OAR 411-054-0040
Change of Condition and Monitoring

(1) CHANGE OF CONDITION. These rules define a resident’s change of condition as either short term or significant with the following meanings:
(a) Short term change of condition means a change in the resident’s health or functioning that is expected to resolve or be reversed with minimal intervention or is an established, predictable, cyclical pattern associated with a previously diagnosed condition.
(b) Significant change of condition means a major deviation from the most recent evaluation that may affect multiple areas of functioning or health that is not expected to be short term and imposes significant risk to the resident.
(c) If a resident experiences a significant change of condition that is a major deviation in the resident’s health or functional abilities, the facility must evaluate the resident, refer to the facility nurse, document the change, and update the service plan as needed.
(d) If a resident experiences a short-term change of condition that is expected to resolve or reverse with minimal intervention, the facility must determine and document what action or intervention is needed for the resident.
(A) The determined action or intervention must be communicated to staff on each shift.
(B) The documentation of staff instructions or interventions must be resident specific and made part of the resident record with weekly progress noted until the condition resolves.
(2) MONITORING. The facility must have written policies to ensure a resident monitoring and reporting system is implemented 24-hours a day. The policies must specify staff responsibilities and identify criteria for notifying the administrator, registered nurse, or healthcare provider. The facility must:
(a) Monitor each resident consistent with his or her evaluated needs and service plan;
(b) Train staff to identify changes in the resident’s physical, emotional and mental functioning and document and report on the resident’s changes of condition;
(c) Have a reporting protocol with access to a designated staff person, 24-hours a day, seven days a week, who can determine if a change in the resident’s condition requires further action; and
(d) Provide written communication of a resident’s change of condition, and any required interventions, for direct care staff on each shift.

Source: Rule 411-054-0040 — Change of Condition and Monitoring, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=411-054-0040 (accessed May 26, 2025).

411–054–0000
Purpose 411–054–0005
Definitions 411–054–0010
Licensing Standard 411–054–0012
Requirements for New Construction or Initial Licensure 411–054–0013
Application for Initial Licensure and License Renewal 411–054–0016
New Applicant Qualifications 411–054–0019
Change of Ownership or Management 411–054–0025
Facility Administration 411–054–0026
Notice to Potential Residents 411–054–0027
Resident Rights and Protections 411–054–0028
Abuse Reporting and Investigation 411–054–0030
Resident Services 411–054–0034
Resident Move-In and Evaluation 411–054–0036
Service Plan — General 411–054–0038
Individually-Based Limitations 411–054–0040
Change of Condition and Monitoring 411–054–0045
Resident Health Services 411–054–0050
Infection Prevention and Control 411–054–0055
Medications and Treatments 411–054–0060
Restraints and Supportive Devices 411–054–0065
Administrator Qualifications and Requirements 411–054–0070
Staffing Requirements and Training 411–054–0080
Involuntary Move-out Criteria 411–054–0085
Refunds and Financial Management 411–054–0090
Fire and Life Safety 411–054–0093
Emergency and Disaster Planning 411–054–0100
Exceptions and Waivers 411–054–0105
Inspections and Investigations 411–054–0106
Regulatory Framework 411–054–0110
Conditions 411–054–0120
Civil Penalties 411–054–0130
Non-Renewal, Denial, Suspension or Revocation of License 411–054–0133
Temporary Manager 411–054–0135
Criminal Penalties 411–054–0140
Additional Authority 411–054–0200
Residential Care Facility Building Requirements 411–054–0300
Assisted Living Facility Building Requirements 411–054–0320
Quality Measurement Program and Council

May 26, 2025

Rule 411-054-0040's source at or​.us