Certified Mail #__________________ Date Mailed: ___________________ Oregon Department of Human Services Aging and People with Disabilities SAFETY, OVERSIGHT & QUALITY In the Matter of Mount Hood Senior Living, LLC, d.b.a. Mt. Hood Senior Living Respondent Order of Immediate Suspension & Right to Request a Hearing Case No. #RCFSUS24-00125 TO: Buckley Law Registered Agent Services, INC., Registered Agent
Mount Hood Senior Living, LLC d.b.a. Mt. Hood Senior Living 5300 Meadows Rd. Suite 200 Sandy, Oregon 97055 The Oregon Department of Human Services (ODHS) is the state agency charged with licensing Assisted Living Facilities and Residential Care Facilities under ORS 443.400 to ORS 443.455 and Oregon Administrative Rules (OAR) Chapter 411, Division 054. ODHS is also charged with endorsing Memory Care Facilities under ORS 443.886 and OAR Chapter 411, Division 057. Mount Hood Senior Living, LLC (Respondent) is licensed to operate a facility at 39641 Scenic Street, Sandy, Oregon 97055. ODHS has endorsed this facility as a memory care community. Respondent is responsible for the operation of the facility and the quality of care rendered in the facility. OAR 411-054-0025(1)(a). Respondent is also responsible for the supervision, training, and overall conduct of the staff
Order of Immediate Suspension Case No. RCFSUS24-00125 Mt. Hood Senior Living Page 2 of 8
when acting within the scope of their employment. OAR 411-054-0025(1)(b). These same responsibilities apply in memory care communities. OAR 411-057-0140(1).Based on the statement of violations set forth below, ODHS immediately
suspends Respondent’s license.
STATEMENT OF VIOLATIONS I.Adult Protective Services Investigation #00303545
On or about December 26, 2023, Adult Protective Services Investigation (#00303545) preliminary information and interviews reported the following violation:
Violation 1: Failed to Provide a Safe Environment. STATEMENT OF FACTS:
On December 26, 2023, a resident eloped from the secure memory care environment in the facility within 24 hours of admittance. The resident was found deceased approximately 24 hours after elopement. The facility failed to provide appropriate health assessment,
oversight, and monitoring of this resident. The Licensee’s failure to properly
care plan placed this resident at risk of harm which resulted in death.
CONCLUSION OF LAW:
The facility’s failure is a violation of the following.
OAR
411-054-0027(1)(r)
.
II.Survey #3BSL11
On or about January 22, 2024, ODHS initiated a survey onsite at the facility (Survey #3BSL11). This survey remains ongoing as of the date of this notice. The following violation(s) stem from preliminary information and interviews received and collected by survey.
Order of Immediate Suspension Case No. RCFSUS24-00125 Mt. Hood Senior Living Page 3 of 8
Violation 2: Resident Services Meal and Food Sanitation
.
STATEMENT OF FACTS
: On or about January 23, 2024, based on preliminary information and interviews, the facility failed to provide residents with a safe sanitary kitchen, and food prepared and serviced in accordance with rules and with OAR 333-150-0000 (Food Sanitation Rules). In particular, the facility was found unsanitary, food was not prepared in accordance with rules, and there was no person in charge. During observations of meal service, significant concerns relating to potential cross-contamination were found. These findings pose an immediate jeopardy to residents. The kitchen was closed temporarily on January 23, 2024, to correct safety concerns. The kitchen remains closed because Respondent has been unable to make adequate corrections
in a timely manner to ensure resident health and safety.
CONCLUSION OF LAW
: The facility’s failure is a violation of the following
OARs:
411-054-0030(1)(a)(A & C)
.
Violation 3: Resident Health and Safety Staff Training and within 30 days
.
STATEMENT OF FACTS
: On or about January 24, 2024, based on preliminary information and interviews the facility failed to ensure that pre-service orientation training for all employees was completed prior to staff providing resident care. This includes required training on infectious disease prevention and required dementia care training; documentation that staff were observed demonstrating satisfactory performance in duties assigned;
documented observation and evaluation individual’s ability to perform safe
medication and treatment administration unsupervised; and proof that First Aid and abdominal thrust trainings were completed. These findings pose an immediate jeopardy to residents.
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