Royal Living Homes LLC

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 an unannounced monitoring visit conducted on 06/25/2024. The adult foster home was evaluated for compliance with Oregon Administrative Rule 411, Divisions 049, 050, 051, and 052. The following deficiency was identified:

During a monitoring visit on 6/25/24 it was identified that relief caregiver Charles Weru Githui CPR/first aid training certificate was not available for review.

During a monitoring visit on 6/25/2024 it was idenfied that relief caregivers Richard Larus and Charles Weru Githui were on duty/ in charge. The following exclusion was not available to verify:Richard Larus: SAM exclusionCharles Weru Githui: SAM exclusion

During a monitoring visit on 6/25/2024 it was identified that relief caregivers Richard Larus and Charles Weru Githui were on duty/ left in charge. Both caregivers did not have records that they were oriented to the adult foster home.

During a monitoring visit to this adult foster home on 6/25/2024 at aproximately 12:45PM, it was identifed that relief caregivers Richard Larus and Charles Weru Githui were on duty/ in charge. The following sections of the Department's Caregiver Preparatory workbook was incomplete:Richard Larus: Page 29 ( question #85), certificateCharles Weru Githui: certificate

During a monitoring visit on 6/25/2024 the Pre-Admission Screening for Resident #2 was not available for review.

During a monitoring visit on 6/25/2024 the following resident narrative documentation was identified:Resident #1: last narrative entry available for review was dated 5/13/24.Resident #2: last narrative entry available for review was dated 5/13/24.Resident #3: last narrative entry available for review was dated 2/27/24.

During a monitoring visit on 6/25/2024 it was identified that Resident #3 careplan was not updated at least once every six months; that careplan update was dated 5/11/2023.

On 6/25/2024 at approximately 12:45PM the following prescribed medications were not initialed as given:Resident #1: Viewing the June 2024 Medication Administration Record (MAR) , there were 73 medications times not initialed as given.Resident #2: Viewing the June 2024 Medication Administration Record ( MAR), there were 213 medications times not initialed as given.Resident #3: Viewing the December 2023 Medication Administration Record (MAR), there were 26 medication times not initialed as given; viewing the June 2024 Medication Administration Record (MAR) , there were 23 medicatoin times not initialed as given.A total of 335 medication times were not initialed as prescribed medications administered.

During a monitoring visit on 6/25/2024 at approximately 12:45PM it was identified, according to the June 2024 medication administration record, that Resident #2 was administered an 'as needed' medication and there was no time, dose, reason and outcome given.

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 the unannounced on-site complaint inspection conducted 1/27/2023. The adult foster home was evaluated for compliance with Oregon Administrative Rule 411, Divisions 049, 050, 051, and 052.
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 the unannounced on-site complaint inspection conducted 1/27/2023. The adult foster home was evaluated for compliance with Oregon Administrative Rule 411, Divisions 049, 050, 051, and 052.

Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: Resident 1 was admitted to the house on 1/25/2023. At the time of LLA arrival on 1/27/2023, the screening for the resident was not in the resident's file. The provider was able to produce the screening on the computer that showed that the resident is a full assist in all ADLS. As a class 2 home, the provider is only able to accept resident's in the home that have 3 or few full assist. The provider did not submit any documentation requesting a variance for resident before the resident moved into the house. At the time of the visit, the provider was able to complete the variance form but has not completed the fire drill or the care plan required to be submitted with the variance request. The provider also needs to submit a new weekly plan of operations that shows an RN on shift 24/7- 7 days a week which will be required to approve the variance.THIS DEFICIENCY MUST BE CORRECTED BY 2/03/2023
Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: Resident 1 was admitted to the house on 1/25/2023. At the time of LLA arrival on 1/27/2023, the screening for the resident was not in the resident's file. The provider was able to produce the screening on the computer that showed that the resident is a full assist in all ADLS. As a class 2 home, the provider is only able to accept resident's in the home that have 3 or few full assist. The provider did not submit any documentation requesting a variance for resident before the resident moved into the house. At the time of the visit, the provider was able to complete the variance form but has not completed the fire drill or the care plan required to be submitted with the variance request. The provider also needs to submit a new weekly plan of operations that shows an RN on shift 24/7- 7 days a week which will be required to approve the variance.THIS DEFICIENCY MUST BE CORRECTED BY 2/03/2023

Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: Due to resident #1's care needs, this home must have an RN on staff at all time 24/7. An updated weekly plan of operations needs to be submitted to support resident's care needs including 2 AM medications. THIS DEFICIENCY MUST BE CORRECTED BY 2/03/2023
Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: Due to resident #1's care needs, this home must have an RN on staff at all time 24/7. An updated weekly plan of operations needs to be submitted to support resident's care needs including 2 AM medications. THIS DEFICIENCY MUST BE CORRECTED BY 2/03/2023

Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: At the time of visit on 1/27/2023 at 12:05 PM, medications that were required to be administeted on 1/26/2023 were not inititaled on the MARS which are the following:Budes/Formot AER-4.5- 5:00PMCalcium Carb SUS 1250/5ML 12:00 PM & 5:00 PMChlorhex Glu Sol 0.12% 2:00PM, 5:00 PM, 8:00 PM Eliqus 5MG Tab 5:00 PMGabapentin SOL 250/5ML 5:00 PMInsulin Glar SOL 100U/ML 8:00 PMIpratoprium SOL Albuter 8:00 AM, 2:00PM, 8:00 PMMelatonin 5:00 PMNystatin Powder 5:00 PMPrampexole Tab 0.125 MG 8:00 PMVitamin D3 8:00 AM Medications that were required to be administeted on 1/27/2023 before the LLA arrival were not inititaled on the MARS which are the following:Amiodarone Tab 200 MG 8:00 AMAtrovastatin Tab 40 MG 8:00 AMBudes/Formot AER-4.5 8:00 AMCalcium Carb SUS 1250/5ML 8:00 AMChlorex Glu Sol 0.12 % 2:00 AM and 8:00 AM Duloxetine CAP 60 MG 8:00 AMEliqus 5MG Tab 8:00 AMGabapentin SOL 250/5ML 8:00 AM Lisinopril Tab 10 MG 8:00 AM Nystatin powder 15 GM 8:00 AMSenna-Docusate 8.6-50 MG Tab 8:00AMTHIS DEFICIENCY MUST BE CORRECTED BY 2/03/2023
Based on observation, interview and record review, it was determined the licensee failed to meet this rule as evidenced by: At the time of visit on 1/27/2023 at 12:05 PM, medications that were required to be administeted on 1/26/2023 were not inititaled on the MARS which are the following:Budes/Formot AER-4.5- 5:00PMCalcium Carb SUS 1250/5ML 12:00 PM & 5:00 PMChlorhex Glu Sol 0.12% 2:00PM, 5:00 PM, 8:00 PM Eliqus 5MG Tab 5:00 PMGabapentin SOL 250/5ML 5:00 PMInsulin Glar SOL 100U/ML 8:00 PMIpratoprium SOL Albuter 8:00 AM, 2:00PM, 8:00 PMMelatonin 5:00 PMNystatin Powder 5:00 PMPrampexole Tab 0.125 MG 8:00 PMVitamin D3 8:00 AM Medications that were required to be administeted on 1/27/2023 before the LLA arrival were not inititaled on the MARS which are the following:Amiodarone Tab 200 MG 8:00 AMAtrovastatin Tab 40 MG 8:00 AMBudes/Formot AER-4.5 8:00 AMCalcium Carb SUS 1250/5ML 8:00 AMChlorex Glu Sol 0.12 % 2:00 AM and 8:00 AM Duloxetine CAP 60 MG 8:00 AMEliqus 5MG Tab 8:00 AMGabapentin SOL 250/5ML 8:00 AM Lisinopril Tab 10 MG 8:00 AM Nystatin powder 15 GM 8:00 AMSenna-Docusate 8.6-50 MG Tab 8:00AMTHIS DEFICIENCY MUST BE CORRECTED BY 2/03/2023