Service Plan: Managed Risk

How ODHS classifies it

ODHS rates each deficiency on a four-level scale, with a scope of isolated, pattern or widespread. Level 1 is no actual harm with the potential for minimal harm; Level 2 is no actual harm with the potential for more than minimal harm; Level 3 is actual harm that is not immediate jeopardy; Level 4 is immediate jeopardy to resident health or safety. Level 2 is by far the most common.

Where it is cited

What the requirement says

ODHS’s requirement text as it appears on the inspection report, verbatim.

OAR 411-054-0036 (6) Service Plan: Managed Risk (6) RISK AGREEMENT. When a resident's actions or choices pose a potential risk to that resident's health or well-being, the facility may utilize a risk agreement to explore alternatives and potential consequences with the resident. (a) The facility must identify the need for and develop a written risk agreement following the facility's established guidelines and procedures. A risk agreement must include: (A) An explanation of the cause of concern; (B) The possible negative consequences to the resident or others; (C) A description of the resident's preference; (D) Possible alternatives or interventions to minimize the potential risks associated with the resident's current preferences and actions; (E) A description of the services the facility shall provide to accommodate the residents' choice or minimize the potential risk; and (F) The final agreement, if any, reached by all involved parties, must be included in the service plan. (b) The licensing policy analyst must be consulted and alternatives reviewed before the resident signs the agreement. (c) The facility must involve the resident, the resident's designated representative, and others as indicated, to develop, implement, and review the risk agreement. The resident's preferences shall take precedence over those of a family member. (d) A risk agreement shall not be entered into or continued with, or on behalf of, a resident who is unable to recognize the consequences of their behavior or choices. (e) The risk agreement must be reviewed at least quarterly.