Print Inspection: YSSW

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 02/02/2023.  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 record review it was confirmed that the facility failed to carry out mediation and treatment orders as prescribed.  Findings include:

In an interview on 02/06/23, Staff #1 (S1) reported the following:

*Resident #1 (R1) received an additional of a scheduled medication.

Record review on 02/06/23 or R1's Medication Administration Records for August 2022 revealed R1 received an additional dosage of medication.

Record review on 02/06/23 of facility's internal investigation and self report to Adult Productive Services on 08/11/22 support S1's statement.

On 02/06/23, S1 acknowledged the findings.

Plan of Correction:

After an internal investigation of medication errors, the med tech at fault was provided education on proper medication administration procedures.