Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Inspection: 7H1S

Provider Information


Rackleff Place

655 SW 13TH AVE
Canby, OR 97013

Provider ID
70M075
Administrator
Lynnine Vickers
Phone
(503) 266-9555
Email
lynn.vickers@prestigecare.com

Inspection Details


Date
11/17/2022
Event ID
7H1S
Inspection type(s)
Complaint Investig.
Deficiencies cited
3

Citation Details


C0010: Licensing Complaint Investigation


Visit Number
1
Visit Date
11/17/2022
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 11/17/2022.  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












































































C0360: Staffing Requirements and Training: Staffing


Visit Number
1
Visit Date
11/17/2022
Corrected Date
N/A
Details


C0361: Acuity-Based Staffing Tool


Visit Number
1
Visit Date
11/17/2022
Corrected Date
N/A
Details