Based on observation and interview, it was determined the facility failed to exercise reasonable precautions against any condition that could threaten the health, safety or welfare of residents. Failure to follow infection control guidelines to prevent the spread of COVID-19 put residents at serious risk.

During the onsite visit on 01/20/2022, multiple Oregon Department of Human Services infection control guidelines, which were established to protect the facility staff and residents from the spread of COVID-19 and made available to all facilities, were not being followed by the facility. Deficiencies that were identified included, but were not limited to:

Compliance Specialist (CS) was not screened in at any time during onsite visit.  Witness #1 (W1) was also not observed to be screened prior to or at anytime during their time in the facility.  

Multiple staff members (Staff #1-4 [S1-4]) were observed not wearing eye protection.

Staff were observed not hand washing or using ABHS before or after assisting covid positive residents.  

There was no disinfection station or face shields outside of the room where a positive covid resident resides.  

CS observed S1 and S4 leaving covid positive residents '  apartments wearing gowns and gloves.  Both staff did not doff their gowns or gloves until they were down the hall where they disposed of them in a common area trash can with no lid.  The trash can was visually observed to be overflowing with used PPT.  Staff did not remove and disinfect or replace their eye protection (face shield) or replace their face masks prior to performing other tasks around the facility.  

During separate interview with Staff #1-4 (S1-4), this CS was given different answers when asked questions regarding PPE, screening, and sanitation and disinfectant usage/practices.  

The above findings were discussed with Staff #1 and Staff #2, who were in agreement.  An immediate jeopardy situation was identified, and corporate leadership was notified via the facility ' s policy analyst.