Aging and People with Disabilities
Safety, Oversight and Quality
Print Inspection: QL1R
Provider Information
1465 EAST CENTRAL
Sutherlin, OR 97479
- Provider ID
- 70M022
- Administrator
- REGAN TUCKER
- Phone
- (541) 459-6300
- director@applegateplace.net
Inspection Details
- Date
- 10/4/2023
- Event ID
- QL1R
- Inspection type(s)
- Complaint Investig.
- Deficiencies cited
- 6
Citation Details
C0010: Licensing Complaint Investigation
- Visit Number
- 1
- Visit Date
- 10/4/2023
- Corrected Date
- N/A
- Details
-
The findings of the on-site investigation, conducted 10/04/23 through 10/04/23, are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 for Residential Care and Assisted Living Facilities.
Abbreviations possibly used in this document:
ADL:activities of daily living
CBG:capillary blood glucose or blood sugar
CG:caregiver
CS: Compliance Specialist
cm:centimeter
ED:Executive Director
F:Fahrenheit
HH:Home Health
LPN:Licensed Practical Nurse
MT: Medication Tech
MAR:Medication Administration Record
MCC:Memory Care Community
OT:Occupational Therapist
PT: Physical Therapist
PRN:as needed
RCC:Resident Care Coordinator
RN:Registered Nurse
C0200: Resident Rights and Protection - General
- Visit Number
- 1
- Visit Date
- 10/4/2023
- Corrected Date
- N/A
- Details
-
The findings of the on-site investigation, conducted 10/04/23 through 10/04/23, are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 for Residential Care and Assisted Living Facilities.
Abbreviations possibly used in this document:
ADL:activities of daily living
CBG:capillary blood glucose or blood sugar
CG:caregiver
CS: Compliance Specialist
cm:centimeter
ED:Executive Director
F:Fahrenheit
HH:Home Health
LPN:Licensed Practical Nurse
MT: Medication Tech
MAR:Medication Administration Record
MCC:Memory Care Community
OT:Occupational Therapist
PT: Physical Therapist
PRN:as needed
RCC:Resident Care Coordinator
RN:Registered Nurse
C0231: Reporting & Investigating Abuse-Other Action
- Visit Number
- 1
- Visit Date
- 10/4/2023
- Corrected Date
- N/A
- Details
-
The findings of the on-site investigation, conducted 10/04/23 through 10/04/23, are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 for Residential Care and Assisted Living Facilities.
Abbreviations possibly used in this document:
ADL:activities of daily living
CBG:capillary blood glucose or blood sugar
CG:caregiver
CS: Compliance Specialist
cm:centimeter
ED:Executive Director
F:Fahrenheit
HH:Home Health
LPN:Licensed Practical Nurse
MT: Medication Tech
MAR:Medication Administration Record
MCC:Memory Care Community
OT:Occupational Therapist
PT: Physical Therapist
PRN:as needed
RCC:Resident Care Coordinator
RN:Registered Nurse
C0260: Service Plan: General
- Visit Number
- 1
- Visit Date
- 10/4/2023
- Corrected Date
- N/A
- Details
-
The findings of the on-site investigation, conducted 10/04/23 through 10/04/23, are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 for Residential Care and Assisted Living Facilities.
Abbreviations possibly used in this document:
ADL:activities of daily living
CBG:capillary blood glucose or blood sugar
CG:caregiver
CS: Compliance Specialist
cm:centimeter
ED:Executive Director
F:Fahrenheit
HH:Home Health
LPN:Licensed Practical Nurse
MT: Medication Tech
MAR:Medication Administration Record
MCC:Memory Care Community
OT:Occupational Therapist
PT: Physical Therapist
PRN:as needed
RCC:Resident Care Coordinator
RN:Registered Nurse
C0361: Acuity-Based Staffing Tool
- Visit Number
- 1
- Visit Date
- 10/4/2023
- Corrected Date
- N/A
- Details
-
The findings of the on-site investigation, conducted 10/04/23 through 10/04/23, are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 for Residential Care and Assisted Living Facilities.
Abbreviations possibly used in this document:
ADL:activities of daily living
CBG:capillary blood glucose or blood sugar
CG:caregiver
CS: Compliance Specialist
cm:centimeter
ED:Executive Director
F:Fahrenheit
HH:Home Health
LPN:Licensed Practical Nurse
MT: Medication Tech
MAR:Medication Administration Record
MCC:Memory Care Community
OT:Occupational Therapist
PT: Physical Therapist
PRN:as needed
RCC:Resident Care Coordinator
RN:Registered Nurse
C0370: Staffing Requirements and Training – Pre-Serv
- Visit Number
- 1
- Visit Date
- 10/4/2023
- Corrected Date
- N/A
- Details
-
The findings of the on-site investigation, conducted 10/04/23 through 10/04/23, are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 for Residential Care and Assisted Living Facilities.
Abbreviations possibly used in this document:
ADL:activities of daily living
CBG:capillary blood glucose or blood sugar
CG:caregiver
CS: Compliance Specialist
cm:centimeter
ED:Executive Director
F:Fahrenheit
HH:Home Health
LPN:Licensed Practical Nurse
MT: Medication Tech
MAR:Medication Administration Record
MCC:Memory Care Community
OT:Occupational Therapist
PT: Physical Therapist
PRN:as needed
RCC:Resident Care Coordinator
RN:Registered Nurse