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 07/07/2022.  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 and record review, it was confirmed that the facility failed to have enough staff to meet the scheduled and unscheduled needs of the residents. Findings include:

Review of staffing schedules for June and July 2022, posted staffing plan, Acuity Based Staffing Tool (ABST), service plans and progress notes for Resident #1, and the appointment calendar. The facility is not staffing per the ABST.

Interviews on 07/07/22, Staff #1 stated that the facility is using their own ABST. They are not currently staffed per their acuity. They are in the process of hiring and training staff. Currently the admin assistant is the person scheduling appointments and setting up transportation for residents. The resident missed their first appointment because ride source cancelled, and they had to reschedule because their maintenance director was off that day, and they don ' t have anyone else that can drive the bus. The second appointment was missed because the resident was not ready to go on time. They had to reschedule the appointment. Staff should be assisting the residents and making sure they are ready for their appointments.

Plan of Correction:

Hiring and training new staff, staffing per the ABST and updating the posted staffing plan. They would like to have a specific person for showers, transportation, and appointments when they are fully staffed.