- Date
- 5/19/2025
- Report number
- CALMS - 00101759
- 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 have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident. Based on interview and record review, the LCU investigation determined 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). Findings include, but are not limited to:
The facility’s posted staffing plan indicated:
· Day shift: 7 direct care staff;
· Swing shift: 6 direct care staff; and
· Night shift: 3 direct care staff.
The facility’s direct care staff schedule, dated 05/19/25, indicated the facility was not staffing to its staffing plan for 1 out of 3 shifts reviewed. 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.