Based on interview, observation, record review it was confirmed the facility failed to fully implement and update an acuity-based staffing tool (ABST). Findings include:

During an interview on 10/18/2022 with Staff #1-2 (S1 and S2) both stated they will be using the ODHS ABST however, they do not have any tool in place currently. S1 stated they have a census of 32 residents with none of them entered in the tool.

During an unannounced site visit on 10/18/2022, The Compliance Specialist (CS) observed no posted staffing plan.

In review of the ODHS ABST tool on 10/18/22, the facility has not updated or entered any resident information into the tool.

On 10/18/2022, these findings were reviewed with and acknowledged by S1.

Plan of Correction: Starting the week of 10/24/2022 the facility will start working on imputing their facility's information in the ODHS ABST. The Administrator gave a time frame to be completed about 3 weeks.