Print Violation: CALMS - 00083150

Provider Information

The Esther at Riverbend Assisted Living

3535 E GAME FARM RD
Springfield, OR 97477

Date: 12/16/2024
Report number: CALMS - 00083150
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to update staffing plan based on ABST
Result: Substantiated
Rule(s) Violated: External site: 411-054-0037(4), (5)(a)(B) and (C)
Findings: Based on interview and record review, conducted during a site visit on 05/09/25, the facility’s failure to fully implement and update an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to: A review of the facility’s ABST and resident roster indicated all 62 residents were included in the tool and more than half had not been updated quarterly. A review of facility ODHS tool indicated the facility should be staffing to the following: Day Shift: five and half direct care staff, Swing Shift: three direct care staff, and Night Shift: two direct care staff required. A review of the posted staffing plan and staff schedule dated 12/24/24 indicated the facility was not staffing to the tool for 1 out of the 3 shifts. The facility was not consistently staffed per the posted staffing plan and ABST tool. The facility was not rounding up on their ABST hours, leaving them short half a staff member on day shift. The facility currently had 1 resident that was a two-person transfer/Hoyer lift. The facility’s failure to have a fully implemented and updated ABST was substantiated.