I moved my mom here and have been very pleased. The staff are warm, attentive and genuinely caring, management is responsive, and move-in help reduced our stress. Residents are engaged and happy - a lively activity calendar (choir, crafts, yoga, outings, ice-cream Fridays), beautiful gardens and well-kept grounds, and bright, clean apartments. The dining feels home-cooked with fresh ingredients and generous portions; it's a welcoming, family-like community I'd recommend.
Loved one of resident
Aug 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Spa
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.37·(67)
Overall rating
5
4
3
2
1
Care
4.2
Staff
4.4
Meals
3.6
Amenities
4.3
Value
4.0
Pros
Compassionate, attentive caregiving staff
Approachable and responsive administration
Clean, well-maintained grounds and common areas
Bright, spacious, well-lit apartments
On-time move-in assistance and expedited admissions
Robust activity program including clubs, outings, and music
High-quality dining with fresh ingredients and restaurant-style service
Transportation and shuttle service for appointments and outings
Pet-friendly environment and resident gardening opportunities
Private dining, library, and other resident amenities
Continuous medication-management routines in many cases
Warm community atmosphere with social engagement
Efficient front-office and marketing-team support
Cons
Sanitation concerns in some resident rooms and shared spaces
Inconsistent culinary quality and meal-service continuity
Nighttime staffing and security gaps
Gaps in medication-administration consistency and clinical oversight
Inconsistent family communication and follow-up
Limited higher-acuity and memory-care capacity
Activity-program interruptions during infection-control events
Cost-control measures impacting meal variety and staffing levels
Staff turnover and management-process inconsistency
Allegations of theft and financial misconduct
Rigid visitation and meal-scheduling policies
Summary of reviews
Reviewer feedback for Lone Oak Assisted Living is mixed but shows clear patterns. Many families and residents praise the direct-care staff as compassionate and attentive, and several reviewers highlighted approachable administrators and specific staff who supported moves and ongoing family communication. The community’s physical environment receives frequent positive mention: bright, spacious apartments, well-kept grounds, private dining areas, library, gardens and outdoor planting spaces create a hotel-like, residential feel that many visitors found attractive. Transportation services, an active calendar of clubs and outings, and a generally warm community atmosphere are recurring strengths.
Clinical and care-related experiences vary. Numerous accounts indicate reliable medication management and timely assistance, along with nursing staff who communicate proactively during routine events. Conversely, reviewers also described inconsistent clinical oversight in some cases — missed medication doses, questions about analgesic use, and incidents that led to hospitalization after a fall. Those reports suggest gaps in transfer/fall-prevention practices and in readiness to provide higher-acuity or memory-care services; several reviewers explicitly noted that Lone Oak is not a memory-care facility and that transitions for residents with progressive needs can be challenging. Family communication is another mixed area: many families reported helpful, clear updates from staff and administrators, while others experienced delays or insufficient notification around incidents and end-of-life options.
Dining and activities form a polarizing subject. A substantial number of reviews describe restaurant-style dining with fresh ingredients, varied menus, and staff pride in culinary work. At the same time, other reviews cite inconsistent meal quality, limited evening meal options, and staffing/culinary-direction shortfalls that have reduced variety. The activity program is commonly praised for breadth — music, crafts, classes, bus trips and social events — though reviewers noted interruptions during infection-control periods and temporary reductions in outings.
Operational and management themes emerge from the feedback. Positive accounts single out responsive leadership, efficient move-in processes, and specific staff members by name for exceptional support. However, other accounts raise concerns about staff turnover, cost-cutting measures that appear to affect meal options and staffing depth, and inconsistent maintenance (worn carpeting, occasional cleanliness issues in certain areas). Security and supervision at night were flagged as a facility-level vulnerability by multiple reviewers — unlocked access, staff with apartment keys, and unstaffed front-desk periods were noted as safety concerns. There are also serious individual claims, including allegations of theft; these are significant and warrant direct inquiry during tours and caregiver discussions.
For prospective residents and families: Lone Oak offers many attractive features — living spaces, social programming, and a core of caring staff — but experiences are variable. Visitors should conduct an on-site tour, ask specific questions about overnight staffing and security, medication administration protocols, fall-prevention practices, memory-care transition policies, culinary leadership and sample menus, and financial safeguards. Inquiring about recent staffing turnover, maintenance schedules, and how the community handled infection-control restrictions will help set expectations and identify whether the facility’s current operational practices match your loved one’s needs.
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Location
Lone Oak Assisted Living is located at 2615 Lone Oak Way, Eugene, OR, 97404.
About Lone Oak Assisted Living
Lone Oak Assisted Living sits in Eugene, Oregon and has seventy apartments for seniors who either want assisted living or need memory care, and the staff stays on site and available twenty-four hours a day, every day of the week, with a full-time RN Medical Director always on call for emergencies and regular nursing oversight. The staff's friendly and experienced people help with daily activities like dressing, bathing, mobility, and keeping track of medications, and they make sure everyone feels as comfortable and safe as possible, because they understand older folks sometimes need a bit more help or encouragement to get through the day. Every resident gets a personalized "Growth and Wellness Plan" that lays out the kind of support they want, from meals and medication to continence care or mobility support, and the Wellness Team checks on how people are doing throughout the day, trying to notice any small changes early to help prevent bigger problems. There's also a focus on keeping family members updated, even those who live far away, so everyone knows how their loved one's doing.
The building's easy to walk around and has wide halls, spacious bedrooms near bathrooms, and outdoor walking paths if a person wants some fresh air or time outside. Meals come from chefs and meal planners, with three nutritious dishes a day plus snacks, and the kitchen puts care into making food both good for people and pleasant to eat-some folks say the meals are pretty tasty, and residents eat in a dining area designed to be welcoming and comfortable. Lone Oak offers plenty of activities, both big and small, such as reading groups, discussions about books and lifelong learning, regular wellness events for mind, body, and soul, and sometimes cocktail-hour gatherings where people can learn about local topics like Pinot Noir, plus social programs and local outings to keep folks feeling part of the greater Eugene community.
Memory care at Lone Oak uses the Frontier SparkTM Lifestyle Program, which is aimed at adults with Alzheimer's disease or other dementias, focusing on respect, patience, and keeping people as active and engaged as possible, and the staff always tailors their help based on each person's needs and likes. The team supports independence where possible, yet always steps in with help when asked, and the True North Program encourages each resident to make choices based on their own interests and preferences. Weekly housekeeping is included, transportation to shopping and volunteer opportunities is available, and safety features make the building handicap friendly and easy to move around in for people with walkers or wheelchairs. The overall atmosphere tends toward friendly and informal, with the goal of giving people support while still encouraging independence, connection, and a sense of community.
Frontier Management is a leading senior living provider in the United States, operating over 120 communities across 19 states. Headquartered in Durham, Oregon, Frontier offers a range of senior living options, including independent living, assisted living, and memory care. Founded in 2000, Frontier has grown significantly and has been recognized for its excellence in senior care, earning multiple prestigious industry awards.
One of Frontier's hallmark programs is the Spark program, rooted in Montessori-style practices, which promotes purpose and engagement among residents. Initially designed for memory care, this program has been expanded to other types of care within Frontier's communities. The Spark program empowers residents to have an active role in their community, enhancing their daily lives through meaningful activities.
Frontier is also known for its dedication to resident health and well-being. Their communities offer comprehensive services tailored to individual needs, including customized healthcare plans through the Frontier Advantage Network, which aims to extend residents' stay by keeping them healthier for longer periods.
The company has undergone significant changes and growth in recent years, including a rebranding effort to refresh its image and enhance its services. Frontier's communities are spread across various states including Arizona, California, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Mississippi, Missouri, Montana, Nebraska, Nevada, Oregon, Tennessee, Texas, Utah, Washington, and Wisconsin.
Frontier Management's commitment to quality care, innovative programs, and extensive service options makes it a prominent name in senior living, continually striving to meet the evolving needs of its residents.
People often ask...
Lone Oak Assisted Living offers competitive pricing, with rates starting at a cost of $5,387 per month.
Lone Oak Assisted Living offers assisted living.
There are 18 photos of Lone Oak Assisted Living on Mirador.
The full address for this community is 2615 Lone Oak Way, Eugene, OR 97404.
No, Lone Oak Assisted Living does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Inspections and Investigation: Insp Interval
18 Jun 2024Complaint
18 Jun 2024Complaint
Identified multiple deficiencies including confidential records not kept secure, service plans not implemented, and medication/treatment orders not followed; ABST not fully updated.
Deficiency—Resident Rights and Protection - General
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
21 May 2024Inspection
21 May 2024Inspection
Investigated and found that medical and other records were not kept confidential as required by law.
Licensing—Failed to assure resident rights
21 May 2024Inspection
21 May 2024Inspection
Found that medication and treatment orders were not carried out as prescribed.
Licensing—Failed to provide medical treatment as ordered
18 May 2024Abuse: Neglect
18 May 2024Abuse: Neglect
Found that a resident did not receive timely assistance or requested walks due to staffing shortages, creating a risk of harm. A $250 fine was assessed.
Abuse—Failed to provide service
17 May 2024Inspection
17 May 2024Inspection
Investigated the allegation and determined that an acuity-based staffing tool was not fully implemented or updated.
Licensing—Failed to use an ABST
29 Apr 2024Abuse: Neglect
29 Apr 2024Abuse: Neglect
Investigated a neglect case and found failure to provide appropriate services according to the resident’s needs, including care planning gaps and insufficient interventions. The resident suffered falls and three fractured ribs.
Abuse—Failed to provide service
16 Dec 2023Inspection
16 Dec 2023Inspection
Found a failure to provide a safe medication administration system, with no negative outcome documented.
Licensing—Failed to provide a safe medication administration system
08 Nov 2023Inspection
08 Nov 2023Inspection
Investigated the allegation of failure to provide service and found a failure to ensure implementation of services.
Licensing—Failed to provide service
02 Nov 2023Complaint
02 Nov 2023Complaint
Identified deficiencies in controlled-substance tracking, adherence to treatment orders, and interior cleanliness.
Found a deficiency in tracking controlled substances and disposing of unused, outdated, or discontinued medications, indicating an unsafe medication administration system.
Licensing—Failed to provide a safe medication administration system
13 Oct 2023Inspection
13 Oct 2023Inspection
Investigated and found that interior and exterior materials and surfaces and equipment were not kept clean and in good repair.
Licensing—Failed to maintain a safe physical environment
07 Oct 2023Inspection
07 Oct 2023Inspection
Determined there was a deficiency in the safe medication administration process after a resident received the wrong dose.
Licensing—Failed to provide a safe medication administration system
02 Oct 2023Validation
02 Oct 2023Validation
Identified multiple deficiencies across oversight, service planning, health services, medication management, infection prevention, staff training, fire safety, and building upkeep.
Deficiency—Comment
Deficiency—Facility Administration: Operation
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Infection Prevention & Control
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Systems: Medication Administration
Deficiency—Systems: Self-Administration of Meds
Deficiency—Restraints and Supportive Devices
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Found a safety violation due to a single-person transfer when a two-person assist was required, creating risk of harm to the resident.
Licensing—Failed to provide safe environment
06 Sept 2023Abuse: Financial Exploitation
06 Sept 2023Abuse: Financial Exploitation
Determined that a resident experienced financial exploitation and identified a policy gap about accepting gifts from residents, which contributed to neglect and abuse.
Abuse—Failed to protect resident from financial exploitation
06 Sept 2023Abuse: Neglect
06 Sept 2023Abuse: Neglect
Investigated an allegation of sexual abuse and found a failure to conduct an internal investigation, risking harm to the resident.
Abuse—Failed to provide inservice
06 Sept 2023Inspection
06 Sept 2023Inspection
Concluded that a resident was financially exploited, which constitutes neglect of care and violates applicable rules.
Licensing—Failed to protect resident from financial exploitation
31 Aug 2023Abuse: Neglect
31 Aug 2023Abuse: Neglect
Found a failure to administer pain medication as ordered due to an unsafe medication administration system, resulting in unreasonable discomfort.
Abuse—Failed to administer medication as ordered
17 Jul 2023License Condition
17 Jul 2023License Condition
Found that ABST was not fully implemented as alleged.
Regulatory Action—Failed to use an ABST
14 Apr 2023Complaint
14 Apr 2023Complaint
Investigated and found no deficiencies.
Deficiency—Acuity-Based Staffing Tool
06 Dec 2022Inspection
06 Dec 2022Inspection
Investigated financial exploitation; a resident's credit card was used without authorization, violating rights and constituting abuse, with a failure to protect from financial abuse.
Licensing—Failed to protect resident from financial exploitation
16 Nov 2022Licensure
16 Nov 2022Licensure
Determined substantial compliance with meal service and food sanitation requirements.
Deficiency—Comment
04 Nov 2022Abuse: Neglect
04 Nov 2022Abuse: Neglect
Investigated found that inadequate care planning contributed to multiple falls and an injury, violating resident rights.
Abuse—Failed to properly plan care
01 Nov 2022Inspection
01 Nov 2022Inspection
Investigated and found failure to submit timely weekly vaccination reporting for residents, staff, and vaccinated individuals for Oct 1–31, 2022.
Licensing—Failed to submit timely or adequate staffing documentation
29 Oct 2022Abuse: Neglect
29 Oct 2022Abuse: Neglect
Found neglect of care and abuse due to failure to properly plan care after a fall, resulting in additional falls and injury.
Abuse—Failed to properly plan care
27 Sept 2022Complaint
27 Sept 2022Complaint
Found deficiencies in meal services, staffing, and supervision. Observed no vegetarian meals, missing temperature logs, meals served late or cold, delayed call-light responses, and unsafe transfer practices.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Staffing Requirements and Training – Pre-Serv
16 Sept 2022Inspection
16 Sept 2022Inspection
Investigated the allegation and found substantiated that the gait belt was not used as required, resulting in a fall and injuries.
Licensing—Failed to follow care plan
13 Sept 2022Inspection
13 Sept 2022Inspection
Investigated a staffing concern and found direct care staffing was insufficient to meet residents' scheduled and unscheduled needs. Violations were cited under Oregon Administrative Rules.
Licensing—Failed to provide appropriate staffing
13 Sept 2022Inspection
13 Sept 2022Inspection
Found failure to directly supervise staff until satisfactory performance in assigned tasks.
Licensing—Failed to assure a qualified caregiver was present
13 Sept 2022Inspection
13 Sept 2022Inspection
Determined that residents did not receive three daily nutritious meals; fish served was still frozen, meatballs were burnt and inedible, and steak was too tough to eat.
Licensing—Failed to provide proper food/nutrition
07 Sept 2022Abuse: Neglect
07 Sept 2022Abuse: Neglect
Investigated a complaint and found that a resident's call light was not answered promptly, causing discomfort and indicating neglect and abuse.
Abuse—Failed to answer call light in a timely manner
20 Aug 2022Abuse: Neglect
20 Aug 2022Abuse: Neglect
Found neglect and financial abuse after a package went missing and safeguards for resident belongings were lacking. A $250 fine was assessed.
Abuse—Failed to provide safe environment
10 Aug 2022Complaint
10 Aug 2022Complaint
Identified deficiencies related to treatment orders and related systems, indicating potential for moderate harm.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Treatment Orders
27 Jul 2022Inspection
27 Jul 2022Inspection
Identified a violation for not carrying out medication orders as prescribed. The issue related to medication availability that could affect care.
Licensing—Failed to have medication available
10 Jun 2022Inspection
10 Jun 2022Inspection
Investigated an allegation of failing to provide service and found that a resident was not assisted with activities of daily living, resulting in a violation of Oregon Administrative Rules.
Licensing—Failed to provide service
19 May 2022Inspection
19 May 2022Inspection
Found that medication orders were not carried out as prescribed, indicating a deficiency in the medication administration system.
Licensing—Failed to provide a safe medication administration system
27 Apr 2022Abuse: Neglect
27 Apr 2022Abuse: Neglect
Investigated an allegation of neglect and abuse related to pain medication administration; found unsafe medication practices and failure to provide pain relief.
Abuse—Failed to provide a safe medication administration system
27 Apr 2022Inspection
27 Apr 2022Inspection
Investigated an allegation about a safe medication administration system and found that medication and treatment orders were not carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
01 Apr 2022Inspection
01 Apr 2022Inspection
Found violations for failing to protect a resident from financial exploitation and unsafe medication handling when a staff member was seen counting and taking medications, resulting in missing pills.
Licensing—Failed to protect resident from financial exploitation
10 Feb 2022Inspection
10 Feb 2022Inspection
Investigated a failure to provide a safe environment after an incident where a person fired a nerf gun at a resident, causing an eye injury. The actions violated resident rights and constituted abuse and neglect.
Licensing—Failed to provide safe environment
01 Nov 2021Inspection
01 Nov 2021Inspection
Found failure to carry out medication orders as prescribed.
Licensing—Failed to provide a safe medication administration system
03 Sept 2021Inspection
03 Sept 2021Inspection
Found deficiencies in the medication administration system that placed a resident at risk due to failure to administer two medications.
Licensing—Failed to provide a safe medication administration system
07 Aug 2021Inspection
07 Aug 2021Inspection
Found a safety violation for failing to provide a safe environment after a wet floor was not marked, leading to an injury.
Licensing—Failed to provide safe environment
08 Oct 2020Inspection
08 Oct 2020Inspection
Investigated the complaint and found a failure to exercise reasonable precautions against conditions that may threaten residents' health, safety, or welfare.
Licensing—Failed to maintain a safe physical environment
26 Sept 2020Abuse: Neglect
26 Sept 2020Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in two instances of giving 1 mg instead of 0.1 mg of pain medication and placing the resident at risk for harm. Violations cited.
Abuse—Failed to provide a safe medication administration system
23 Nov 2019Abuse: Neglect
23 Nov 2019Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in an incorrect insulin type and dosage and hospital observation for the individual.
Abuse—Failed to provide a safe medication administration system
14 Oct 2019Inspection
14 Oct 2019Inspection
Investigated and identified a deficiency in the safe medication and treatment administration system.
Licensing—Failed to provide a safe medication administration system
08 Oct 2019Abuse: Neglect
08 Oct 2019Abuse: Neglect
Identified unsafe medication administration and neglect/abuse due to failure to provide a safe medication system. A $169 fine was assessed.
Abuse—Failed to provide a safe medication administration system
11 Jun 2019Inspection
11 Jun 2019Inspection
Found a violation of medication administration as ordered.
Licensing—Failed to administer medication as ordered
01 Jan 2019Abuse: Financial abuse
01 Jan 2019Abuse: Financial abuse
Concluded financial exploitation occurred and neglect of a resident that created a risk of serious harm due to failing to provide basic care.
Abuse—Failed to protect resident from financial exploitation
21 Dec 2018Abuse: Verbal/Mental abuse
21 Dec 2018Abuse: Verbal/Mental abuse
Found violations involving verbal/mental abuse and neglect, including failing to protect a resident from verbal abuse and failing to provide basic care, which caused emotional harm and loss of dignity; assessed a fine.
Abuse—Failed to protect resident from verbal abuse
01 May 2018Abuse: Financial abuse
01 May 2018Abuse: Financial abuse
Concluded that a financial abuse allegation was substantiated and assessed a $375 fine for not protecting a resident from theft.
Abuse—Failed to provide safe environment
19 Mar 2018Inspection
19 Mar 2018Inspection
Investigated an allegation of failing to provide a safe medication administration system and identified a violation.
Licensing—Failed to provide a safe medication administration system
16 Mar 2018Abuse: Financial abuse
16 Mar 2018Abuse: Financial abuse
Found that a resident’s medication was not protected from theft, constituting financial abuse.
Abuse—Failed to provide safe environment
02 Feb 2018Abuse: Financial abuse
02 Feb 2018Abuse: Financial abuse
Determined that the financial abuse allegation was upheld and that a resident's RV was not protected from theft.
Abuse—Failed to provide safe environment
08 Jan 2018Inspection
08 Jan 2018Inspection
Found that medications were not administered as prescribed, resulting in a fine.
Licensing—Failed to administer medication as ordered
21 Sept 2017Abuse: Financial abuse
21 Sept 2017Abuse: Financial abuse
Found a failure to provide a safe environment by not protecting residents from theft. A $250 fine was assessed.
Abuse—Failed to provide safe environment
28 Aug 2017Abuse: Financial abuse
28 Aug 2017Abuse: Financial abuse
Investigated an allegation of financial abuse and substantiated a failure to provide a safe environment, with residents not protected from theft.
Abuse—Failed to provide safe environment
23 Aug 2017Abuse: Financial abuse
23 Aug 2017Abuse: Financial abuse
Found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
04 Aug 2017Inspection
04 Aug 2017Inspection
Investigated a complaint and found a deficiency in maintaining a safe medication system.
Licensing—Failed to administer medication as ordered
03 Aug 2017Abuse: Financial abuse
03 Aug 2017Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
24 Jul 2017Inspection
24 Jul 2017Inspection
Found deficiencies in the medication administration system during the investigation.
Licensing—Failed to provide a safe medication administration system
20 Jul 2017Abuse: Financial abuse
20 Jul 2017Abuse: Financial abuse
Found that residents were not protected from theft, indicating unsafe conditions.
Abuse—Failed to provide safe environment
22 Dec 2016Inspection
22 Dec 2016Inspection
Investigated and found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
09 Dec 2016Inspection
09 Dec 2016Inspection
Found failure to keep medication records current or accurate and an inadequate medication system.
Licensing—Failed to keep medication record current or accurate
09 Dec 2016Inspection
09 Dec 2016Inspection
Investigated a complaint and found a deficient medication administration system that could cause harm.
Licensing—Failed to provide a safe medication administration system
07 Dec 2016Inspection
07 Dec 2016Inspection
Investigated the allegation that pain medication was not administered as ordered and identified a medication administration violation.
Licensing—Failed to administer medication as ordered
09 Aug 2016Inspection
09 Aug 2016Inspection
Investigated a complaint and found a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
26 Jul 2016Inspection
26 Jul 2016Inspection
Found that medications were not administered as directed. This constitutes a deficiency in medication administration with potential for harm.
Licensing—Failed to provide a safe medication administration system
17 Jul 2016Inspection
17 Jul 2016Inspection
Found deficiencies in the medication administration process.
Licensing—Failed to provide a safe medication administration system
02 Jul 2016Abuse: Neglect
02 Jul 2016Abuse: Neglect
Investigated an abuse/neglect allegation and identified failure to provide a safe environment; a $300 fine was assessed.
Abuse—Failed to provide safe environment
19 Apr 2016Inspection
19 Apr 2016Inspection
Investigated a complaint and found the medication administration system was not adequate.
Licensing—Failed to provide a safe medication administration system
15 Feb 2016Abuse: Financial abuse
15 Feb 2016Abuse: Financial abuse
Found a failure to protect a resident from theft and assessed a $300 fine.
Abuse—Failed to provide safe environment
05 Feb 2016Abuse: Financial abuse
05 Feb 2016Abuse: Financial abuse
Determined that a resident was not protected from theft; financial abuse allegation substantiated.
Abuse—Failed to provide safe environment
14 Jan 2016Abuse: Financial abuse
14 Jan 2016Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
26 Dec 2015Inspection
26 Dec 2015Inspection
Investigated an allegation of failing to address a resident's behavior and found a failure to assess and intervene.
Licensing—Failed to address resident's behavior
11 Sept 2015Inspection
11 Sept 2015Inspection
Identified deficiencies in the medication regimen that could harm residents. Safety gaps related to medication administration were found.
Licensing—Failed to provide a safe medication administration system
05 Dec 2014Abuse: Financial abuse
05 Dec 2014Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
30 Apr 2014Abuse: Financial abuse
30 Apr 2014Abuse: Financial abuse
Investigated and found a failure to protect a resident's funds.
Abuse—Failed to provide safe environment
14 Apr 2014Abuse: Financial abuse
14 Apr 2014Abuse: Financial abuse
Investigated a financial abuse allegation and found funds were not protected from loss. This indicated potential harm to a resident.
Abuse—Failed to provide safe environment
10 Mar 2014Abuse: Financial abuse
10 Mar 2014Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to protect a resident's funds, with a $300 fine assessed.
Abuse—Failed to provide safe environment
29 Jun 2013Abuse: Financial abuse
29 Jun 2013Abuse: Financial abuse
Determined that a financial abuse allegation was substantiated and that a secure environment was not provided.
Abuse—Failed to provide safe environment
22 Jun 2013Abuse: Financial abuse
22 Jun 2013Abuse: Financial abuse
Investigated an allegation of financial abuse and found failures to provide a secure environment.
Abuse—Failed to provide safe environment
15 Nov 2012Abuse: Financial abuse
15 Nov 2012Abuse: Financial abuse
Investigated a financial abuse allegation and found residents were not protected from financial exploitation.
Abuse—Failed to provide safe environment
13 Jul 2012Inspection
13 Jul 2012Inspection
Found a deficient safe medication administration system that endangered a resident.
Licensing—Failed to provide a safe medication administration system
13 Jul 2012Abuse: Financial abuse
13 Jul 2012Abuse: Financial abuse
Investigated and found that residents' medications were not protected from loss; the related abuse allegation was supported.
Abuse—Failed to provide safe environment
30 Jun 2012Inspection
30 Jun 2012Inspection
Investigated and found that a resident's property was not protected from loss.
Licensing—Failed to provide safe environment
22 Jun 2012Abuse: Financial abuse
22 Jun 2012Abuse: Financial abuse
Investigated an allegation of financial abuse and found that a resident was not protected from wrongful taking.
Abuse—Failed to provide safe environment
08 Jun 2012Abuse: Financial abuse
08 Jun 2012Abuse: Financial abuse
Investigated a financial abuse allegation and found a safety deficiency involving protection against medication theft.
Abuse—Failed to provide safe environment
13 Oct 2011Abuse: Neglect
13 Oct 2011Abuse: Neglect
Investigated the allegation and found a failure to assess and intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
07 May 2011Abuse: Neglect
07 May 2011Abuse: Neglect
Substantiated a neglect allegation by finding that a safe environment was not provided, with moderate harm or potential for serious harm.
Abuse—Failed to provide safe environment
02 May 2011Inspection
02 May 2011Inspection
Investigated a failure to follow the care plan.
Licensing—Failed to follow care plan
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