- Date
- 11/8/2025
- Report number
- CALMS - 00129298
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to staff as indicated by ABST
- Result
- Substantiated
- Findings
- Based on interview and record review, conducted during an investigation on 11/08/25, 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 use the results of an Acuity-Based Staffing Tool (ABST) to develop and routinely update the facility's posted staffing plan was substantiated. Findings include, but are not limited to:
The facility’s posted staffing plan indicated:
· For Day shift, 8 direct care staff;
· For Swing shift, 7 direct care staff; and
· For Night shift, 5 direct care staff.
A review of the facility’s ABST care times as of 11/08/25 indicated:
· For Day shift, 8.39, or a minimum of 8.5 direct care staff;
· For Swing shift, 8.03, or a minimum of 8.5 direct care staff; and
· For Night shift, 4.63, or a minimum of 5 direct care staff.
The facility’s staffing schedule indicated:
· For Day shift, 7 direct care staff;
· For Swing shift, 7.5 direct care staff; and
· For Night shift, 5 direct care staff.
The facility’s staffing schedule, dated 11/08/25, indicated the facility was not staffing to its posted staffing plan for 1 of 6 shifts reviewed. The facility’s staffing schedule, dated 11/08/25, indicated the facility was not staffing to its ABST care times for 2 of 6 shifts reviewed. The facility's posted staffing plan did not exceed ABST care times for 2 of 6 shifts reviewed. 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 use the results of an Acuity-Based Staffing Tool (ABST) to develop and routinely update the facility's posted staffing plan is a violation of Oregon Administrative Rules.