staff is a function of both the ability of the residents to evacuate and the assistance provided by the staff. (g) Staff must provide fire evacuation assistance to residents from the building to a designated point of safety as determined by the Fire Authority having jurisdiction. Points of safety may include, outside the building, through a horizontal exit, or other areas as determined by the Fire Authority having jurisdiction. (h) The fire alarm system shall be activated during each fire drill, unless otherwise directed by the Fire Authority having jurisdiction. (2) If the facility is unable to meet the applicable evacuation level, the facility must make an immediate effort to make changes to ensure the evacuation standard is met. Changes must include, but not be limited to: (a) Increasing staff levels, (b) Changing staff assignments, (c) Requesting change in resident rooms, and (d) Arranging for special equipment. After making necessary changes, if the facility fails to meet the applicable evacuation level, the facility must issue an involuntary move-out notice to the residents in accordance with OAR 411-054-0080. This Rule is not met as evidenced by: Based on interview and record review, it was determined the facility failed to ensure fire and life safety instruction was provided to staff on alternate months of fire drills in accordance with the Oregon Fire Code. Findings include, but are not limited to: Upon survey’s entrance to the facility on 04/20/26, fire drill and fire and life safety training records, from 11/2025 through 03/2026, were requested and reviewed. The facility lacked documented evidence fire and life safety instruction was provided to staff on alternate months from fire drills. On 04/21/26 at 1:35 pm, Staff 1 (ED) confirmed the facility’s lack of documentation of fire and life safety training for staff. The need to ensure staff were provided fire and life safety instruction at least every other month, on alternate months of fire drills, was discussed with Staff 1, Staff 3 (Resident Services Coordinator) and Staff 5 (Senior ED) on 04/22/26 at 2:45 pm. They acknowledged the findings.

1) Documentation of Fire and life safety instruction and fire drills will be reviewed for historical information. Facility will schedule henceforth, fire and life safety instruction, respectively per historical data, to be provided on alternate months from fire drills in accordance to Oregon Fire Code. 2) A fire and life safety training calendar will be implemented to ensure training is conducted in the months alternating with fire drills. All training will include a sign in sheet, training materials, and documented proof of completion. 3) Monthly 4) Executive Director and Plant Ops Director

OAR 411-054-0090 (1-2) Fire and Life Safety: Safety (1) FIRE DRILLS. All fire drills shall be conducted according to the Oregon Fire Code (OFC). (a) Unannounced fire drills must be conducted and recorded every other month at different times of the day, evening, and night shifts. (b) Fire and life safety instruction to staff must be provided on alternate months. (c) The Fire Authority may develop an alternative fire drill plan for the facility. Any such plan must be submitted to the Department. (d) A written fire drill record must be kept to document fire drills that include: (A) Date and time of day; (B) Location of simulated fire origin; (C) The escape route used; (D) Problems encountered and comments relating to residents who resisted or failed to participate in the drills; (E) Evacuation time period needed; (F) Staff members on duty and participating; and (G) Number of occupants evacuated. (e) Alternate exit routes must be used during fire drills to react to varying potential fire origin points. (f) The evacuation capability of the residents and staff is a function of both the ability of the residents to evacuate and the assistance provided by the staff. (g) Staff must provide fire evacuation assistance to residents from the building to a designated point of safety as determined by the Fire Authority having jurisdiction. Points of safety may include, outside the building, through a horizontal exit, or other areas as determined by the Fire Authority having jurisdiction. (h) The fire alarm system shall be activated during each fire drill, unless otherwise directed by the Fire Authority having jurisdiction. (2) If the facility is unable to meet the applicable evacuation level, the facility must make an immediate effort to make changes to ensure the evacuation standard is met. Changes must include, but not be limited to: (a) Increasing staff levels, (b) Changing staff assignments, (c) Requesting change in resident rooms, and (d) Arranging for special equipment. After making necessary changes, if the facility fails to meet the applicable evacuation level, the facility must issue an involuntary move-out notice to the residents in accordance with OAR 411-054-0080. This Rule is not met as evidenced by:

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by: Based on observation, interview, and record review, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. Findings include, but are not limited to: Refer to C420.

Z 142 Refer to POC for C420

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by:

OAR 411-057-0155(1-6) Staff Training Requirements (1) A memory care community must ensure staff who provide support to residents with dementia have a basic understanding and fundamental knowledge of the residents' emotional and unique health care needs prior to providing services to residents. The training requirements for staff who work in memory care communities are described in the following sections. (2) ALL STAFF TRAINING REQUIREMENTS. All staff who work in memory care communities licensed as residential care facilities or assisted living facilities must complete the following: (a) Orientation as required in OAR 411-054-0070(3) before performing any job duties. (b) Pre-service dementia care training as required before independently providing personal care or other services. The dementia care training must address these topics: (A) Education on the dementia disease process, including the progression of the disease, memory loss and psychiatric and behavioral symptoms. (B) Techniques for understanding, communicating and responding to distressful behavioral symptoms; including but not limited to, reducing the use of antipsychotic medications for non-standard uses when responding to distressful behavioral symptoms. (C) Strategies for addressing social needs of persons with dementia and engaging them with meaningful activities; (D) Information concerning specific aspects of dementia care and ensuring safety of residents with dementia including, but not limited to, how to: (i) Identify and address pain; (ii) Provide food and fluid; (iii) Prevent wandering and elopement; (iv) Use a person-centered approach. (c) Additional pre-service training topics that must be completed before independently providing personal care to residents: (A) Environmental factors that are important to resident ' s well-being (e.g. noise, staff interactions, lighting, room temperature, etc.); (B) Family support and the role the family may have in the care of the resident; (C) How to recognize behaviors that indicate a change in the resident ' s condition and report behaviors that require on-going assessment. (3) DIRECT CARE STAFF TRAINING REQUIREMENTS. Direct care staff must be directly supervised by a qualified staff person until they have successfully demonstrated satisfactory performance in any task assigned in the provision of individualized resident services. In addition to training required for all staff as described in paragraph (2): (a) Before independently providing personal care or other services to residents, direct care staff must complete training on: (A) How to provide personal care to a resident with dementia, including an orientation to the resident and the resident ' s service plan, as required in OAR 411-054-0070(4). (B) The use of supportive devices with restraining qualities in memory care communities. (b) Within 30 days after hire, direct care staff must complete training as outlined in OAR 411-054-0070(5). (c) Direct care staff who work in memory care communities licensed as residential care facilities or assisted living facilities must complete a total of 16 hours of in-service training annually. The six hours of annual dementia care training required pursuant to OAR 411-054-0070(6) may be included in the 16 hours of in-service training. Annual in-service hours required of each staff are due by the anniversary date of that person ' s hire. All completed trainings must be documented by the facility. (4) NURSING FACILITY STAFF. Staff who work in memory care communities licensed as nursing facilities must complete the following: (a) Orientation as outlined in OAR 411-086-0310, 42 CFR ? 483.95 (F 943). (b) Pre-service dementia care training as outlined in paragraphs (2)(b) and (c) and paragraph (3)(a) of this section. (c) A total of 16 hours of annual in-service training must be completed by direct care staff only. Four of the 16 hours must be dementia care training and may be included in the 16 hours of in-service training. Annual in-service hours required of each staff are due by the anniversary date of that person ' s hire. All completed trainings must be documented by the facility. (5) Persons providing or overseeing the training of staff must have experience and knowledge in the care of individuals with dementia. (6) The memory care community must have a method for determining and documenting each staff person ' s competency of training in accordance with the licensing rules. All training must be documented and available to the Department upon request. This Rule is not met as evidenced by: Based on interview and record review, it was determined the facility failed to ensure 4 of 4 newly hired staff (#s 10, 12, 13 and 14) completed all required pre-service dementia trainings. Findings include, but are not limited to: Staff training records were reviewed with Staff 3 (Resident Services Director) on 04/21/26 at 1:15 pm. The following was identified: Staff 10 (CG) was hired 02/24/26, Staff 12 (CG) was hired 02/23/26, Staff 13 (CG) was hired 03/10/26 and Staff 14 (Dishwasher) was hired 04/01/26. a. There was no documented evidence Staff 10, Staff 12 and Staff 13 completed the following pre-service dementia training topics for direct care staff: * Environmental factors that are important to resident's well-being; * Family support and the role the family may have in the care of the resident; and * The use of supportive devices with restraining qualities in memory care communities. b. There was no documented evidence Staff 14 completed the following pre-service dementia training topics for non-direct care staff: * Dementia disease process including progression of the disease, memory loss and psychiatric and behavioral symptoms; * Techniques for understanding, communicating and responding to distressful behavioral symptoms; * Strategies for addressing social needs and engaging persons with dementia in meaningful activities; and * Specific aspects of dementia care and ensuring safety of residents with dementia including addressing pain, providing food/fluids, preventing wandering, use of a person-centered approach. The need to ensure staff completed all required pre-service dementia trainings was discussed with Staff 1 (ED), Staff 3 and Staff 5 (Senior ED) on 04/22/26 at 3:35 pm. They acknowledged the findings.

1) All training records will be audited to verify completion of pre-service dementia training topics for direct and non-direct care staff are completed. Any deficiencies identified during the audit will be assigned. Any newly hired staff will be required to complete pre-service dementia training prior to performing job duties. 2) Verification of completion of pre-service dementia training, including topics on environmental factors that are important to resident's well-being; family support and the role the family may have in the care of the resident; and the use of supportive devices with restraining qualities in memory care communities, will occur prior to all newly hired direct care staff and non-direct staff performing job duties. All direct care staff and non-direct staff without complete pre-service dementia training will not be allowed to start job duties until training is complete. 3) Upon New Hire, Monthly 4) Resident Services Director and Executive DIrector

OAR 411-057-0155(1-6) Staff Training Requirements (1) A memory care community must ensure staff who provide support to residents with dementia have a basic understanding and fundamental knowledge of the residents' emotional and unique health care needs prior to providing services to residents. The training requirements for staff who work in memory care communities are described in the following sections. (2) ALL STAFF TRAINING REQUIREMENTS. All staff who work in memory care communities licensed as residential care facilities or assisted living facilities must complete the following: (a) Orientation as required in OAR 411-054-0070(3) before performing any job duties. (b) Pre-service dementia care training as required before independently providing personal care or other services. The dementia care training must address these topics: (A) Education on the dementia disease process, including the progression of the disease, memory loss and psychiatric and behavioral symptoms. (B) Techniques for understanding, communicating and responding to distressful behavioral symptoms; including but not limited to, reducing the use of antipsychotic medications for non-standard uses when responding to distressful behavioral symptoms. (C) Strategies for addressing social needs of persons with dementia and engaging them with meaningful activities; (D) Information concerning specific aspects of dementia care and ensuring safety of residents with dementia including, but not limited to, how to: (i) Identify and address pain; (ii) Provide food and fluid; (iii) Prevent wandering and elopement; (iv) Use a person-centered approach. (c) Additional pre-service training topics that must be completed before independently providing personal care to residents: (A) Environmental factors that are important to resident ' s well-being (e.g. noise, staff interactions, lighting, room temperature, etc.); (B) Family support and the role the family may have in the care of the resident; (C) How to recognize behaviors that indicate a change in the resident ' s condition and report behaviors that require on-going assessment. (3) DIRECT CARE STAFF TRAINING REQUIREMENTS. Direct care staff must be directly supervised by a qualified staff person until they have successfully demonstrated satisfactory performance in any task assigned in the provision of individualized resident services. In addition to training required for all staff as described in paragraph (2): (a) Before independently providing personal care or other services to residents, direct care staff must complete training on: (A) How to provide personal care to a resident with dementia, including an orientation to the resident and the resident ' s service plan, as required in OAR 411-054-0070(4). (B) The use of supportive devices with restraining qualities in memory care communities. (b) Within 30 days after hire, direct care staff must complete training as outlined in OAR 411-054-0070(5). (c) Direct care staff who work in memory care communities licensed as residential care facilities or assisted living facilities must complete a total of 16 hours of in-service training annually. The six hours of annual dementia care training required pursuant to OAR 411-054-0070(6) may be included in the 16 hours of in-service training. Annual in-service hours required of each staff are due by the anniversary date of that person ' s hire. All completed trainings must be documented by the facility. (4) NURSING FACILITY STAFF. Staff who work in memory care communities licensed as nursing facilities must complete the following: (a) Orientation as outlined in OAR 411-086-0310, 42 CFR ? 483.95 (F 943). (b) Pre-service dementia care training as outlined in paragraphs (2)(b) and (c) and paragraph (3)(a) of this section. (c) A total of 16 hours of annual in-service training must be completed by direct care staff only. Four of the 16 hours must be dementia care training and may be included in the 16 hours of in-service training. Annual in-service hours required of each staff are due by the anniversary date of that person ' s hire. All completed trainings must be documented by the facility. (5) Persons providing or overseeing the training of staff must have experience and knowledge in the care of individuals with dementia. (6) The memory care community must have a method for determining and documenting each staff person ' s competency of training in accordance with the licensing rules. All training must be documented and available to the Department upon request. This Rule is not met as evidenced by:

OAR 411-057-0160(2b) Compliance with Rules Health Care (b) Health care services provided in accordance with the licensing rules of the facility. This Rule is not met as evidenced by: Based on observation, interview, and record review, it was determined the facility failed to provide health care services in accordance with the licensing rules for Residential Care and Assisted Living Facilities. Findings include, but are not limited to: Refer to: C260 and C262.

Z 162 Refer to POC for C260 and C262

OAR 411-057-0160(2b) Compliance with Rules Health Care (b) Health care services provided in accordance with the licensing rules of the facility. This Rule is not met as evidenced by: