Print Inspection: PGLG

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 08/16/2022.  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 record review it was confirmed that the facility failed to observe and evaluate the individual's ability to perform safe medication and treatment administration unsupervised. Findings include the following:

During an unannounced site visit on 08/16/2022 Compliance Specialist (CS) reviewed Facility Staff List, Medication Administration Records (MARs) for the month of July for Resident #1 and Resident #2 (R1 & R2), July staff schedule. CS requested 4 staff demonstrated competency checklists for staff that administered medications during the evening shifts in July 2022. Facility provided 3 of 4 requested checklist. Of the 3 checklists provided 0 of them had final sign off signatures and none of them appeared to have completed checklists.

In an interview with Staff #1 (S1) the following was stated:

"They were unable to locate one of the requested employees training documents.

"They were aware that there were some concerns around the completion of their training documents.

"Med tech training was a topic of conversation approximately 2 weeks ago and it was decided that they needed a new procedure to ensure med tech training is complete and that their demonstrated competencies are completed as well.

"The facility will implement immediately a new program with the RN, LPN and RCC checking in on all new med tech training and reviewing their demonstrated competencies checklist after 4 days of training to ensure their training is complete

"The facility will also spend the next 2 weeks reviewing all current med techs demonstrated competencies and ensuring current med techs are properly trained, providing any necessary retraining and completing demonstrated competencies.