The Landing a Senior Living Community

    2490 NW Edenbower Blvd, Roseburg, OR 97471
    • Assisted Living
    • Memory Care

    Kind staff, beautiful home-like facility

    I moved my mom here and am very pleased - the staff are kind, attentive and professional, and management communicates clearly. Beautiful, immaculately kept, home-like facility with modern apartments, excellent dining, memory-care support and a wide variety of activities; I feel confident she's thriving.

    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
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Located close to restaurants
    • Located close to shopping centers
    • 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 patio
    • 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

    4.07·(46)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.6
    • Staff

      4.5
    • Meals

      4.0
    • Amenities

      4.5
    • Value

      5.0

    Pros

    • Compassionate and attentive staff
    • Strong memory-care program with hospice access
    • Clean, bright, recently built facility
    • Spacious, well-maintained apartments
    • Engaging and varied activity programming
    • Multiple dining options with customizable menu
    • On-site rehabilitation services
    • Friendly resident community and social atmosphere
    • Secure memory-care unit
    • Good communication from staff and leadership
    • Medication management in memory care
    • Amenities including library, cinema, and outdoor spaces

    Cons

    • Inconsistent personal-care and grooming assistance
    • Staffing shortages and frontline turnover
    • Leadership turnover and management instability
    • Gaps in incident-response and family notification processes
    • Variable dining quality and special-diet offerings
    • Limited off-site outing frequency and transportation
    • Insufficient parking availability
    • Inconsistent use of advance-care documentation during transfers

    Summary of reviews

    Overall impression: The Landing presents as a modern, well-appointed senior living community with a consistently positive front-line culture. Many reviewers highlight a welcoming atmosphere, friendly reception staff, and an engaged resident population. The building is described as new, bright, and clean with attractive interior finishes, natural light, and a range of communal amenities such as a library, cinema/theater, dining room, and outdoor areas.

    Care and staff: Staff are frequently described as kind, compassionate, and professional. Families report clear communication from directors and nursing leadership, staff orientation programs, and an ability to form personal relationships with care staff. The memory-care unit is viewed as secure and clinically competent, with access to hospice and on-site rehab services noted as strengths. At the same time, some reviews raise operational concerns about inconsistent delivery of basic personal-care tasks (for example, bathing and grooming assistance and timely toileting help), and about staffing levels. These issues are presented as intermittent but significant to families; they connect to broader themes of staffing shortages and personnel turnover that can affect continuity of care.

    Dining: Dining is a visible focus for the community. Reviewers cite multiple dining venues, long kitchen hours, customizable menus, daily specials, and accommodating staff for dietary restrictions. Many describe the food as good or delicious and note enjoyable mealtime atmospheres (including music). There is also variability in experience: vegetarian or special-diet options were described as less interesting by some, and a few comments referenced meals served at suboptimal temperatures or inconsistent quality. Prospective families may want to sample meals and ask about menu rotation and special-diet handling.

    Activities and community life: Activity programming is robust and diverse. Reported offerings include fitness and wellness classes (yoga), social events (Ladies Tea, theater nights, a developing poker group and planned pub), Bible study, outings, and on-site entertainment. Reviewers generally characterize the community as active and joyful with many opportunities for social engagement; some families specifically praised how staff facilitate resident participation.

    Facilities and amenities: The physical plant is frequently praised—new construction, bright units, spacious floor plans, and well-maintained common areas. Apartments are described as clean and roomy, with good natural light and interior wood finishes. On-site rehabilitation services and secure memory-care spaces are additional facility strengths.

    Management and safety processes: Communication from managers and directors receives positive mention in many accounts, and some families felt supported during transitions and end-of-life care. However, other comments point to management instability (frequent administrator turnover) and staffing challenges that can undermine operations. There are also indications of process gaps around incident detection/response and family notification, and of inconsistent use of advance-care documentation during hospital transfers. These issues suggest families should clarify incident-reporting protocols, staffing ratios, and advance-care practices before committing.

    Notable patterns and recommendations: The dominant pattern is positive—strong staff-resident rapport, clean modern facilities, varied programming, and solid memory-care services. Counterbalancing these strengths are recurring operational concerns: personal-care reliability, staffing/turnover, management stability, and variability in dining and outing frequency. For prospective residents and their families, recommended pre-move questions include: How are bathing/grooming/toileting schedules managed and documented? What are current staffing ratios and recent turnover rates? How does the community handle incident notification and family communication? How are advance-care documents (POLST/ADs) applied during hospital transfers? What is the schedule and capacity for shuttle outings, and is additional parking available? Asking these targeted questions and requesting a meal and activity observation visit can help determine fit given the mix of strengths and operational caveats described by reviewers.

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    Location

    Map showing location of The Landing a Senior Living Community

    The Landing a Senior Living Community is located at 2490 NW Edenbower Blvd, Roseburg, OR, 97471.

    About The Landing a Senior Living Community

    The Landing a Senior Living Community sits in Roseburg, Oregon, less than a mile from the local hospital, and is part of Compass Living under the Oregon Health Care Association. The community holds 94 apartments: 73 for assisted living and 21 designed for memory care, offering studio, shared suite, one-bedroom, and two-bedroom choices depending on what fits best for each resident's needs. The place has scenic views and the staff and leadership try to make it feel welcoming and like home, with reception always described as warm and inviting. There's an on-site restaurant where tours include a complimentary lunch, and the campus has regular programs to keep seniors active, engaged, and socially connected through recreation, shopping, and volunteer opportunities. Assisted living services help with daily tasks like dressing, bathing, continence care, mobility, and medication, only stepping in when needed, and everything is overseen by licensed nurses and round-the-clock staff who provide help and keep an eye on well-being and safety, working with families and healthcare providers to keep everyone up to date. There's an extended 'family' approach to care here, people say, and caregivers work to help both with quick needs and with bigger changes, and they stay available for emergency counseling 24 hours a day, seven days a week.

    For memory care, The Landing sets aside a secure neighborhood designed to help adults living with Alzheimer's disease or other dementia, with features to minimize risk of wandering, a secure courtyard, and special 'LivingMemories' spaces-a therapy kitchen, a workbench, and tactile art activities-so elders with cognitive impairments get to use their hands, keep their minds working, and have regular human contact. There are programs for short and long stays, so families can choose what's needed, and all care is built around individual plans, from the True North Programs focusing on goodness, loyalty, faith, and fun to a plan for each resident's growth and wellness, aiming to maintain lifestyles while offering help with things like transportation, recreation, and medical appointments. The community also offers resources about senior care, caregiving, and planning for transitions, including independent living, assisted living, memory care, skilled nursing, and continuing care retirement options, so folks at almost any stage can find support onsite. The Landing works to help seniors stay connected to their community, supports people through changes, and aims to keep elders safe, engaged, and living with purpose, with a staff focused on making a difference for what they call the Greatest Generation.

    People often ask...

    The Landing a Senior Living Community offers competitive pricing, with rates starting at a cost of $4,395 per month.

    The Landing a Senior Living Community offers assisted living and memory care.

    There are 41 photos of The Landing a Senior Living Community on Mirador.

    The full address for this community is 2490 NW Edenbower Blvd, Roseburg, OR 97471.

    No, The Landing a Senior Living Community 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.

    License number50R489
    StatusActive
    Facility typeResidential Care Facility
    Capacity21 residents
    LicenseePC Roseburg, LLC
    EffectiveAugust 24th, 2020
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    77

    Reports

    0

    Type A Citations

    0

    Type B Citations

    9

    Complaints

    6

    Years

    06 Jan 2026Kitchen
    Found significant kitchen sanitation deficiencies, including debris and improper food storage, with ongoing noncompliance noted on a second visit.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    06 Jan 2026Kitchen
    Found significant sanitation and administration rule violations related to meals and kitchen operations, storage, and oversight across two visits.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    08 Oct 2025Licensure
    Findings identified multiple deficiencies in abuse reporting, move-in evaluations, service plans, health-care coordination, medication management, staffing time capture, resident safety training, activity planning, and facility condition.
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyAcuity Based Staffing Tool - ABST Time
    • DeficiencyFire and Life Safety: Training for Residents
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyAdministration Compliance
    • DeficiencyCompliance with Rules Health Care
    • DeficiencyActivities
    11 Sept 2025Licensure
    Investigated multiple deficiencies across move-in evaluations, psychotropic medication practices, staff training, fire safety, and building maintenance.
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyStaffing Requirements and Training – Pre-service
    • DeficiencyTraining Within 30 Days of Hire – Direct Care Staff
    • DeficiencyAnnual and Biennial Inservice for All Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training for Residents
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    14 Jan 2025Kitchen
    Identified multiple sanitation and food safety deficiencies in kitchen operations.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    14 Jan 2025Kitchen
    Investigated multiple deficiencies in food safety and administration, including improper sanitation, improper temperature control, and licensing rule noncompliance.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    07 Dec 2024Inspection
    Found violations of resident rights related to verbal/emotional abuse and failure to protect a resident, with a fine imposed.
    • LicensingFailed to protect resident from mental or emotional abuse
    05 Dec 2024Inspection
    Found deficiencies in an acuity-based staffing tool that failed to reflect resident needs and ADLs, with inconsistencies between roster, care plans, and ABST data leading to insufficient staffing.
    • LicensingFailed to use an ABST
    25 Sept 2024Complaint
    Investigated a complaint concerning treatment orders and identified potential for moderate harm.
    • DeficiencySystems: Treatment Orders
    04 Sept 2024Inspection
    Investigated and identified failure to administer medication as ordered, resulting in a cited violation.
    • LicensingFailed to administer medication as ordered
    03 Sept 2024Abuse: Neglect
    Investigated and found inadequate care planning and interventions for a known fall-risk resident, leading to multiple falls and a knee injury. A fine was assessed.
    • AbuseFailed to properly plan care
    29 Jul 2024Inspection
    Found a failure to carry out prescribed medication orders.
    • LicensingFailed to administer ordered medication
    25 Jul 2024Inspection
    Found a violation for failing to administer ordered medication as prescribed.
    • LicensingFailed to administer ordered medication
    16 Jul 2024Abuse: Neglect
    Identified violations of resident rights due to neglect and failure to provide essential care and ordered medications, resulting in ongoing pain; a $1,500 fine was assessed.
    • AbuseFailed to provide service
    04 May 2024Inspection
    Investigated and found a violation for failing to administer medication as ordered.
    • LicensingFailed to administer medication as ordered
    30 Apr 2024Complaint
    Investigated multiple deficiencies where prescribed medications and topical treatments were not administered as ordered across several residents. Missed doses and medications not on hand were documented.
    • DeficiencySystems: Treatment Orders
    30 Apr 2024Complaint
    Investigated and found multiple failures to administer prescribed medications and treatments across residents, including missed doses and unlocated medications.
    • DeficiencySystems: Treatment Orders
    30 Apr 2024Complaint
    Found insufficient day-shift staffing not meeting scheduled and unscheduled resident needs, with inconsistent levels and use of agency staff in February 2024.
    • DeficiencyStaffing Requirements and Training: Staffing
    30 Apr 2024Complaint
    Found deficiencies in medication administration and treatment orders, including failure to observe medication intake and a duplicate insulin dosing error.
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Treatment Orders
    20 Apr 2024Inspection
    Investigated and found that a staff member filmed a resident during care and posted the video online, resulting in loss of personal dignity and emotional abuse; protection of the resident was not ensured.
    • LicensingFailed to protect resident from verbal abuse
    16 Apr 2024Inspection
    Found that medication and treatment orders were not carried out as prescribed. This constitutes a licensing violation.
    • LicensingFailed to administer medication as ordered
    01 Apr 2024Inspection
    Investigated a medication administration issue and found orders were not carried out as prescribed, a licensing violation.
    • LicensingFailed to administer medication as ordered
    23 Mar 2024Inspection
    Investigated the allegation and found that medication orders were not carried out as prescribed.
    • LicensingFailed to administer ordered medication
    22 Mar 2024Inspection
    Determined that ordered medication was not administered as prescribed, violating Oregon Administrative Rules.
    • LicensingFailed to administer ordered medication
    19 Mar 2024Abuse: Neglect
    Investigated the allegation of not following the care plan, which contributed to an unwitnessed fall and injury; a fine was assessed.
    • AbuseFailed to follow care plan
    16 Mar 2024Inspection
    Found failure to administer medication as ordered. Violated Oregon Administrative Rules.
    • LicensingFailed to administer medication as ordered
    14 Mar 2024Inspection
    Investigated the allegation and found a medication administration deficiency. It involved not administering medication as ordered by the physician.
    • LicensingFailed to administer medication as ordered
    11 Mar 2024Inspection
    Investigated a complaint alleging failure to administer prescribed medication and found that medication and treatment orders were not carried out.
    • LicensingFailed to administer ordered medication
    08 Mar 2024Inspection
    Found that medication orders were not administered as prescribed.
    • LicensingFailed to administer medication as ordered
    26 Feb 2024Inspection
    Found that staff did not visually observe residents taking medications, violating safety rules.
    • LicensingFailed to provide a safe medication administration system
    26 Feb 2024Inspection
    Found that medication orders were not administered as prescribed.
    • LicensingFailed to administer medication as ordered
    06 Feb 2024Inspection
    Investigated the staffing allegation and found insufficient qualified awake direct care staff to meet residents' 24-hour needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    31 Jan 2024Complaint
    Found no deficiencies.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencySystems: Medication Administration
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyFire and Life Safety: Safety
    26 Jan 2024Inspection
    Found a violation of safe medication administration practices. Documentation indicated no negative outcome for the individual.
    • LicensingFailed to provide a safe medication administration system
    19 Jan 2024Inspection
    Found a violation for failing to provide three daily meals seven days a week.
    • LicensingFailed to provide proper food/nutrition
    26 Dec 2023Inspection
    Investigated the allegation and found a violation for failing to administer medication as ordered.
    • LicensingFailed to administer medication as ordered
    14 Dec 2023License Condition
    Identified failure to use an ABST as required.
    • Regulatory ActionFailed to use an ABST
    13 Nov 2023Abuse: Neglect
    Found failure to follow the care plan for a known fall risk, resulting in a fall and injury; a fine was assessed.
    • AbuseFailed to follow care plan
    22 Oct 2023Inspection
    Found a deficiency in the safe medication administration system that could cause harm. Documentation indicated no negative outcome.
    • LicensingFailed to provide a safe medication administration system
    22 Oct 2023Inspection
    Investigated the allegation and found a deficiency in the safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    15 Oct 2023Inspection
    Investigated the staffing allegation and found insufficient qualified awake direct care staff to meet 24-hour resident needs.
    • LicensingFailed to provide appropriate staffing
    15 Oct 2023Inspection
    Determined that unannounced fire drills were not conducted, resulting in a violation of Oregon Administrative Rules.
    • LicensingFailed to assure resident rights
    12 Oct 2023Complaint
    Investigated and found no deficiencies.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Rights and Protection - General
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyInvoluntary Move-Out Criteria
    10 Oct 2023Licensure
    Identified multiple deficiencies in kitchen sanitation and storage, with follow-up visits showing a repeated failure to correct the issues and ongoing noncompliance with food sanitation rules.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    10 Oct 2023Licensure
    Concluded substantial compliance after follow-up visits addressing kitchen sanitation deficiencies observed earlier.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Compliance
    29 Sept 2023Abuse: Neglect
    Investigated a complaint and found neglect resulting in hypoglycemia and a fall after insulin was given without breakfast, leading to hospital transfer.
    • AbuseFailed to provide service
    11 Sept 2023Inspection
    Investigated and found a medication administration violation for failing to carry out orders as prescribed.
    • LicensingFailed to administer medication as ordered
    05 Sept 2023Inspection
    Found a deficiency in ensuring residents were properly notified when move-out was requested.
    • LicensingFailed to assure resident rights
    05 Sept 2023Inspection
    Investigated an allegation related to resident rights and found that health, medical, behavioral or care needs were not evaluated within 24 hours after the resident was deemed ready for discharge. Found a licensing violation.
    • LicensingFailed to assure resident rights
    31 Jul 2023Inspection
    Investigated and found that three daily nutritious, palatable meals with snacks were not provided seven days a week.
    • LicensingFailed to provide proper food/nutrition
    31 Jul 2023Inspection
    Investigated allegation of failing to administer medications as ordered; found failure to carry out medication and treatment orders.
    • LicensingFailed to administer medication as ordered
    19 Jul 2023Abuse: Neglect
    Found violations of resident rights due to neglect and abuse from not following the care plan, including missed meals and clothing left overnight.
    • AbuseFailed to follow care plan
    01 Jun 2023Inspection
    Found insufficient qualified awake direct care staff to meet residents' 24-hour needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    19 May 2023Abuse: Neglect
    Investigated and found a failure to provide a safe medication administration system, resulting in a resident not receiving medications as ordered and at risk for high blood pressure.
    • AbuseFailed to provide a safe medication administration system
    13 Mar 2023License Condition
    Found that ABST staffing requirements were not met due to incomplete implementation and updates of the Acuity Based Staffing Tool.
    • Regulatory ActionFailed to staff as indicated by ABST
    13 Mar 2023License Condition
    Found failure to properly care plan, with quarterly service plans overdue and not current. This violated a state rule.
    • Regulatory ActionFailed to properly plan care
    13 Mar 2023License Condition
    Investigated an abuse reporting allegation and identified deficiencies in reporting and staffing documentation.
    • Regulatory ActionFailed to report potential or suspected abuse
    24 Jan 2023Complaint
    Found deficiencies in abuse reporting, meals and sanitation, service planning, and acuity-based staffing.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyService Plan: General
    • DeficiencyAcuity-Based Staffing Tool
    24 Jan 2023Complaint
    Identified deficiencies in change of condition and monitoring, resident health services, and treatment orders.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencySystems: Treatment Orders
    17 Jan 2023Inspection
    Found failure to administer medication as ordered, indicating a licensing violation.
    • LicensingFailed to administer medication as ordered
    17 Jan 2023Inspection
    Found deficiencies in nursing services and in timely assessment and documentation for residents with changes in condition.
    • LicensingFailed to assure resident rights
    17 Jan 2023Inspection
    Investigated a concern and found deficient oversight and documentation of a resident's short-term change of condition, including failure to assess, determine actions, and communicate staff instructions.
    • LicensingFailed to provide oversight and monitoring of change of condition
    11 Jan 2023Abuse: Neglect
    Found that fall-risk care planning wasn’t properly implemented, leading to multiple unwitnessed falls and injuries; a $375 fine was assessed.
    • AbuseFailed to properly plan care
    09 Jan 2023Inspection
    Found a violation for not providing three daily nutritious meals with snacks seven days a week.
    • LicensingFailed to provide proper food/nutrition
    04 Jan 2023Inspection
    Investigated a failure to follow a care plan during a transfer without a gait belt, which caused a bruise; found neglect and abuse.
    • LicensingFailed to follow care plan
    29 Dec 2022Abuse: Neglect
    Found neglect and abuse due to failing to provide 1:1 caregiving and document needs, leading to a resident being left alone and falling with discomfort; a fine was assessed.
    • AbuseFailed to provide service
    30 Aug 2022Initial
    Found widespread deficiencies in resident care planning, health services coordination, safety, and staff training. Substantial compliance was achieved on follow-up.
    • DeficiencyComment
    • DeficiencyReasonable Precautions
    • DeficiencyResident Services: Activities
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRn Delegation and Teaching
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building Exterior
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyActivities
    • DeficiencyBehavior
    • DeficiencyOutside Area
    29 Aug 2022Initial
    Confirmed substantial compliance with applicable regulations after licensing review; prior findings identified deficiencies in move-in evaluations, service plans, changes of condition monitoring, medication management, and safety.
    • DeficiencyComment
    • DeficiencyReasonable Precautions
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Self-Administration of Meds
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyAnnual and Biennial Inservice For All Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building Exterior
    01 Jul 2022Abuse: Neglect
    Found neglect and abuse due to failure to plan and implement care related to falls, resulting in a head injury.
    • AbuseFailed to properly plan care
    27 May 2022Abuse: Neglect
    Found that an alleged victim did not receive necessary care (transfers, bathing, toileting, and wound care) due to staffing shortages, resulting in repeated discomfort and risk of harm. These deficiencies violated resident rights and constituted abuse and neglect.
    • AbuseFailed to provide service
    14 May 2022Abuse: Neglect
    Found neglect and abuse for failing to intervene when a resident's condition changed, causing unreasonable discomfort. A $250 fine was assessed.
    • AbuseFailed to intervene when resident's condition changed
    23 Apr 2022Abuse: Neglect
    Investigated a case of neglect where a wandering resident left the premises twice in two days due to not following the care plan, resulting in a skin injury. A fine was assessed.
    • AbuseFailed to follow care plan
    06 Jan 2022Abuse: Neglect
    Determined that medication was not administered as ordered, causing unreasonable discomfort, and a fine was assessed for abuse/neglect.
    • AbuseFailed to administer medication as ordered
    29 Jun 2021Abuse: Neglect
    Investigated and found neglect and abuse due to failure to provide a safe environment, causing a resident to sustain a hip fracture from a wheelchair-related fall.
    • AbuseFailed to provide safe environment
    19 Mar 2021Abuse: Neglect
    Investigated a neglect allegation for failing to administer a prescribed topical medication as ordered; findings show the medication was not administered as ordered, constituting abuse.
    • AbuseFailed to administer medication as ordered
    28 Dec 2020Inspection
    Determined that there was a substantiated allegation of inadequate infection control practices.
    • LicensingFailed to provide safe environment
    24 Dec 2020Inspection
    Determined a licensing violation for failing to provide a safe environment and for not following infection control practices.
    • LicensingFailed to provide safe environment

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