Print Inspection: UL0S

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 02/07/2023.  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 record review, it was confirmed that the facility failed to administer medications and prescribed. Findings include:

In review of Resident # 1's medication administration records (MARs) and progress notes for February and December 2022. Resident #1 did not receive a medication for multiple days due to the medication "not in house, waiting on new script".

The above information was acknowledged by Staff #1-2 on 02/07/23 and 02/14/23 via phone interview and email follow up.

In a phone interview on 02/07/23, Staff #1 stated that the facility has had a couple of issues with the pharmacy, and they have filed a formal complaint regarding their concerns. Providers were signing electronically, and they are not able to fax the pharmacy with digital signature, so this was causing a delay.

Plan of Correction: Facility has had group meetings with Hospice and the nursing team, talked to pharmacy to talk to providers, they recently had Survey at the building and are working with a consultant. They have also had some changes to their re-ordering process which seems to be working better.