Violation Details: OR0003396700

Date
1/18/2022
Report number
OR0003396700
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to meet the scheduled and unscheduled needs of residents
Result
Substantiated
Findings
Based on interview, observation, and record review, it was confirmed the facility does not have enough staff to meet the scheduled and unscheduled needs of the residents. Findings include: Record review for site visit on 8/31/2022 of the staff schedule for August 2022, timecards for August 15th-16th, the posted staffing plan and call light logs from 8/22/2022-8/26/2022. Review of the call light logs reveal 169 times where the call lights exceed a 16-minute response time. Out of the 169 times 10 of them exceeded an hour with the longest response time being 1:58:42 wait time. Review of the staff schedule shows multiple days where they were understaffed. Compliance Specialist (CS) observed 2 caregivers (CG) and 2 med aides (MA) to be on duty during site visit on 8/31/2022, which does not reflect the posted staffing plan or the ODHS ABST. During separate onsite interviews on 8/31/2022, Staff #1 (S1) stated that there was a 3-week time where there was no housekeeper and services were missed. Staff #4 (S4) stated that showers regularly get missed and room tidies do not get done. S4 stated that there was a day in the beginning of the month were there was only one CG working who felt overwhelmed. Resident #2 (R2) stated it can take over 20 minutes to respond to call lights.