Print Inspection: 7O9Q

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 7/21/2022.  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

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 7/21/2022.  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:

Based on interview and observation it was confirmed that the facility failed to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of residents. Findings include:

During walk through on 07/21/2022 Compliance Specialist (CS) observed two signs at entrance stating all visitors and employees "masks are to be on when entering building" and another sign that states "face masks are required". CS observed screening station with masks. Staff properly screening visitors. CS observed staff wearing surgical masks pulled under chin and wearing mask below their nose in facility. CS was notified by HR that the facility had COVID positive residents. CS observed that the facility did not have signs posted at their entrance notifying visitors.

In separate interviews on 07/21/2022 with Staff #1-4 (S1-4). S1 stated facility has notified county and state of current COVID positive cases. S1 stated that they took down posted COVID notification signs at front entrance due to making updates. S1 stated administration has had issues with staff not wearing masks in facility. S1 reports that all employees signed a mandatory dress code on 7/15/2022 that included staff must wear a mask at work. S2 reports that they are concerned about employees not wearing masks and they see other employees with masks pulled under chin or below nose. S2 reports that management is strict about wearing masks and recently made the staff sign a paper stating they must wear their mask, or they could get fired. S3 reports that they have seen other staff not wearing masks occasionally. They report that management is strict and goes around reminding staff to wear masks.

The above information shared with Staff #1 on 07/21/2022 and they acknowledged issues with staff not wearing masks and the COVID sign not being up.

Facility plan of correction:

Facility management and direct staff are doing random shift checks to make sure employees are wearing mask and wearing them properly. Management is continuing to do monthly training on infection control practices. Management has made wearing a mask part of their mandatory "dress code" as of July 15, 2022, all employees singed a new mandatory dress code clearly explaining that all "employees must wear a mask no exceptions, write-up will be coming if not followed". Facility staff posted COVID notification sign at front entrance before CS left facility. Facility stated they will leave current sign up when making a new sign in the future.

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