Violation Details: 00389066-AP-339573

Records Request Print
Date
3/14/2025
Report number
00389066-AP-339573
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to meet the scheduled and unscheduled needs of residents
Result
Substantiated
Rule(s) Violated
External site: 411-054-0037(5)(b)
External site: 411-054-0070(1)
Findings
On or about March 14, 2025, the facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents. Based on facility documentation and interviews, the facility failed to respond to Alleged Victim's (AV) call light for 52 minutes, leaving AV stranded in the bathroom and unable to remove himself/herself from the toilet due to AV needing assistance with transfers to and from the toilet. The facility failed to respond to AV's call light in a reasonable amount of time. The facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents. It was determined the lack of staff is leading to needs not being met or taking extended periods of time to be met. Facility is not currently staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.