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 08/16/2022. 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 observe and evaluate the individual's ability to perform safe medication and treatment administration unsupervised. Findings include the following:
During an unannounced site visit on 08/16/2022 Compliance Specialist (CS) reviewed Facility Staff List, Medication Administration Records (MARs) for the month of July for Resident #1 and Resident #2 (R1 & R2), July staff schedule. CS requested 4 staff demonstrated competency checklists for staff that administered medications during the evening shifts in July 2022. Facility provided 3 of 4 requested checklist. Of the 3 checklists provided 0 of them had final sign off signatures and none of them appeared to have completed checklists.
In an interview with Staff #1 (S1) the following was stated:
"They were unable to locate one of the requested employees training documents.
"They were aware that there were some concerns around the completion of their training documents.
"Med tech training was a topic of conversation approximately 2 weeks ago and it was decided that they needed a new procedure to ensure med tech training is complete and that their demonstrated competencies are completed as well.
"The facility will implement immediately a new program with the RN, LPN and RCC checking in on all new med tech training and reviewing their demonstrated competencies checklist after 4 days of training to ensure their training is complete
"The facility will also spend the next 2 weeks reviewing all current med techs demonstrated competencies and ensuring current med techs are properly trained, providing any necessary retraining and completing demonstrated competencies.