Aging and People with Disabilities
Safety, Oversight and Quality
Print Inspection: 7NU9
Provider Information
2875 SE 14TH AVE
Albany, OR 97322
- Provider ID
- 50R302
- Administrator
- Danielle Koehn
- Phone
- (541) 967-9700
- dkoehn@timberwoodcourt.com
Inspection Details
- Date
- 5/21/2025
- Event ID
- 7NU9
- Inspection type(s)
- Complaint Investig.
- Deficiencies cited
- 2
Citation Details
C0360: Staffing Requirements and Training: Staffing
- Visit Number
- 1
- Visit Date
- 5/21/2025
- Corrected Date
- N/A
- Details
-
Based on interview and record review, conducted during a site visit on 05/21/25, the facility's failure to fully implement and update an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to:
A review of the facility's ABST indicated the "minimum time needed based on acuity" for each segregated area was as follows:
·Oak side:
oDay shift: 3.55 care staff;
oSwing shift: 3.18 care staff; and
oNight shift: 1.54 care staff.
·Maple side:
oDay shift: 2.40 care staff;
oSwing shift: 2.26 care staff; and
oNight shift: 1.16 care staff.
A review of the facility's staff schedule dated 05/14/25 through 05/21/25 indicated the facility had been short-staffed to their ABST for every day. The facility had not scheduled two direct care staff at all times for residents who required the assistance of two direct care staff for scheduled and unscheduled needs.
An interview with Staff 1 (Executive Director) indicated that both segregated sides had residents who required multiple-person transfers.
It was determined the facility failed to fully implement and update an ABST. Findings were reviewed and acknowledged by Staff 1. An investigation determined a licensing violation had occurred.
C0363: Acuity Based Staffing Tool - Updates & Plan
- Visit Number
- 1
- Visit Date
- 5/21/2025
- Corrected Date
- N/A
- Details
-
Based on interview and record review, conducted during a site visit on 05/21/25, the facility's failure to fully implement and update an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to:
A review of the facility's ABST indicated the "minimum time needed based on acuity" for each segregated area was as follows:
·Oak side:
oDay shift: 3.55 care staff;
oSwing shift: 3.18 care staff; and
oNight shift: 1.54 care staff.
·Maple side:
oDay shift: 2.40 care staff;
oSwing shift: 2.26 care staff; and
oNight shift: 1.16 care staff.
A review of the facility's staff schedule dated 05/14/25 through 05/21/25 indicated the facility had been short-staffed to their ABST for every day. The facility had not scheduled two direct care staff at all times for residents who required the assistance of two direct care staff for scheduled and unscheduled needs.
An interview with Staff 1 (Executive Director) indicated that both segregated sides had residents who required multiple-person transfers.
It was determined the facility failed to fully implement and update an ABST. Findings were reviewed and acknowledged by Staff 1. An investigation determined a licensing violation had occurred.