Violation Details: CALMS - 00119854

Date
5/28/2025
Report number
CALMS - 00119854
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to use an ABST
Result
Substantiated
Rule(s) Violated
411-054-0037(4)
Findings
Based on interview and record review, conducted during an investigation on 07/31/2026, the facility’s failure to update and review the Acuity-Based Staffing Tool (ABST) evaluation for residents, quarterly as required, was substantiated. Findings include but are not limited to: The facility’s census was 42. A review of the facility’s last ABST evaluation update per resident indicated 10 out of 42 residents had not been updated quarterly as required as of 5/28/2025. 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.