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 10/20/2022.  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 observation and interview it was confirmed that the facility failed to comply with masking requirements. Findings include but not limited to:

During an unannounced site visit on 10/20/2022 Compliance Specialist observed two staff members not wearing masks. When asked to put don a face mask, Staff #2 stated "in a minute" and continued working until Staff #1 brought them a face mask.

These findings were reviewed with and acknowledged by Staff #1 on 10/20/2022 who was in agreement.

Facility Plan of Correction: In-service on masking policy to be completed on 10/26/2022.

Based on observation and interview it was confirmed that the facility failed to have a method for refrigeration of perishable medications that provides for locked separation from stored food items. Findings include but not limited to:

During an unannounced site visit on 10/20/2022 Compliance Specialist observed medications stored in the fridge in a door shelf with no lock.

These findings were reviewed with and acknowledged by Staff #1 (S1) who was in agreement.

Facility Plan of Correction: S1 to contact Regional Director of Operations (RDO) by end of day 10/20/2022 to request this be ordered. RDO to be in facility on Monday.