Print Inspection: MNW9

Based on observation and interview, it was determined the facility failed to exercise reasonable precautions against any condition that could threaten the health, safety or welfare of residents. Findings include, but are not limited to:

During the Licensing Complaint Unit unannounced site visit on 02/25/22 at 5:40 am, multiple Oregon Department of Human Services infection control guidelines, which were established to protect the facility staff and residents from the spread of COVID-19 and made available to all facilities, were not being followed by the facility. Deficiencies that were identified included, but were not limited to:

Compliance Specialist (CS) observed Executive Order paperwork adhered to the front door indicating the facility was under an Executive Order for Covid -19.  

After ringing the doorbell and calling the facility phone number to gain entry into the building, Staff #1 came to the front door without a mask or eye protection on.

CS observed eye protection face shields to be hanging on hooks within the facility office area.  The face shields were not inside a protective bag to ensure they were clean and disinfected.  

CS did not observe an extension cord hanging out of any facility window connected to cars outside the facility.  

CS did not observe anyone else in the facility besides 1 facility staff member.  

CS review of screening logs for staff show that staff temperatures are taken, but there are no screening questions asked of staff.  

CS was not asked to screen in while onsite.  

There were no screening logs indicating the facility has frequent middle of the night time visitors.  

Review of Provider Alert NF-21-070 - dated 12/17/21 clearly states the following:

Facilities must apply core principles of COVID-19 infection prevention to their visitation policies including:

* Screening of all potential visitors who enter the facility for signs and symptoms of COVID- 19 including but not limited to:

     * Temperature check

     * Questions for screening, observations about signs or symptoms, screen for exposures to confirmed cases and test results pending.

* Hand hygiene is performed with the use of alcohol-based hand rub (ABHR) prior to and following visit.

* Face covering or mask covering both mouth and nose.

*Appropriate staff use of Personal Protective Equipment (PPE).

The above findings were discussed with Staff #1, who was in agreement.  

Facility Plan of Correction:

Staff #1 stated s/he will ensure face masks and eye protection are worn by all staff and that proper screening is done for all staff and visitors, and that eye protection is stored appropriately.

Staff #1 stated s/he will ensure face masks and eye protection are worn by all staff and that proper screening is done for all staff and visitors, and that eye protection is stored appropriately.