Inspection Details: IFTO


Date
4/19/2023
Event ID
IFTO
Inspection type(s)
Complaint Investig.
Deficiencies cited
4

Citation Details

C0010
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
4/19/2023
Corrected Date
N/A
Details

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 04/19/2023.  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





































































































C0260
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
4/19/2023
Corrected Date
N/A
Details

Based on record review and interview, it was confirmed that the facility failed to ensure that the service plans are getting updated quarterly. Findings include:


A review of Resident #1-3 (R1-3) service plan showed that the facility did not update quarterly. The service plans are dated 08/31/2022, 07/27/2022, and 07/17/2022.


On 04/19/2023, these findings were reviewed and acknowledged by S1.

C0360
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
4/19/2023
Corrected Date
N/A
Details

Based on interview and record review it was confirmed the facility failed to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident. Findings include:


During separate interviews 04/19/2023, Staff #1-2 (S1-2) stated that their current staffing levels for each building are 1 Med Tech (MT) and 1 Caregivers (CG) every shift for building 910 and 920. For buildings 940 and 950, 1 MT and 2 CG for day and swing shift and 1 MT and 1 CG for NOC shift.


A record review of the posted staffing plan, Resident #1-3 (R1-3) service plans dated 08/31/2022, 07/27/2022, and 07/17/2022, progress notes from 03/29/2023 - 04/17/2023, the breakdown of their care on the facility's ABST, and the ABST for the whole facility. R1-3 service plans had not been updated quarterly. The ABST revealed the facility is not staffing to the levels required per the facilities tool.


On 04/19/2023, these findings were reviewed and acknowledged by S1.

C0361
Severity Level: 2
Visits: 1
Scope
Widespread/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
4/19/2023
Corrected Date
N/A
Details

Based on interview and record review it was confirmed the facility failed to fully implement and update an Acuity Based Staffing Tool (ABST). Findings include:


During separate interviews on 04/19/2023, Staff #1-2 (S1-2) stated that their current staffing levels for each building are 1 Med Tech (MT) and 1 Caregivers (CG) every shift for building 910 and 920. For buildings 940 and 950, 1 MT and 2 CG for day and swing shift and 1 MT and 1 CG for NOC shift. S2 stated that the facility has been attempting to hire another CG for building 950.


A record review of the posted staffing plan, Resident #1-3 (R1-3) service plans dated 08/31/2022, 07/27/2022, and 07/17/2022, progress notes from 03/29/2023 - 04/17/2023, and the breakdown of their care on the facility's ABST. R1-3 service plans had not been updated quarterly. The exported data in the ABST showed 49 of the 54 residents entered in the tool to not have been evaluated quarterly with last updated on 12/12/2022.


On 04/19/2023, these findings were reviewed and acknowledged by S1.