Inspection Details: KRE2


Date
3/28/2023
Event ID
KRE2
Inspection type(s)
Complaint Investig.
Deficiencies cited
2

Citation Details

C0010
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
3/28/2023
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 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







































































































































































































C0361
Severity Level: 2
Visits: 1
Scope
Widespread/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
3/28/2023
Corrected Date
N/A
Details

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.