- Date
- 10/31/2024
- Report number
- CALMS - 00085397
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to use an ABST
- Result
- Substantiated
- Findings
- Based on interview and record review, conducted during a site visit on 05/29/25, the facility’s failure to develop, maintain, and implement an Acuity Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to: A review of facility’s resident roster indicated 92 residents resided in the facility. Review of the facility's ODHS ABST dated 11/06/24 indicated 91 residents were entered into the tool, but there was no care time entered for any of the 91 residents. The facility failed to address and document the care time required to complete ABST care elements for each resident; the facility failed to update ABST evaluations at required frequency; and the facility failed to use the results of an ABST to develop and update the facility's posted staffing plan to meet the scheduled and unscheduled needs of all residents for each shift.
The facility failed to have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules. Corrective Action Taken on related allegation.