Inspection Details: V6KN


Date
1/11/2023
Event ID
V6KN
Inspection type(s)
Complaint Investig.
Deficiencies cited
3

Citation Details

C0010
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
1/11/2023
Corrected Date
N/A
Details

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 01/11/2023.  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




















































































C0200
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
1/11/2023
Corrected Date
N/A
Details

Based on interview and record review it as confirmed the facility failed to treat the resident with dignity and respect. Findings include:


During separate interviews on 01/11/2023, Staff #1 (S1) and Resident #1 (R1) both stated that during assistance with toileting a Caregiver (CG) made derogatory comments toward the resident. R1 stated the comments made them uncomfortable and embarrassed. S1 stated once aware of the treatment they had an in-service with all staff members reminding them of resident ' s rights.


A review of the facility ' s policy and procedure for residents '  rights dated 01/07/2008 and the employee in-service attendance summary dated 12/22/2022. The attendance summary shows the facility went over sharing information with family and residents, job descriptions, proper phone etiquette, break policy, sleeping on shift, pictures/ videos of staff or residents, resident rights, and abuse and neglect. The attendance shows signatures of all staff acknowledging they went through and understand the training. The policy for residents '  rights shows the first item listed is residents are to be treated with dignity and respect.


On 01/11/2023, these findings were reviewed and acknowledged by S1.


Plan of Correction: S1 stated that the whole facility went through an in-service training on 12/22/2022 and S1 has followed up with R1 to ensure the comments have stopped.

C0360
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
1/11/2023
Corrected Date
N/A
Details

Based on interview and record review it was confirmed the facility failed to provide direct care staff sufficient in number to meet the scheduled and unscheduled needs of the residents. Findings include:


During separate interviews on 01/11/2023, Resident #1 (R1) stated they do not feel there is enough staff and on occasions has had to wait awhile for staff to answer their call lights. Staff #3-4 (S3 and S4) stated that there are only 2 Caregivers (CG) on day shift. The CG ' s have to deliver meals and while one is doing that the other is answering call lights. They stated that during this time they are unable to assist residents who are 2 person transfers until after the other CG is finished delivering meals. S3 and S4 stated that the facility has three 2-person transfer residents. S3 also stated concerns about providing assistance when one CG goes on break, there is only one CG to provide assistance. S3 and S4 stated that needs are being met but are delayed due to lack of staffing.


A review of the call light response time log from 12/22/2022-12/23/2022 and 01/07/2023- 01/08/2023, the posted staffing plan and the staff schedule for December 2022 and January 2023. The call light logs revealed there are 31 calls that exceeded the facility ' s 15-minute response time, with the longest time being 43 minutes wait


On 01/11/2023, these findings were reviewed and acknowledged by Staff #1 (S1).


Plan of Correction: S1 stated that they will add another caregiver to the day shift to ensure call lights response times aren ' t long and no residents needs are delayed.