- Date
- 7/23/2026
- Report number
- CALMS - 00120706
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Based on interview and record review, conducted during a site visit on 07/23/26, the facility’s failure to ensure the implementation of services was substantiated for 1 of 1 sampled Resident (#1). Findings include, but are not limited to:
Resident 1 stated the following:
· S/he had limited mobility in his/her shoulder and required a one-person assist with bathing;
· S/he received two showers a week on Mondays and Thursdays at 06:00 pm;
· S/he had received only one weekly shower since the beginning of July 2026.
Resident 1’s Service Plan, dated 07/04/26 indicated the following:
· R1 required one-person assist with bathing; and
· R1 received bathing assistance two times a week.
Staff 2 (Caregiver) stated the following:
· Shower schedules were posted in the medication room;
· Caregivers were given a task sheet at the beginning of each shift indicating which residents they were assigned to and what services they were required to provide; and
· Caregivers were required to complete shower sheets for each resident scheduled for a shower on their shift, whether the resident received a shower or not, and turn in the sheet to the residential care coordinator.
PM Shower Schedule indicated Resident 1 was scheduled for bathing on Mondays and Thursdays and required one-person transfers.
Resident 1’s Shower Sheets indicated the following:
· R1 was assisted with showers on 07/02/26 and 07/13/26;
· R1 did not receive showers on 07/06/26 and 07/09/26; and
· R1 received a late shower on 07/10/26.
There was no documented evidence that Resident 1 received showers on 07/16/26 and 07/20/26 as scheduled. The facility’s failure to ensure the implementation of services is a violation of Oregon Administrative Rules.