Print Inspection: DH42

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 10/7/2022.  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 fully implement and update an acuity-based staffing tool (ABST). Findings include:

CS reviewed the posted staffing plan, staff schedules for September 2022,  and service plan for Resident #1. The ABST was not reviewed as it has not been implemented.

CS observed that the facility is staffed per the schedule, and staffing plan on 10/07/22.

The above information was shared with Staff #1 on 10/07/22 and via email on 10/17/22, who aknowledged that they do not have an ABST.

In an email response on 10/17/22, Staff #1 reported that they do not have a completed ABST, but will be working on it right away.

Plan of correction:

The wellness team will get started on completing/updating the ABST.