Aging and People with Disabilities
Safety, Oversight and Quality
Print Inspection: VW5A
Provider Information
5555 SE KING RD
Milwaukie, OR 97222
- Provider ID
- 50R383
- Administrator
- Angela Fletcher
- Phone
- (503) 653-1854
- angelafl@cascadeliving.com
Inspection Details
- Date
- 4/1/2025
- Event ID
- VW5A
- Inspection type(s)
- Complaint Investig.
- Deficiencies cited
- 2
Citation Details
C0360: Staffing Requirements and Training: Staffing
- Visit Number
- 1
- Visit Date
- 4/1/2025
- Corrected Date
- N/A
- Details
-
Based on observation, interview, and record review, conducted during a site visit on 04/01/25, the facility's failure to maintain and implement an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to:
The facility's posted staffing plan indicated the following:
* Day: one med tech and three caregivers;
* Evening: one med tech and three caregivers; and
* Night: one med tech and one caregiver.
A review of the facility's staff schedule, dated 03/25/25 to 04/01/25, revealed the facility was not consistently staffing to their posted staffing plan.
Additionally, in an observation of day shift, only two caregivers were working.
A review of the facility's ABST revealed multiple residents' profiles had not been updated in the last quarter.
The findings were reviewed with and acknowledged by Staff 1 (Memory Care Administrator), Staff 2 (Assisted Living Administrator), and Staff 3 (Wellness Director).
The facility's failure to maintain and implement an Acuity-Based Staffing Tool (ABST) was substantiated.
C0363: Acuity Based Staffing Tool - Updates & Plan
- Visit Number
- 1
- Visit Date
- 4/1/2025
- Corrected Date
- N/A
- Details
-
Based on observation, interview, and record review, conducted during a site visit on 04/01/25, the facility's failure to maintain and implement an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to:
The facility's posted staffing plan indicated the following:
* Day: one med tech and three caregivers;
* Evening: one med tech and three caregivers; and
* Night: one med tech and one caregiver.
A review of the facility's staff schedule, dated 03/25/25 to 04/01/25, revealed the facility was not consistently staffing to their posted staffing plan.
Additionally, in an observation of day shift, only two caregivers were working.
A review of the facility's ABST revealed multiple residents' profiles had not been updated in the last quarter.
The findings were reviewed with and acknowledged by Staff 1 (Memory Care Administrator), Staff 2 (Assisted Living Administrator), and Staff 3 (Wellness Director).
The facility's failure to maintain and implement an Acuity-Based Staffing Tool (ABST) was substantiated.