- Date
- 4/5/2026
- Report number
- CALMS - 00118845
- 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 investigation on 07/20/26, the facility’s failure to accurately capture care time and care elements that staff are providing to each resident as outlined in each individual service plan in the Acuity-Based Staffing Tool (ABST) and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required was substantiated (for 1 of 1 sampled resident (# 1). Findings include, but are not limited to:
Resident 1’s service plan, dated 03/27/26, indicated:
• Requires hands on assistance for dressing dependent on current needs and pain status.
• Staff performs scheduled treatments.
• Requires assistance with cleaning and filing nails and applying lotion on shower days.
• Requires limited assistance with toileting 1-2 times daily.
In an interview, Staff 3 indicated s/he assists Resident 1 with help getting ready for bed.
Resident 1’s ABST profile, last updated on 03/16/26, indicated:
Zero minutes were assigned to resident’s ABST profile for:
- Dressing and undressing;
- Providing treatments;
- Personal hygiene; and
- Help with bowel and bladder management.
The facility’s census was 99. A review of the facility’s last ABST evaluation update per resident indicated 11 of 99 residents had not been updated quarterly as required as of 04/05/26. The facility’s failure to accurately capture care time and care elements that staff are providing to each resident as outlined in each individual service plan in the Acuity-Based Staffing Tool (ABST) and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required is a violation of Oregon Administrative Rules.