Violation Details: CALMS - 00094262

Date
9/11/2025
Report number
CALMS - 00094262
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Based on interview and record review, conducted during a site visit on 11/04/25, the facility’s failure to ensure the service plan must reflect the resident’s needs was substantiated for 1 of 1 sampled resident (#1). Findings include, but are not limited to: A progress note dated 08/15/25 at 11:16 am, indicated the following: · Resident 1 is yelling out over and over, wanting to exit the community in her car; and · Resident 1 is un-redirectable. A progress note dated 08/17/25 at 07:08 pm, indicated the following: · Resident 1 is yelling and screaming; and · Resident 1 was given water and toileted, and resident continued yelling. An incident report dated 09/11/25, indicated resident was struggling with behaviors yelling and screaming. Resident 1’s service plan dated 06/17/25, indicated the following for behaviors: · Care staff are to report any and all behaviors to MT on duty so they can get it into the chart; and · Exhibits normal, functional behavior patterns. Staff 1 stated: · Staff 2 takes Resident 1 on walks as an intervention for behaviors; · S/he was aware Resident 1’s service plan did not document interventions for behaviors. The investigation determined the facility failed to ensure the service plan must reflect the resident’s needs which is a violation of Oregon Administrative Rules.