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 10/7/2022. 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, 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 reviewed the posted staffing plan, staff schedules for September 2022, and service plan for Resident #1. The ABST was not reviewed as it has not been implemented.
CS observed that the facility is staffed per the schedule, and staffing plan on 10/07/22.
The above information was shared with Staff #1 on 10/07/22 and via email on 10/17/22, who aknowledged that they do not have an ABST.
In an email response on 10/17/22, Staff #1 reported that they do not have a completed ABST, but will be working on it right away.
Plan of correction:
The wellness team will get started on completing/updating the ABST.