Print Inspection: VKNN

The findings of the on-site investigation, conducted 08/30/2023, 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

Notes on Abbreviations:

"The abbreviations listed above can be used in the report without identifying the abbreviation within the report itself.

"Residents will be identified by "Resident 1", "Resident 2" etc, do not abbreviate.

"Staff will be identified by "Staff 1", "Staff 2" etc. do not abbreviate.

"If you introduce an abbreviation in the report, make sure it is a word that has a standard abbreviation associated with it and that it needs to be abbreviated. You don't need to abbreviate a word that you only use once in a report.

Based on observation, interview, and record review, conducted during a site visit on 08/30/23, it was confirmed the facility failed to keep the interior free from unpleasant odors. Findings include, but are not limited to:

On 08/30/23, CS observed Resident 1's room to have a strong smell of dog urine. There were no prominent stains on the carpet and the room appeared clean.

In an interview on 08/30/23, Resident 1 stated, "My dog is over 10 years old."

In an interview on 08/30/23, staff stated the following:

·Staff 4 (RCC) stated, "The residents' dog is incontinent."

·Staff 2 (Housekeeper) stated, "The housekeeper who cleans that residents' room has not been here all week. Neither I nor the other housekeeper have completed that housekeepers' rooms, we have our own rooms to clean."

·Staff 1 (Executive Director) stated, "We have three housekeepers, two work each day. The housekeeper who cleans that residents' room used to work five days a week, however, they came to me last week and told me [s/he] was going to two days a week. We have hired another person to work the remaining three days. The residents' room was not cleaned on 08/27/23 due to that housekeeper changing their schedule with no notice and the other person who was to cover for [him/her] called out sick. Neither of their rooms were cleaned that day."  

A review of the housekeeping schedule showed Resident 1's room had been cleaned on Sundays. The housekeeper's checklist showed the residents' room was cleaned on 08/13/23 and 08/20/23, but not on 08/27/23.

It was confirmed the facility failed to keep the interior free from unpleasant odors.

On 08/30/23, the findings were reviewed with and acknowledged by Staff 1.

Verbal plan of correction: Staff 1 will be responsible for getting someone to clean the carpet in Resident 1's room within the next week. Remind staff if they smell urine on the carpets to tell ED and maintenance so they can make arrangements to clean the carpets. Will speak with Resident 1's family about the urine smell to discuss possible further action with the incontinent dog.