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 04/27/2023.  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 record review and interview, it was confirmed that the facility failed to provide to staff with clear direction regarding the delivery of services; and failed to provide a written description of how and how often the services shall be provided. Findings include but not limited to:

A review of Resident #2 (R2)'s service plan revealed that staff are to assist with showers "whenever they feel."

During interview, R2 stated their showers are Monday, Wednesday and Friday.

These findings were reviewed with Staff #1 on 4/27/2023.

Plan of Correction: Facility to update service plans with all shower days/times within 30 days.

Based on record review and interview it was confirmed that the facility failed to establish and maintain infection prevention and control protocols. Findings include but not limited to:

A review of an email from Staff #1 (S1) to county public health officials revealed that case-logs for a COVID outbreak were sent on 12/9/2022 and stated "I apologies, I thought I send this earlier in the week and saw it in my drafts. I won't make this mistake again..."

During interview, S1 stated that their outbreak began on 12/1/2022 with a staff member testing positive for COVID.

These findings were reviewed with S1 on 4/27/2023.

Plan of Correction: Administrator to report any infectious disease outbreaks and provide case-logs within 24 hours.