Print Inspection: 6CI9

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 10/6/2022.  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 interview, observation, and record review it was confirmed that the facility failed to keep all equipment necessary for the health, safety, and comfort of the residents in good repair. Findings include:

During onsite interviews on 10/6/2022 Staff #1-4 (S1-S4) all stated the elevator has been broken for multiple weeks. S1 stated that the elevator has been down but that a company was onsite and in the process of fixing it. S1 stated that the facility has a scissor lift as well as a manual lift chair on the stairs to transport residents from the upper floors. Resident #2 (R2) stated that due to the elevator being down their mental health has declined. S/he stated, "I feel lonely and trapped in my apartment". Both Staff #2 and Staff #5 (S2 and S5) stated that they were aware the dryer on the third floor has not been working. S5 stated they did not inform management about the machine being broken or needing to be repaired.

During unannounced site visit on 10/6/2022, Compliance Specialist (CS) observed:

"The elevator to be broken with an out of operation sign on each elevator access point.

"A scissor lift and a manual lift chair.

"A dryer on the third floor to be broken.

"No out of order signs on the dryer or work orders stating it needed to be repaired.

Record review of the Master Services Agreement dated 4/4/2017, indicated the elevator company's contract expired on 3/31/2019. A review of the Repair Workorder Invoices dated 9/20/2022 shows the elevator broke on 9/16/2022 and a quote from the company who had ended Service Agreement did not come until 9/26/2022. The facility chose to get a second quote from a different company whom they signed the agreement with.

On 10/6/2022, these findings were reviewed with S1.

Plan of Correction: S1 stated the elevator repair is in progress and will be finished either same day or the day following. S1 will turn in a work order on 10/6/2022 for the repair or the dryer on the second floor. S1 will remind staff during next staff meeting that if there is equipment broken to report to the administrator to put in a work order.