Print Inspection: YMY7

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 10/20/2022.  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 and observation it was confirmed the facility failed to take measures to prevent the entry of rodents, flies, mosquitoes, and other insects. Findings include:

During separate interviews on 10/20/2022 with Resident #1 and #4 (R1 and R4) stated that before the dining room was closed there were flies in the dining room. Staff #1 (S1) stated that the facility does not pick up meal trays until right before the next meal is delivered. S1 stated that the dining room is closed at the moment and all meals are delivered to rooms.

During an unannounced site visit on 10/20/2022, The Compliance Specialist (CS) observed gnats flying around in Resident #7 ' s (R7) room and dirty meal trays to be scattered around the community.

On 10/20/2022, these findings were reviewed with and acknowledged by S1.

Facility Plan of Correction: Starting 10/22/2022 the Executive Director will tell housekeepers will try to clean R7 ' s room and will consult on his refusal of services. The facility does have pest control that comes out but will get them to come again.

Based on interview and observation it was confirmed the facility failed to maintain all interior and exterior materials and surfaces (e.g., floors, walls) clean and in good repair. Findings include:

During separate interviews on 10/20/2022 with Resident #4 (R4) stated that the facility does not pick up meal trays timely. Staff #1 (S1) stated that the facility does not pick up meal trays until right before the next meal is delivered. S1 stated that the dining room is closed at the moment and all meals are delivered to rooms.

During an unannounced site visit on 10/20/2022, The Compliance Specialist (CS) observed:

·Stains on the carpet in the hallways.

·All doors in the facility to have extensive black stains on them with multiple doors that were chipped.

·Light fixture had plastic cover taken off and a light bulb out.

·Multiple dirty dishes left out throughout the community.

On 10/20/2022, these findings were reviewed with and acknowledged by S1.

Facility Plan of Correction: The Executive Director will have maintenance work on repairs and will have the kitchen staff to pick up meal trays timelier starting 10/22/2022.