Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: CALMS - 00077549
Provider Information
Dorian Place Assisted Living Facility
375 N DORIAN DR
Ontario, OR 97914
- Provider ID
- 70M021
- Administrator
- Courtney Biggs
- Phone
- (541) 889-8545
- ed@dorianplace.com
Violation Details
- Date
- 9/17/2024
- Report number
- CALMS - 00077549
- Type
- Licensing Violation
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0070(1)411-054-0037(1)411-054-0070(2)(a)411-054-0030(1)(a)(A)
- Findings
- Violation 1: Staffing for scheduled and unscheduled needs. STATEMENT OF FACTS: 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. The facility must staff above ABST time. CONCLUSION OF LAW: The facility’s failure to provide qualified awake care staff is a violation of the following OARs: 411-054-0070(1) Violation 2: Acuity-based staffing tool. STATEMENT OF FACTS: Facilities must select and implement an acuity-based staffing tool (ABST) that is technology-based for determining appropriate staffing levels. Individual resident needs and care elements must be the primary consideration when developing and maintaining an ABST. CONCLUSION OF LAW: The facility’s failure to fully implement and update an ABST is a violation of the following OARs: 411-054-0037(1) Violation 3: Staffing training and competencies. STATEMENT OF FACTS: The facility failed to have a training program that includes methods to determine competency of direct care staff. 1 of 12 caregivers whose documentation was reviewed, had documentation of demonstration of competencies in areas of caregiving. CONCLUSION OF LAW: The facility’s failure to properly train and determine competencies is a violation of the following OARs: 411-054-0070(2)(a) Violation 4: Resident services. STATEMENT OF FACTS: Based on observation and record review, a resident who had orders for a mechanical soft diet due to a diagnosis of aspiration, was observed to be given an uncut porkchop for lunch, which put the resident at risk for aspiration. CONCLUSION OF LAW: The facility’s failure to provide modified special diets is a violation of the following OARs: 411-054-0030(1)(a)(A) Violation 5: Facility operation. STATEMENT OF FACTS: The licensee failed to be responsible for the operation of the facility and the quality of the services rendered in the facility as demonstrated during the licensing investigation.
- Sanction
- ALFNR25-00178 $0 fine assessed