Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0004937100
Provider Information
Still Waters Inc
475 ELMIRA AVE SE
Bandon, OR 97411
- Provider ID
- 50R496
- Administrator
- Dominique Palmer
- Phone
- (541) 329-2183
- dominique@stillwatersinc.info
Violation Details
- Date
- 3/14/2024
- Report number
- OR0004937100
- 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)
- Findings
- Based on interview and record review, conducted during a desk review on 05/06/25, the facility's failure to fully implement and update an Acuity-Based Staffing Tool (ABST) was substantiated. Findings include, but are not limited to: 1) A review of the facility's ABST and resident roster indicated 15 residents were included in the tool and three of the 15 ABST evaluations were not updated in the tool. 2) A review of facility ODHS tool and Specific Needs Contract (SNC) indicated the SNC hours were higher, and facility should have been staffing the following: - Day Shift: three direct care staff and Night Shift: three direct care staff required. 3) A review of the posted staffing plan and staff schedule dated 04/30/25 through 05/06/25 indicated the facility was not staffing to the SNC for 2 out of the 14 shifts. - The facility was not consistently staffed per the posted staffing plan and SNC. 4) In an interview on 05/07/25, Staff 1 stated the following: - They were aware the facility was not fully staffed for day and night shifts on 05/03/25. - The facility was not able to cover shifts when staff called-out. 5) In an interview on 05/06/25, Staff 2 stated the following: - They were unaware of how to update residents that had no changes to service plans. - The facility direct care staff worked 12-hour shifts. The facility failed to have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules.