Garden Home Care LLC

OAR 411-050-0705(3)(g) Residency Agreement: Meal Times (3) The Agreement must disclose the home's policies regarding: (g) Schedule of meal times with no more than a 14-hour span between the evening meal and the following morning's meal (See OAR 411-050-0730(8)).

During scheduled renewal inspection, it was found that resident#1 and #2 signed house policy had meal span over 14hrs. which was not reflecting the one that posted on the facility board.

Technical Assistance Provided. Written plan of correction not required.

OAR 411-050-0720(8)(b) Alarms: Testing (b) The licensee or administrator must test all carbon monoxide alarms and smoke alarms in accordance with the manufacturer's instructions at least monthly (per NFPA 72). Testing must be documented in the facility records. The licensee or administrator must maintain carbon monoxide alarms, smoke alarms, and fire extinguishers in functional condition. If there are more than two violations in maintaining battery operated alarms in working condition, the Department may require the licensee to hard wire the alarms into the electrical system.

During scheduled renewal inspection, it was found that the resident manager was initials for the alarm maintenance log for 2026.

Technical Assistance Provided. Written plan of correction not required.

OAR 411-050-0705(3)(g) Residency Agreement: Meal Times (3) The Agreement must disclose the home's policies regarding: (g) Schedule of meal times with no more than a 14-hour span between the evening meal and the following morning's meal (See OAR 411-050-0730(8)).

During scheduled renewal inspection, it was found that one of nighttime routine medications for resident #1 is on the order but there's no record on the MAR since 03/11/2026 when updated order was received.

OAR 411-051-0130(6)(a) MARs: Details (6) MEDICATION ADMINISTRATION RECORD. A current, written MAR, or electronic MAR (see OAR 411-050-0755(4)), must be kept for each resident and must: (a) List the name of all medications administered by a caregiver, including over-the-counter medications and prescribed dietary supplements. The MAR must identify the dosage, route, date, and time each medication and supplement is to be given.

During scheduled renewal inspection, it was found that one of nighttime routine medications for resident #1 is on the order but there's no record on the MAR since 03/11/2026 when updated order was received.

Administrator's statement as written: "The medication administration record was immediately corrected by entering the nighttime medication for resident #1 as per the written order from 03/11/2026. Actions taken to assure error doesn't reoccur: All staff training. Resident manager registered to take Six Rights of Safe Medication Administration course." Plan of correction accepted by LLA 04/30/2026

OAR 411-049-0150(21)(l) Limited: Supportive Devices (l) The licensee must install or make available, any supportive device necessary to meet the resident's needs and ensure resident safety including, but not limited to, grab bars, ramps, and door alarms.

During scheduled renewal inspection it was found that a grab bar is needed near the garage door on the inside to help residents enter and exit the garage safely since you need to step down into the garage.

Technical Assistance Provided. Written plan of correction not required.

Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: Activities for the residents were not documented until 3/25/24. Statement of Correction due by 6/13/24

Provider statement recieved 6/13/24 as written: "Actions taken to correct deficiency: Activities are currently being documented and have been as of 3/25/24 for all residents. Actions taken to identify other residents affected by the deficiency: Staff will continue to document as per rules so that all residents will continue to have documented activities. Action taken to ensure the deficiency will no occur again: Staff has been trained to continue documenting. New activity forms were made to clarify." Statement of Correction accepted by KN on 6/14/24

Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: Resident #2 had a PRN medication with an order for one dosage amount but pharmacy label and MAR had a different dosage amount. Provider received copy of order from the pharmacy stating that it was okay to use the specific dosage listed on the pharmacy and MAR. Statement of Correction due by 6/13/24.

Provider statement recieved 6/13/24 as written: "Actions taken to correct deficiency: Staff corrected the deficiency by ensuring the order matches the prescription, MAR and the PRN parameters. Actions taken to identify other  residents affected by the deficiency: Staff will continue to monitor and review all orders for each resident. Action take to ensure the deficiency will not occur again: Staff put in place a correction system that provides copies of the doctors orders, PRN parameters and MAR. All records are input into the correction system to ensure our order matches the MAR and PRN. Then lastly you will check that the medication indeed matched the order. The date deficiency was corrected: 05/24/24" Statement of Correction accepted by KN on 6/14/24

Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: Resident #3 was missing a doctor order for a PRN medication. Statement of Correction and verification due by 6/13/24

Provider statement recieved 6/13/24 as written: "Action taken to correct deficiency: Staff contacted resident #3 primary care physicians and got an updated order for the PRN. Staff then ensured the PRN, MAR and Medication matched the order. Actions taken to identify other residents affected by the deficiency: Staff trained to better monitor orders for all residents in care. Action take to ensure the deficiency will not occur again: Staff put in place a correction system that provides copies of the doctors orders, PRN parameters and MAR. All records are input into the correction system to ensure our order matches the MAR and PRN. Then lastly you will check that the medication indeed matches the order. Copies of the entire medication list will be sent out every 6 months for a new signature. The date deficiency was corrected 6/10/24" Verification not received. Statement will be accepted once verification is recieved. Statement of Correction not accepted by KN on 6/14/24

Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: Resident #2 had two routine medications that were initialed and crossed out on 3/6/24 and 2/5/24. There was no documentation on the back of the MAR. Initials were not circled. On 3/22/24, there was a PRN medication that were initialed and crossed out. Initials were not circled and nothing was documented on the back of the MAR. Statement of Correction due by 6/13/24

Provider statement recieved 6/13/24 as written: "Actions taken to correct deficiency: Staff corrected the mistake on the MAR. Actions taken to identify other residents affected by the deficiency: Staff understands the mistake and has been trained on the proper way to document an error. Action take to ensure the deficiency will not occur again: Staff was trained on the proper way to document an initial error. Resident manager will take six classes to review medication administration documentation. The date deficiency was corrected 5/31/24 Statement of Correction accepted by KN on 6/14/24

Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: Resident #1 had a PRN medication which was initialed on the front of the MAR but missing the documentation onthe back of the MAR. Statement of Correction due by 6/13/24

Provider statement received 6/13/24 as written: "Actions taken to correct deficiency: Staff corrected medication in the MAR with proper documentation. Actions taken to identify other residents affected by the deficiency: MAR was reviewed for all residents. Action take to ensure the deficiency will not occur again: Staff was trained to review MAR daily for deficiencies and will take six rights class to ensure proper documentation of medication. The date deficiency was corrected 5/31/24 Statement of correction accepted by KN on 6/14/24

Adult Foster Homes must operate and provide services in compliance with all applicable State and local laws, regulations and codes. This report reflects the findings of a scheduled onsite inspection for renewal conducted on 05/24/2024. The adult foster home was evaluated for compliance with Oregon Administrative Rule 411, Divisions 049, 050, 051, and 052. The following deficiencies were identified: