Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Inspection: W1RF

Provider Information


Brookdale Beaverton

16655 NW WALKER ROAD
Beaverton, OR 97006

Provider ID
50A232
Administrator
TERA VAZQUEZ
Phone
(503) 439-1653
Email
tervaz@brookdale.com

Inspection Details


Date
10/10/2022
Event ID
W1RF
Inspection type(s)
Complaint Investig.
Deficiencies cited
2

Citation Details


C0010: Licensing Complaint Investigation


Visit Number
1
Visit Date
10/10/2022
Corrected Date
N/A
Details

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 10/10/2022.  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





































































C0160: Reasonable Precautions


Visit Number
1
Visit Date
10/10/2022
Corrected Date
N/A
Details

Based on interview and observation, it has been confirmed that the facility failed to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of the residents. Findings include but are not limited to the following:

During an unannounced site visit on 10/10/2022, Compliance Specialist (CS) interviewed Staff #1,Staff #2 and Staff #3 (S1, S2 and S3) separately. It was stated that recently the facility had a COVID outbreak. Staff #1 indicated that the facility had near 50 residents test positive for COVID and were attempting to cohort residents to the best of their ability. It was stated that it was challenging because the population contains many residents that are able to independently ambulate.

CS entered the rooms of Resident #1, Resident #2 (R1 and R2) and other unsampled residents. There were no rooms found that contained multiple resident toothbrushes.

CS observed multiple unsampled staff members to be wearing masks incorrectly, exposing their nose. CS observed Staff #4 in the main lobby of the facility to not be wearing a mask.

The above information was shared with Staff #1, Staff #2 and Staff #3 on 10/10/2022.