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, OARs 411 Division 57 for Memory Care Communities.

Based on interview and record review, it was confirmed that the facility failed to update service plans quarterly for 1 of 1 sampled resident (#1). Findings include, but not limited to:

During the site visit on 06/01/23 Resident 1's last three service plans were reviewed and staff was interviewed.

Resident 1's last three service plans were dated 05/15/23, 12/08/22, and 8/26/22.

During interview, Staff 1 (LPN) stated the facility administrator does the service planning meetings and was in the process of catching up on all out-of-date resident service plans after a recent change in administration.

It was confirmed that facility failed to update service plans quarterly for Resident 1.

The findings were reviewed with and acknowledged by Staff 1 on 06/01/23.

Verbal plan of correction: Facility administrator and LPN have been working to catch up on service plans after a change in administration, and will be caught up by 6/30/23.