Print Inspection: LX6L

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 03/01/2023.  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 establish and maintain infection prevention and control protocols. Findings include the following:

During an unannounced site visit on 03/01/2023 Compliance Specialist (CS) observed the screening station and found that screening guide referenced a COVID symptoms list, but no list was found or observed anywhere in the entry area. There was also a thermometer in the screening area, but no sanitation instructions or tools observed to sanitize the thermometer between uses. CS also observed multiple staff members without masks on or with masks pulled under nose or pulled down to chin throughout onsite visit.

In an interview with Staff #1 (S1) it was stated that they were the facility ' s  " Infection Control Specialist " . S1 was unable to locate the COVID symptoms list and acknowledged the lack of instructions for sanitation of thermometer between uses as well as staff not wearing masks appropriately in resident care areas.