- Date
- 8/24/2022
- Report number
- OR0003741202
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to update staffing plan based on ABST
- Result
- Substantiated
- Findings
- Based on interview, record review and observation it was confirmed that the facility failed to fully implement and update an acuity-based staffing tool (ABST). Findings include but not limited to: During interview on 09/07/2022 Staff #1 (S1) stated: Facility's census is 34 residents They only have 24 hours of care scheduled between two caregivers (CG) and one med aid (MA) for day shift. A review of facility's ABST and staff schedule for September 2022 revealed: 32 residents had been entered into their ABST. ABST indicates they have 27 hours of care needed during Wednesday day shift. Two CGs and one MA are scheduled on day shift for a total of 24 hours. Compliance Specialist (CS) observed two CGs and one MA working during day shift.