Print Inspection: GKSG

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 7/7/2022.  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:

Review of staffing schedules for June and July 2022, posted staffing plan, ABST summary, and service plan for Resident #1. The ABST shows the facility needs 5 caregivers (CG) and 1 med tech (MT) for Days and Swing shift, and 1 CG and 1 MT for NOC shift. The posted staffing plan shows that they have 2.5 CG and 1 MT for Days and Swing shifts, and 1 CG and 1 MT for NOC shift.

CS observed that the facility is staffed below their staffing as reported on the ABST on 07/07/22. The posted staffing plan has not been updated with the current staffing levels from the ABST.

The above information was shared with Staff #1 on 07/07/22, who acknowledged the findings.

In an interview on 07/07/22, Staff #1 stated that the facility is using their own ABST. It pulls information (for the required ADLs) straight from the service plans to determine their acuity and staffing levels. They are not currently staffing to the new staffing levels as they do not have the staff to do so. They are currently hiring and are in the process of training new staff. Resident #1 missed their scheduled appointment due to the facility not getting them ready on time.

Plan of Correction: The facility is hiring more staff and currently training new hires, they will staff per the ABST and update the posted staffing plan, and hope to have a specific person for showers, transportation, and coordinating appointments when fully staffed.