- Date
- 5/19/2025
- Report number
- CALMS - 00101758
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to use an ABST
- Result
- Substantiated
- Findings
- On or about January 21, 2026, the Oregon Department of Human Services (ODHS) Licensing Compliance Unit (LCU) conducted an investigation regarding an allegation received on May 19, 2025. The allegation stated that the facility failed to develop, maintain, and implement an Acuity-Based Staffing Tool as required by applicable regulations. Based on interview and record review, the LCU investigation determined the facility failed to update the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as
required Findings include, but are not limited to:
- A review of the facility’s last ABST evaluation update per resident indicated 63 of 105 residents had not been updated quarterly as required.
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.