- Date
- 12/1/2023
- Report number
- OR0004651900
- 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 conducted during a site visit on 02/07/24 through 02/13/24, it was confirmed the facility failed to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident and left units unstaffed.During the site visit it was observed the facility would leave hallways between adjoining wings open during night shift so that one caregiver was responsible for two wings. Caregivers did not have a line of sight between adjoining wings.