Print Violation: CALMS - 00119060

Provider Information

Gilman Grove Assisted Living

2205 GILMAN DRIVE
Oregon City, OR 97045

Date: 5/22/2026
Report number: CALMS - 00119060
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to use an ABST
Result: Substantiated
Rule(s) Violated: 411-054-0037(4), (5)(a)(B) and (C)
Findings: Based on interview and record review conducted during an investigation on 07/20/26, the facility’s failure to have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required was substantiated. Findings include, but are not limited to: The facility’s posted staffing plan indicated: • For Day shift, 9 direct care staff; • For Swing shift, 8 direct care staff; and • For Night shift, 4 direct care staff. The facility’s staffing schedule dated 05/22/26 indicated the facility was not staffing to its posted staffing plan for 1 of 3 shifts reviewed. The facility’s census was 96. A review of the facility’s last ABST evaluation update per resident indicated 18 of 96 residents had not been updated quarterly as required as of 05/22/26 which is a violation of Oregon Administrative Rules.