Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0001161100
Provider Information
Fircrest Assisted Living
213 NE FIRCREST DR
Mcminnville, OR 97128
- Provider ID
- 70A311
- Administrator
- Dwight Mandimika
- Phone
- (503) 472-2200
- fsl.assted@chancellorhealthcare.com
Violation Details
- Date
- 8/19/2016
- Report number
- OR0001161100
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to provide appropriate staffing
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0070(1)(a)
- Findings
- On August 19, 2016, Compliance Specialist (CS) interviewed Resident 1 who indicated there has been occasions where he/she felt neglected because he/she has had to wait long periods of time for help. CS asked Resident 1 " how long is the usual wait after you ' ve pulled call lights for help? " Resident 1 indicated 20 minutes is usual wait time; there has been occasions where Resident 1 waited up to an hour for staff assistance following pulling a call light.Resident 1 clarified he/she requires 2 staff members to assist for all transfers and strongly believes the facility is shorthanded lately. Resident 1 indicated his/her Service Plan calls for staff toileting him/her at various times of the day. Resident 1 insists that is not occurring and he/she has accidents in briefs regularly as a result.On August 31, 2016, CS reviewed Resident 1 ' s most recent Service Plan which indicates he/she requires two staff assist with all transfers.On August 19, 2016 CS interviewed Resident 2 who indicated the facility has new ownership effective September 1, 2016. Resident 2 indicated there ' s a staff shortage and asserts that management let all the good caregivers go. Resident 2 is confused because management " keeps firing all the good workers. "Resident 2 clarified he/she requires 2 staff members to assist for all transfers and believes the facility is shorthanded lately. Resident 2 indicated call light response times can take as long as an hour at times; his/her longest wait was several hours due to short staffing. Resident 2 further indicated he/she uses his/her cellular phone, call lights to get staff assistance and sometimes experiences anxiety attacks because time it takes to get two staff members available to assist.Resident 2 complained there is so much staff turnover, new staff is training newer staff. Resident 2 further complained of his/her erratic shower schedules because of the unavailability of competent staff.Lastly, Resident 2 mentioned staff members are getting assigned to work double shifts by management without management asking staff members ahead of time.On August 31, 2016, CS received a copy of Resident 2 ' s Service Plan date August 1, 2016. Resident 2 ' s most recent Service Plan indicates " 2 staff to assist " for transfers.On August 19, 2016, Resident 3 indicated Complainant (exemployee caregiver) was the type of staff member to takeover, help and do the right thing. Resident 3 asserted that Complainant cared about her job and facility residents immensely.Resident 3 tells CS the facility is short staffed and there is only one staff member on NOC shift. Resident 3 indicated Resident 2 (2person transfer) sometimes waits until 34am to be assisted into bed.On August 31, 2016, CS interviewed Resident 4 who indicated he/she has not had a service plan meeting with management despite asking for one. Resident 4 uses call light for bathroom assistance. He/she indicated call light response times have averages 10 minutes. Resident 4 feels these are good response times.On August 31, 2016, CS interviewed Resident 5 who indicated often it seems facility is short staffed and there ' s always new staff. Resident 5 indicated call lights response times are good, the longest was response took 1530 minutes.Resident 5 feels staff shortage affects his/her laundry which usually does not get done on days it should. On August 31, 2016, CS interviewed Staff 2 who indicated the facility has been understaffed for the acuity of the residents. Staff 2 further indicated there are only 2 staff on the floor; there is supposed to be 4 staff members on the floor. Staff 2 estimated there are 5 residents requiring 2person assists; 6 residents requiring Capillary Blood Glucose (CBG) monitoring at dinner time and 4 residents requiring CBG monitoring at bedtime. Staff 2 feels the facility is understaffed.On August 31, 2016, CS received July/August 2016 Staff Schedules from Staff 1 and it indicates 4 care givers are supposed to be staffed for day and swing shifts (1 care giver for NOC shift) but the schedules do not indicate if there were revisions because staff called out or quit. According to interviews of residents and staff, there has been staff turnover and shifts short staffed; July/August 2016 Staff Schedules received do not indicate any changes due to staff calling out or staff turnover. On August 31, 2016, CS interviewed Resident 6 who indicated they initiated an Adult Protective Services case in February 2016 because of similar issues. Resident 6 indicated too often 2 staff members are not available for his/her 2 person transfers; Resident 6 indicated one staff member by name who can " properly do a transfer by him/herself. " On August 31, 2016, CS received a copy of Resident 6 ' s Service Plan date August 1, 2016. Resident 6 ' s most recent Service Plan indicates " 2 staff to assist " Resident 6 " with all transfers " . On August 31, 2016, CS interviewed Resident 7 who indicated he/she is very independent and pulls call lights for other residents. Resident 7 indicated his/her longest wait time was 45 minutes; he/she also indicated wait times can be as short as 5 minutes depending upon who is working.On August 21, 2016 CS interviewed Resident 8 who indicated many times there are long call lights response times where wait times are close to an hour.On September 2, 2016, CS interviewed Staff 3 who indicated he/she feels supported by management whenever a shift is short staffed. Staff 3 indicated he/she has been asked to train new staff despite being on the job less than a year. Staff 3 indicated there are currently three residents requiring 2person assistance for all transfers and not too long ago his/her shift were down to staff members due to staff turnover.On September 2, 2016, CS interviewed Resident 9 who indicated facility is short staffed. Resident 1 believes there is heavy staff turnover because staff is overworked. Resident 9 indicated call light response times can be 30 minutes in length at times; he/she further indicated he/she will stick his/her head out of apartment door and yell for help rather than use call lights. Resident 9 mentioned certain services do not get done: staff don ' t make resident beds; staff don ' t shampoo carpet; staff don ' t clean inside of washer machines. Resident 9 insists on doing his/her own laundry because quality of laundry services is poor.