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 03/28/2023. 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
Based on interview, observation, and record review it was confirmed the facility failed to fully implement and update an Acuity Based Staffing Tool (ABST). Findings include:
During an interview on 03/28/2023, Staff #1 (S1) stated that their ABST is the same tool they have been using.
During an unannounced site visit on 03/28/2023, Compliance Specialist (CS) observed 3 Caregivers (CG) and 2 Med Tech (MT) working during the day shift.
A review of the facility posted staffing plan and the facility ' s Acuity Based Staffing Tool (ABST) indicate that the facility ABST tool does not have all 22 activities of daily living (ADL ' s) outlined individually for each resident and an amount of staff time needed to provide care. The facility ' s ABST had multiple ADLs grouped together in subcategories. For example, there is a section for dressing and grooming that has personal hygiene, assistance with communication, hearing devices, vision and speech categorized together. The posted staffing plan and the ABST stated that on day shift the facility needs 1 MT and 3CG are required.
On 03/28/2023, these findings were reviewed and acknowledged by S1.