Avamere Rehabilitation Of Clackamas

Review of Resident 18's 7/18/24 behavioral care plan identified her/him as confrontational, rude, demanding, suspicious, manipulative and anxious.

The care plan identified behaviors of verbal aggression, physical aggression, yelling, hitting, interference with roommate's care, and history of false accusative statements.

The care planned interventions were that sometimes she/he would calm down when chocolate was given, discharge planning, separate from other residents, approach calmly and unhurriedly, notify physician if behaviors interfered with medical needs, leave the room and leave her/him alone to give space.

Review of Resident 18's 7/18/24 ADL care plan revealed she/he refused ADLs and showers.

The interventions were to document refusals and re-approach at a different time. No other interventions for ADLs and shower refusals were documented.

On 7/19/24 at 8:43 AM Staff 10 (CNA) stated she received her information to care for residents from the care plan and shift reports from other staff members.

Staff 10 stated Resident 18 had behaviors often, ate meals in her/his room due to behaviors and the staff kept her/him away from people. No other interventions were provided to prevent negative behaviors.

On 5/19/24 at 9:13 AM Staff 2 (DNS) acknowledged Resident 18's care plan was not resident centered.

Staff 2 acknowledged the interventions were for staff and were not specific to Resident 18 as an individual.

Staff 2 reported some interventions were attempted but they were not documented or care planned in Resident 18's health record. No further information was provided.

385203

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 385203 B.

Wing 07/19/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Avamere Rehabilitation of Clackamas 220 E.

Hereford Gladstone, OR 97027