Aging and People with Disabilities
Safety, Oversight and Quality
Print Inspection: FF1X
Provider Information
3900 KRUSE WAY PLACE
Lake Oswego, OR 97035
- Provider ID
- 50R484
- Administrator
- Shannon Kandel
- Phone
- (503) 635-7000
- skandel@thespringsliving.com
Inspection Details
- Date
- 4/21/2025
- Event ID
- FF1X
- Inspection type(s)
- Complaint Investig.
- Deficiencies cited
- 2
Citation Details
C0360: Staffing Requirements and Training: Staffing
- Visit Number
- 1
- Visit Date
- 4/21/2025
- Corrected Date
- N/A
- Details
-
Based on observation, interview, and record review, conducted during a site visit on 04/21/25, the facility's failure to implement an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to:
A review of the facility's ABST indicated the following required staffing hours:
* Day: 33.8 hours;
* Evening: 28.2 hours; and
* Night: 9.8 hours.
A review of the facility's posted staffing plan indicated it was not consistent with the ABST:
* Day: three caregivers and one med tech;
* Evening: two caregivers and one med tech; and
* Night: one caregiver and one med tech.
An observation of day shift staffing showed the facility was not staffed to their ABST.
In an interview, Staff 1 (Administrator) stated residents' ABST profiles were updated regularly, including quarterly.
A review of the facility's ABST indicated multiple resident profiles had not been updated in the last quarter.
The findings were reviewed with and acknowledged by Staff 1.
The facility's facility's failure to implement an Acuity-Based Staffing Tool was substantiated.
C0363: Acuity Based Staffing Tool - Updates & Plan
- Visit Number
- 1
- Visit Date
- 4/21/2025
- Corrected Date
- N/A
- Details
-
Based on observation, interview, and record review, conducted during a site visit on 04/21/25, the facility's failure to implement an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to:
A review of the facility's ABST indicated the following required staffing hours:
* Day: 33.8 hours;
* Evening: 28.2 hours; and
* Night: 9.8 hours.
A review of the facility's posted staffing plan indicated it was not consistent with the ABST:
* Day: three caregivers and one med tech;
* Evening: two caregivers and one med tech; and
* Night: one caregiver and one med tech.
An observation of day shift staffing showed the facility was not staffed to their ABST.
In an interview, Staff 1 (Administrator) stated residents' ABST profiles were updated regularly, including quarterly.
A review of the facility's ABST indicated multiple resident profiles had not been updated in the last quarter.
The findings were reviewed with and acknowledged by Staff 1.
The facility's facility's failure to implement an Acuity-Based Staffing Tool was substantiated.