The findings of the on-site investigation, conducted 06/01/23 are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 for Residential Care and Assisted Living Facilities.
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, interview, and record review, conducted during a site visit on 07/14/23, it was confirmed the facility failed to fully implement an Acuity Based Staffing Tool. Findings include, but are not limited to:
Onsite facility observation on 07/14/23 at 10:45 am, revealed 2 caregivers and 1 med-tech were working memory care which matched the posted staffing plan.
In an interview on 07/14/23 at 11:00 am, Staff 1 (Administrator) stated the facility had been using ODHS ABST staffing tool but was not familiar with entering the residents, ADL's, creating a staffing plan, or scheduling around the hours provided using the information in the ABST tool.
A review of the facility's ABST on 07/14/23 revealed the tool had been set up but was not correct. All residents were entered but the hours were entered in error for the ADL's and did not match the posted staffing plan. Staffing hours were listed at 383.77 which would mean the facility would need 51 care staff for day shift for 24 residents.
The above information was shared with Staff 1 (Administrator) and Staff 2 (ED) on 07/14/23. They acknowledged the findings.
It was confirmed the facility had failed fully implement an Acuity Based Staffing Tool.
Verbal Plan of Correction: Sending facility ABST Guidebook, and they will get ABST updated.