- Date
- 3/25/2025
- Report number
- CALMS - 00085401
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to use an ABST
- Result
- Substantiated
- Findings
- 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 there were 87 residents. A review of the facility's ODHS ABST dated 03/31/25, indicated 90 residents were entered into the tool. Of the 90 residents entered, 67 residents' ABST profiles had not been updated in the last quarter. Facility’s posted staffing plan and ABST were reviewed. The posted staffing plan did not accurately reflect the amount of care time required for the scheduled needs, nor did the posted staffing plan account for unscheduled needs. A review of the facility’s schedule dated 03/25/25 indicated the facility was not staffed to their ABST. The facility was short on three direct care staff on day shift and one and a half direct care staff on swing shift. The facility failed to update resident profiles at least quarterly; 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; and failed to provide direct care staff sufficient in numbers to meet the scheduled and unscheduled needs of the residents.
The facility failed to have an Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population, their needs, and all required Activities of Daily Living (ADL). Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. Facility was not 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.
Corrective Action taken on related allegation.