Grove Pointe Senior Living

The facility failed to follow the Alleged Victim’s (AV) care plan. AV’s care plan states AV needs cuing for self care and cleaning. According to documentation AV went without a shower for a week. The failure resulted in AV experiencing unreasonable discomfort and a loss of dignity, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

The facility failed to administer medication as ordered for the Alleged Victim (AV). AV is to be given pain medication daily or as needed for pain. According to documentation H/S went without their medication for approximately ten hours on or about August 29, 2022, resulting in AV having to go to the emergency room for treatment related to experiencing pain. The facilities failure resulted in AV experiencing pain and unreasonable discomfort. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

The facility failed to implement interventions and appropriately care plan related to the Alleged Victim’s (AV) fall history. On or about August 28, 2022, AV suffered an unwitnessed fall resulting in an injury to h/h head. The failure resulted in AV experiencing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

The facility failed to implement interventions and appropriately care plan related to the Alleged Victim’s (AV) fall history. On or about July 23, 2022, AV suffered another fall in h/h room resulting in fracturing h/h leg. The failure resulted in AV experiencing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

The facility failed to ensure the Alleged victim care needs were being met due to a lack of service planning for AV being bed-bound, and assistance with changing briefs. AV’S condition worsened and was transferred to the hospital for treatment. The failure resulted in loss of dignity to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

The facility failed to provide a safe environment, and to ensure The Alleged Victim's (AV) care needs were being met. Due to a lack of service planning for appropriate wound care, AV’S condition worsened and was taken to the clinic for treatment. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

The facility failed to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident. An investigation determined this is a violation of Oregon Administrative Rules.

The facility failed to fully implement an Acuity-Based Staffing Tool (ABST). Time and frequency were unable to be determined by the facility's current internal assessment tool for all required 22 ADLs with staff time required to complete the care needs. An investigation determined this is a violation of Oregon Administrative Rules.

The facility failed to provide three daily nutritious, palatable meals seven days a week in accordance with OAR 411-054-0030(1)(a) per complaint that resident is not getting all of their meals delivered.

The facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents in accordance with OAR 411-054-0070(1) per complaint that it takes staff a long time to respond to call lights.

The facility failed to implement a policy on smoking in accordance with OAR 411-054-0025(7)(e).

On or about April 01, 2023, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing for a total of 30 days.

On or about March 01, 2023, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing for a total of 30 days.

The Alleged Victim (AV) relies on the facility for his/her care. According to documentation, on or about March07, 2023, the Alleged Perpetrator 2 (AP2) was asked to put AV’s card inside the bag of their walker. AP2 never returned with the card, resulting in AV having suspicious activity on h/h card. AP2 is responsible for financial exploitation, which constitutes abuse. The facility failed to protect AV from financial exploitation which is a violation of Oregon Administrative Rules.

The facility failed to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident. An investigation determined this is a violation of Oregon Administrative Rules.

The facility failed to have an Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. Facility is not currently staffing to the levels as indicated by the ABST. An investigation determined this is a violation of Oregon Administrative Rules.

On or about February 1, 2023, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from January 1, 2023 to January 31, 2023, for a total of 30 days.

The facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents. It was determined the lack of staff is leading to needs not being met, or taking extended periods of time to be met. An investigation determined this is a violation of Oregon Administrative Rules. Corrective Action taken on related allegation.

The facility failed to have an Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. Facility is not currently staffing to the levels as indicated by the ABST. An investigation determined this is a violation of Oregon Administrative Rules. Corrective Action taken on related allegation.

The facility failed to provide assistance with toileting and bowel and bladder management. An investigation determined this is a violation of Oregon Administrative Rules.

The facility failed to carry out medication and treatment orders as prescribed in accordance with OAR 411-054-0055(1)(f) per complaint that the facility is refusing to provide the resident's morning insulin.

The facility failed to provide three daily nutritious, palatable meals with snacks available seven days a week in accordance with OAR 411-054-0030(1)(a) per complaint that the facility provided a holiday meal with rotten meat and discolored cheese.

The facility failed to carry out medication and treatment orders as prescribed in accordance with OAR 411-054-0055(1)(f) per complaint that the resident did not receive their scheduled pain or anti-anxiety medications on the evening of 12/18 until 12/19 at 10:30am.

The facility failed to provide direct care staff sufficient in number to meet the scheduled and unscheduled needs of the residents in accordance with OAR 411-054-0070(1) per complaint that they waited two hours for reponse to their call light, and insufficient staff to transfer resident who requires 2 person assist.

The facility failed to comply with masking requirements in accordance with OAR 411-054-0050(4) per complaint that staff not wearing masks.

The facility failed to provide three daily nutritious, palatable meals seven days a week and prepare and serve food according to food sanitation rules in accordance with OAR 411-054-0030(1)(a),(C) per complaint that meals are late or skipped, unpalatable, and the food is cold.

The facility failed to provide services to assist the resident in activities of daily living including mobility, dressing, grooming, and housekeeping in accordance with OAR 411-054-0030(1)(e)(A)(D)(E) and (g) per complaint that housekeeping, grooming, dressing and assist with ambulation are not occurring.

The facility failed to conduct and record unannounced fire drills every other month at different times of the day in accordance with OAR 411-054-0090(1)(a) per complaint that there have been no fire drills in 4 months.

The facility failed to instruct each resident about the facility's fire and life safety procedures within 24 hours of admission and re-instructed at least annually in general safety procedures, evacuation methods, responsibilities fire drills, and designated meeting places in accordance with OAR 411-054-0090(5)(a) per complaint that no one knows what they are supposed to do if there is a fire.

The facility failed to keep in good repair all equipment necessary for the health, safety, and comfort of the resident in accordance with OAR 411-054-0200(4)(i) per complaint that the PA system is not working at all, and it puts the burden on the residents to find out what the message was.

The facility failed to provide three daily nutritious, palatable meals seven days a week and prepare and serve food according to food sanitation rules in accordance with OAR 411-054-0030(1)(a), (C) per complaint that the facility is very late delivering food, and it is cold when it is delivered, and only half of the normal portions.

The facility failed to provide direct care staff sufficient in number to meet the scheduled and unscheduled needs of the residents in accordance with OAR 411-054-0070(1) per complaint that resident pushes their call light and they are not getting help.

The facility failed to carry out medication and treatment orders as prescribed in accordance with OAR 411-054-0055(1)(f) per complaint that resident is supposed to receive their morning medications by 7:30am before they can eat their breakfast and the facility is not administering their medication until 9:30am, and staff have been directed to dispense the medications of residents with known or suspected COVID after the residents with no known exposure.

The facility failed to implement safe medication and treatment administration systems in accordance with OAR 411-054-0055(1) per complaint that the facility failed to order the resident's prescription allergy medication, resulting in two missed doses.

The facility failed to provide modified special diet that are appropriate to resident's needs and choices in accordance with OAR 411-054-0030(1)(a)(A) per complaint that the facility ordered pizza, and the resident has food restrictions and cannot eat pizza, and was not served anything.

The facility failed to keep clean all interior and exterior materials and surfaces for the health, safety, and comfort of the resident in accordance with OAR 411-054-0200(4)(i) per complaint that residents have received no weekly housekeeping services due to covid and their apartment is filthy.

The facility failed to provide services to assist the resident in activities of daily living including bathing, grooming, and bladder management in accordance with OAR 411-054-0030(1)(e)(B), (E), (G) per complaint that staff are supposed to assist with shampoo and washing and they have not had a shower in 2.5 weeks, and they cannot get a haircut, and they have to change their own catheter.

The facility failed to keep clean and in good repair all interior and exterior materials and surfaces, and all equipment necessary for the health, safety, and comfort of the resident in accordance with OAR 411-054-0200(4)(i) per complaint that their shower stall has never been clean, and the toilets do not work properly.

The facility failed to provide 30-day notice to the resident, resident's legal representative, and resident's case manager and submit written notice to the Department for review and receive a written a response from the Department in accordance with OAR 411-054-0080(4)(a) and (b) per complaint that the facility did not provide 30-day notice to the resident, resident's legal representative, and resident's case manager, and did not submit written notice to the Department for review.

The facility failed to implement effective methods of responding to and resolving resident complaints in accordance with OAR 411-054-0025(7)(c) per complaint that the facility lost all of the resident's property and refuses to follow up with their concerns.

The facility failed to complete quarterly service plans in accordance with OAR 411-054-0036(4)(a) per complainant that CM has been requesting the facility schedule a care conference since the resident's previous re-admission on 9/13/22.

The facility failed to develop a service plan team that includes resident's case manager in accordance with OAR 411-054-0036(5)(a)(A) per complainant that CM has been requesting the facility schedule a care conference.

The facility failed to keep clean all interior materials and surfaces in accordance with OAR 411-054-0200(4)(i) per complainant that the carpets are stained really bad, and there is an odor of urine on the 2nd floor.

The facility failed to keep clean all interior and exterior materials and surfaces for the health, safety, and comfort of the resident in accordance with OAR 411-054-0200 per complainant that they are still dealing with resident's dirty carpets. The facility sent someone with a shampooer that just spread the dirt around.

Facility failure to have the resident service plan reflect the resident ' s needs as identified in the evaluation and include resident preferences that support the principles of dignity, privacy, choice, individuality, and independence per OAR 411-054-0036(2) per the complaint that the resident cannot wipe his bottom and is not care planned for the task.

Facility failure to exercise reasonable precautions against anything that may threaten the health, safety, or welfare of residents per OAR 411-054-0025(4).

The facility is not providing household services essential for the health and comfort of the resident that are based upon the resident's needs and preferences (e.g., floor cleaning, dusting, bed making, etc.) in accordance with OAR 411-054-0030(1)(g) per complaint that a resident's room smells and appears to not have been cleaned for a prolonged amount of time.

The facility allegedly failed to provide appropriate housekeeping services. An investigation determined this is a violation of Oregon Administrative Rules.

The facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents. Inconsistencies were identified between the staffing schedule and the data produced by the ABST. An investigation determined this is a violation of Oregon Administrative Rules.

The facility failed to keep the interior free from unpleasant odors. An investigation determined this is a violation of Oregon Administrative Rules.

The facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents in accordance with OAR 411-054-0070(1) per complaint that there is not enough staff to assist residents with bathing and laundry.

The allegation that the facility failed to carry out medication orders as prescribed in accordance with OAR 411-054-0055(1)(f) per complaint that the facility did not administer resident medication for 3 weeks was verified.

The allegation that the facility failure to post the name of the administrator or designee in charge. The designee in charge must be posted by shift or whenever the administrator is out of the facility per OAR 411-054-0025(5)(b) was verified.

The allegation that the facility failure to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of residents per OAR 411-054-0025(4) was verified.

The allegation that the facility failure to ensure the implementation of services per OAR 411-054-0036(g) was verified.

The allegation that the facility failed to keep all interior materials and surfaces clean and all equipment in good repair in accordance with OAR 411-054-0200(4)(i) per complaint that resident's room is dirty and walls are damaged was verified.

The allegation that the facility failed to assist residents with bathing in accordance with OAR 411-054-0030(1)(e)(B) per complaint that resident was not bathed for 8 weeks was verified.

The allegation that the facility failed to provide direct care staff sufficient in numbers to meet the scheduled and unscheduled needs of each resident in accordance with OAR 411-054-0070(1) Per a complaint that showers are missed, housekeeping is not completed, and long waits to call lights was verifiedl

The Alleged Victim (AV) relies on the facility for his/her care. According to documentation, Alleged Perpetrator 2 (AP2) was buying items for AV and overcharged AV. AP2 never returned the Money. AP2 is responsible for financial exploitation, which constitutes abuse. The facility failed to protect AV from financial exploitation which is a violation of Oregon Administrative Rules.

On or about March 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from February 1, 2022 to February 28, 2022, for a total of 27 days.

The allegation that the facility failed to provide assistance with bathing in accordance with OAR 411-054-0030(1)(e)(B) per complaint that the facility has not assisted resident for over a month was verified.

The allegation that the facility failed to keep all interior materials and surfaces clean in accordance with OAR 411-054-0300(4)(i) per complaint that residents room is not clean and carpet is dirty was verified.

The allegation that the facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents in accordance with OAR 411-054-0070(1) per complaint that there is not enough staff to assist residents with bathing was verified.

The allegation that the facility failed to keep all interior materials and surfaces clean and all equipment in good repair in accordance with OAR 411-054-0300(4)(i) per complaint that resident rooms are dirty and resident's bed is broken was verified.

The allegation that the facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents in accordance with OAR 411-054-0070(1) per complaint that there is not enough staff to assist residents with bathing was verified.

The allegation that the facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents in accordance with OAR 411-054-0070(1) per complaint that it takes staff up to 30 minutes to respond to call lights was verified.