Print Inspection: FLSN

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 11/09/2022.  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 and observation it was confirmed that the facility failed to provide reasonable access for the private use of a telephone. Findings include the following:

During an unannounced site visit on 11/09/2022 Compliance Specialist (CS) attempted to use the phone in the family room that is available for resident use. CS was able to call the number listed on the phone with CS's phone and was able to successfully complete the call, but CS was unable to make any phone calls out from the phone.

CS requested assistance in using the phone from two separate staff members. Neither staff were able to get the phone to make calls out.

In an interview with Staff #1 (S1) it was stated that there was also a private room behind reception that has a phone for resident use. S1 took CS to the room and was unable to get phone to work.

Facility Plan of Correction:

Facility put in a maintenance report to get their phones working properly for resident use.

Based on interview and observation it was confirmed that the facility failed to keep all interior and exterior materials clean and in good repair. Findings include the following:

During an unannounced site visit on 11/09/2022 Compliance Specialist (CS) observed a piece of the railing missing in the stairwell between the first and second floor. The public phone in the family room could not make calls out. CS observed cabinet doors missing in Resident #1's (R1) kitchenette, and wood where the doors had been removed was rough and unfinished.

These observations were shared with Staff #1 (S1) who was in agreement.

Facility Plan of Correction:

Facility will look into why cabinet doors are missing in R1's room and replace them if necessary. The facility will put in a maintenance request for the phones to be fixed and stairwell railing piece to be replaced.