Inspection Details: Q7O8


Date
4/2/2024
Event ID
Q7O8
Inspection type(s)
Complaint Investig.
Deficiencies cited
3

Citation Details

C0260
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
4/2/2024
Corrected Date
N/A
Details

The findings of the on-site investigation, conducted 04/02/24, 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.



Abbreviations possibly used in this document:


ADL:activities of daily living

CBG:capillary blood glucose or blood sugar

CG:caregiver

CS: Compliance Specialist

cm:centimeter

ED:Executive Director

F:Fahrenheit

HH:Home Health

LPN:Licensed Practical Nurse

MT:            Medication Tech

MAR:Medication Administration Record

MCC:Memory Care Community

OT:Occupational Therapist

PT: Physical Therapist

PRN:as needed

RCC:Resident Care Coordinator

RN:Registered Nurse















C0361
Severity Level: 2
Visits: 1
Scope
Widespread/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
4/2/2024
Corrected Date
N/A
Details



Based on interview, and record review, conducted during a site visit on 04/02/24, it was confirmed the facility failed to fully implement an Acuity Based Staffing Tool (ABST). Findings include, but are not limited to:  

A review of the facility's Census Room List, dated 03/29/24, indicated the facility is home to 51 residents.

A review of the facility's ABST  indicated there were 52 current residents. Sunny Lane residents indicated seven of the 11 entered residents were not updated within the last 90 days for quarterly review, and one resident was last updated as of 07/2022.

In an interview on 04/12/24 via over the telephone, Staff 1 (ED) confirmed s/he did not set up the tool and was unaware all residents needed to be updated quarterly.

The above information was shared with Staff 1 on 04/12/24 via over the telephone. S/he acknowledged the findings.

It was confirmed the facility failed to fully implement an Acuity Based Staffing Tool and was consistently staffing below the levels indicated by the tool.














C0513
Severity Level: 2
Visits: 1
Scope
Pattern/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
4/2/2024
Corrected Date
N/A
Details



The findings of the on-site investigation, conducted 04/02/24, 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.



Abbreviations possibly used in this document:


ADL:activities of daily living

CBG:capillary blood glucose or blood sugar

CG:caregiver

CS: Compliance Specialist

cm:centimeter

ED:Executive Director

F:Fahrenheit

HH:Home Health

LPN:Licensed Practical Nurse

MT:            Medication Tech

MAR:Medication Administration Record

MCC:Memory Care Community

OT:Occupational Therapist

PT: Physical Therapist

PRN:as needed

RCC:Resident Care Coordinator

RN:Registered Nurse