Print Inspection: R1OW

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 10/11/2022.  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, record review it was confirmed the facility failed to keep clean and in good repair, all interior surfaces and equipment necessary for the health, safety, and comfort of the resident. Findings include:

During separate interviews on 10/11/2022 Staff #1 (S1) and Resident #1 (R1) both stated that R1 ' s floor needed to be replaced. R1 stated that s/he voiced concerns about their carpet needing to be replaced to maintenance and management for months. R1 stated that s/he sneezes, and s/he eyes water due to the condition of the floor.

During an anannounced site visit on 10/11/2022, Compliance Specialist (CS) observed R1 ' s belonging to be in boxes and the floor to be discolored and have multiple stains.

A Review of maintenance notes on 9/22/2022 shows the facilities awareness of residents '  discomfort of their floor.

On 10/11/2022, these findings were reviewed with and acknowledged by S1.

Facility Plan of Correction: By the end of the day of 10/11/2022 S1 and R1 will create an agreement of time for when the carpet will be replaced. S1 sent follow-up email to CS stating that starting 10/12/2022 R1 has 5 days to remove their belongings from current apartment so that renovation of the apartment can begin on 10/17/2022.