- Date
- 6/17/2022
- Report number
- OR0003636200
- 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 observation, interview, and record review it was confirmed that the facility failed to provide direct care staff sufficient in number to meet the scheduled and unscheduled needs of the residents. Findings include but not limited to: During an unannounced site visit on 09/08/2022 Compliance Specialist (CS) heard Resident #4 (R4) screaming from behind a closed door in their room. CS was unable to locate a staff member for some time. CS checked on resident to verify safety and resident was yelling and requesting a brief change stating that they were messy and wanted to get up. CS found Staff #5 (S5) and requested assistance for resident. During separate interviews, Staff #4 (S4) and S5 stated that staff are very busy and frequently do not have time to help with hygiene, showers, or toileting as much as residents need. A review of the facility's Acuity-Based Staffing Tool (ABST) revealed that the facility has 55 hours of care needed during the day. A review of the staff schedule for September 2022 revealed that the facility only scheduled two caregivers and 1 Med Aid for a total of 24 hours of care on day shift. A review of Resident #1 (R1's) shower sheets revealed that resident did not receive a shower between 08/11/2022 and 08/22/2022.