- Date
- 3/1/2025
- Report number
- CALMS - 00090760
- 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 an offsite review on 10/03/25, 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 records provided via email on 03/10/25, indicated the following: The ABST evaluations for 3 of 22 residents had not been updated in the last quarter. The facility failed to use the results of an ABST to develop and update the facility's posted staffing plan; the facility failed to update resident profiles at least quarterly. An investigation determined the licensing violation occurred.
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.