Inspection Report
Complaint Investigation
Census: 67
Capacity: 77
Deficiencies: 10
Apr 11, 2024
Visit Reason
State-compiled facility profile showing 4 inspections from 2022-2024 with deficiency history and licensing violations.
Findings
Across multiple inspections from 2022 to 2024, the facility exhibited deficiencies primarily related to food sanitation, infection prevention, medication administration, and implementation of acuity-based staffing tools. Some deficiencies were corrected over time, while others remained uncorrected as of the latest inspection.
Complaint Details
The complaint investigation conducted on 1/23/2024 documented findings related to licensing compliance and acuity-based staffing tool implementation failures.
Deficiencies (10)
| Description |
|---|
| C0010 - Licensing Complaint Investigation: Findings of the on-site investigation conducted 12/18/23 documented noncompliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities. |
| C0361 - Acuity-Based Staffing Tool: Failed to fully implement an Acuity-Based Staffing Tool for 3 of 3 sampled residents; only 17 of 22 ADLs listed in the tool. |
| C0000 - Comment: Findings of kitchen inspection and revisits documented issues with food sanitation and compliance with OARs 411-054-0030 and OARs 333-150-0000. |
| C0240 - Resident Services Meals, Food Sanitation Rule: Facility failed to maintain kitchens in accordance with Food Sanitation Rules OAR 333-150-000; multiple observations of unsanitary conditions and damaged equipment. |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure relicensure survey plan of correction was implemented and satisfied the Department. |
| C0000 - Comment: Findings of re-licensure survey and revisit documented compliance issues with OARs 411 Division 54, 57, and 004. |
| C0295 - Infection Prevention & Control: Failed to ensure a trained and designated Infection Control Specialist was in place. |
| C0310 - Systems: Medication Administration: MARs lacked specific instructions for PRN medications for 3 of 6 sampled residents. |
| C0000 - Comment: Findings of kitchen inspection and revisit documented issues with food sanitation and compliance with OARs 411-054-0030 and OARs 333-150-0000. |
| C0240 - Resident Services Meals, Food Sanitation Rule: Facility failed to ensure food preparation and kitchen maintenance compliance with Food Sanitation Rules; multiple unsanitary conditions noted. |
Report Facts
Inspections on page: 4
Total deficiencies: 6
Total licensing violations: 19
Licensed beds: 77
Facility census: 67
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