Print Inspection: YIZ9

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 11/09/2022.  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, record review and observation, it was confirmed the facility failed to keep in good repair all equipment necessary for the health, safety and comfort of residents. Findings include:

During an unannounced site visit on 11/09/2022, Staff # 1 (S1) stated the boiler was broken and not working, but is now completely repaired. Staff #7 (S7) stated the boiler was shutting off throughout the day, but after a re-set, worked for a few hours. Staff #2 (S2) stated a repair company was called on 10/27/2022 the day the boiler was showing signs of failure.

A review of a work order dated 10/27/2022 described parts being ordered on 10/28/2022 and labor being done to install parts to the boiler on 11/03/2022.

On 11/01/2022, Compliance Specialist (CS) observed the boiler which included the items listed in the work order including blower motor kit and ignition electrodes newly installed. CS tested the water temperature in the kitchen and two bathrooms. Hot water was found in all three areas that were tested. The temperature gauge on the boiler reflected a temperature of 132 degrees Fahrenheit.

Facility Plan of Correction: The facility called a repair service upon discovery of the failed boiler. The repair company had to order parts from and wait for delivery. In the meantime the facility ensured that all residents still had access to hot showers and hot water by bringing residents across the street to the other building. The kitchen was not affected by the boiler being out of commission.