Based on interview and record review, conducted during a site visit on 03/05/24, it was confirmed the facility failed to update an Acuity-Based Staffing Tool (ABST). Findings include, but are not limited to:

On 03/05/24, a review of the facility's ABST indicated the following:

·The facility used the Oregon Department of Human Services ABST;

·The facility's census was 41. 41 out of 41 residents were entered into the ABST, however 25 of 41 resident profiles had not been updated quarterly;

·Staffing levels generated by the ABST indicated the facility required four care staff on day shift, four care staff on swing shift, and two care staff on night shift, which matched the facility's posted staffing plan;

In an interview on 03/05/24, Staff 1 (Wellness Director) indicated the facility has been using the ODHS ABST. Staff acknowledged the residents who had not been quarterly updated.

It was confirmed the facility failed to update an acuity-based staffing tool.

On 03/05/24, the findings were reviewed with and acknowledged by Staff 1.