- Date
- 10/13/2025
- Report number
- CALMS - 00113250
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- Based on interview and record review, conducted during an investigation on 04/10/26, the facility’s failure to have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required and use the results of an ABST to develop and routinely update the facility's posted staffing plan was substantiated, which is a violation of Oregon Administrative Rules.