Sea View Senior Living Community

    98059 Gerlach Ln, Brookings, OR 97415
    • Independent Living
    • Assisted Living
    • Memory Care

    Clean comfortable apartment, caring staff

    I love my new home - a clean, comfortable apartment with ocean views and a welcoming, caring staff. The restaurant-style dining is excellent, activities are plentiful, and maintenance and services (salon, shuttle, weekly maid, move-in help) are top-notch. I'm very happy with the community and level of care.

    Current/former resident
    Jul 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
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 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
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement

    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

    3.64·(45)

    Overall rating

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

      3.3
    • Staff

      3.6
    • Meals

      3.4
    • Amenities

      3.7
    • Value

      1.5

    Pros

    • Ocean-view rooms
    • Clean, well-furnished apartments
    • Compassionate caregiving staff
    • Restaurant-style dining
    • Varied daily activities and entertainment
    • Regular shuttle and transportation service
    • Well-maintained grounds and outdoor spaces
    • Pet-friendly with designated dog area
    • Active maintenance and engineering support
    • Memory-care services available
    • Move-in assistance and supportive admissions staff
    • Salon and weekly housekeeping services

    Cons

    • Inconsistent meal quality and dining service
    • Irregular personal-care and bathing schedules
    • Frequent staff turnover and management changes
    • Gaps in family communication and scheduling
    • Limited evening social programming
    • Insufficient accountability and HR presence
    • Limited on-site walking paths
    • Noise and safety concerns from highway proximity
    • Inadequate dietary accommodations for special needs
    • Room-view variability with limited ocean-view availability
    • Laundry and housekeeping operational inconsistencies
    • Limited internet/Wi‑Fi access

    Summary of reviews

    Sea View Senior Living presents a mixed but instructive profile for prospective residents and families. Many comments highlight visible strengths: newer construction and ocean-view units, clean and well-furnished apartments, attractive outdoor spaces and decks, and a generally strong maintenance and engineering presence. Community amenities such as restaurant-style dining, a salon, weekly housekeeping, a shuttle service to local shopping, pet-friendly provisions, and an active calendar of activities (music, social hours, Bingo, concerts and festivals) are consistently described as positive features that contribute to resident quality of life.

    Care and staff are described in predominantly positive terms by numerous families: staff members are frequently called compassionate, patient, and supportive, with specific praise for individual caregivers and admissions staff who assist with move-ins. Memory-care availability and thoughtful end-of-life support are noted as strengths. At the same time, there are recurring operational concerns around clinical- and care-delivery consistency. Reviewers cite irregular personal-care routines (for example, inconsistent bathing schedules), occasional delays in meal delivery or meals-to-room when residents are ill, and lapses in equipment tracking and coordination. These observations suggest variability in day-to-day caregiving reliability that warrants direct inquiry during tours and care-plan discussions.

    Dining emerges as a polarizing area: many praise the food quality and restaurant-style dining environment, while others describe a decline in meal quality over time and inconsistent service. Dietary accommodations (diabetes-friendly options, gluten-free choices, and other special diets) are described as limited in some accounts. Families should evaluate sample menus, observation of a meal service, and the facility’s protocols for special-diet management when assessing fit.

    Programming and social life are generally viewed positively during daytime hours, with a wide range of activities and frequent entertainment noted. Several reviews, however, point to evening loneliness and a dearth of late-day offerings; limited social integration for some residents is also mentioned. Outdoor walking options are constrained by the property layout and a fenced perimeter, and proximity to a busy highway raises noise and safety considerations for those seeking extensive outdoor walking paths on site.

    Management and operational oversight show mixed signals. Positive comments reference an active and involved administration in some units, while other accounts cite frequent management turnover, communication breakdowns with families, and an absence of dedicated on-site human-resources accountability. A small number of serious concerns are described in strong terms, including allegations of clinical failures and concerns following a resident's death; these are significant outliers that families should probe further through direct questions, documentation, and contact with regulators if needed.

    In summary, Sea View offers many amenities and strengths that appeal to residents seeking comfortable accommodations, ocean views, active programming, and compassionate staff. Prospective residents should weigh these strengths against documented operational weaknesses — particularly consistency of care, meal-service reliability, evening programming, dietary accommodations, and management stability — and perform targeted due diligence (meal observations, interviews about staffing and scheduling, review of incident/quality records, and verification of accountability structures) to determine whether the facility’s current operational practices meet their expectations and care needs.

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    Location

    Map showing location of Sea View Senior Living Community

    Sea View Senior Living Community is located at 98059 Gerlach Ln, Brookings, OR, 97415.

    About Sea View Senior Living Community

    Sea View Senior Living Community sits by the sea and feels calm, with rooms that look out over the ocean, the hills, or even Highway 101 if that's the direction you're in, and people say the surroundings help them relax, especially since there's a wild wetlands area out back with a raised deck where folks can get some fresh air or even walk their dogs in the pet area, if they've got one, and sit quietly with a book or just watch the birds. The community's bright and cheerful decor and the heated floors in the bathing rooms make things a little more comfortable, and there's TV and high-speed Wi-Fi in every room so residents can keep up with their shows or family if they want. People who live here might have their own private room or be in a shared room, and independent living suites come with full kitchens and extra bedrooms for the more active crowd who don't want to worry about lots of chores or upkeep.

    Sea View's staff members, a lot of whom are led by physicians, know their way around all sorts of senior care needs and keep up 24/7 care in the main facility and the secured Memory Care unit, which is important for folks who need help with Alzheimer's, dementia, or memory loss, because those areas have trained caregivers, locked doors, and a safe outdoor space so there's less stress about wandering or confusion. The place supports independence where possible, and for people who need extra help, staff can handle day-to-day things like dressing, bathing, or medicine. There's respite care if someone only needs to stay for a bit-say, while their main caregiver takes a break or if there's been a recent illness-and the staff encourages family visits, with meeting spaces for caregivers.

    For activities, there's a little of everything-arts and crafts, music, Bingo, social clubs, mini concerts, exercise programs, even ways to get out into the local community for special events or shuttle rides to visit Curry Health Network and other nearby hospitals or clinics, and the activity director makes sure everyone knows what's going on when. The home-style kitchen keeps the food nutritious and friendly to special diets, and the modern dining room, which looks a bit like a restaurant, is a spot for connections over meals. Outdoor spaces make it easy to get sunshine and fresh air, whether on the decks or just around the property, and folks can even bring pets within certain limits.

    Sea View's large facility has 78 beds, manages cleanliness carefully, and has secured access for safety. The Lodge At Sea View offers retirement living in a community setting, aiming to support different lifestyles with independent living, assisted living, memory care, and respite care all under one roof. The place runs as a non-profit, and though there have been restrictions on some of its internet features, staff focus on providing comfort and support, always looking for ways to help residents feel at home while getting the care they need as they age.

    People often ask...

    Sea View Senior Living Community offers competitive pricing, with rates starting at a cost of $6,189 per month.

    Sea View Senior Living Community offers independent living, assisted living, and memory care.

    There are 40 photos of Sea View Senior Living Community on Mirador.

    Yes, Sea View Senior Living Community allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 98059 Gerlach Ln, Brookings, OR 97415.

    No, Sea View 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 number50R368
    StatusActive
    Facility typeResidential Care Facility
    Capacity35 residents
    LicenseeSea View Assisted Living Community, LLC
    EffectiveJune 1st, 2010
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    232

    Reports

    0

    Type A Citations

    0

    Type B Citations

    3

    Complaints

    16

    Years

    25 Mar 2026Abuse: Neglect
    Found neglect of care and abuse due to failure to notify a physician after significant weight loss; assessed a $250 fine.
    • AbuseFailed to intervene when resident's condition changed
    16 Dec 2025Inspection
    Found a deficiency in keeping an accurate medication administration record for all medications, indicating a gap in safe medication administration.
    • LicensingFailed to provide a safe medication administration system
    16 Dec 2025Inspection
    Determined that the allegation of failing to intervene when a resident's condition changed is substantiated.
    • LicensingFailed to intervene when resident's condition changed
    31 Oct 2025Inspection
    Investigated the allegation that a safe environment was not provided. Found no licensing violations or abuse.
    • LicensingFailed to provide safe environment
    05 Sept 2025License Condition
    Concluded that the provider failed to provide a safe environment, risking immediate jeopardy to residents.
    • Regulatory ActionFailed to provide safe environment
    10 Aug 2025Abuse: Neglect
    Investigated and found a failure to provide a safe environment, with doors not locked that allowed an elopement attempt. A $375 fine was assessed.
    • AbuseFailed to provide safe environment
    16 Apr 2025Inspection
    Determined neglect and abuse occurred due to failure to follow the care plan and safety checks, leaving the resident at risk.
    • LicensingFailed to provide safe environment
    14 Feb 2025Inspection
    Identified failure to develop, maintain, and implement an Acuity Based Staffing Tool, violating Oregon Administrative Rule.
    • LicensingFailed to use an ABST
    09 Feb 2025Inspection
    Investigated and found that an acuity-based staffing tool was not developed, maintained, or implemented. This constitutes a licensing violation.
    • LicensingFailed to use an ABST
    09 Feb 2025Abuse: Neglect
    Investigated a resident-to-resident incident and found neglect and abuse due to inadequate interventions; a $375 fine assessed.
    • AbuseFailed to provide safe environment
    09 Feb 2025Abuse: Neglect
    Investigated a resident-to-resident abuse/neglect allegation and found inadequate interventions failed to ensure a safe environment, risking harm.
    • AbuseFailed to provide safe environment
    06 Feb 2025Kitchen
    Identified sanitation and administration deficiencies in meals and food service areas, including dirty kitchen surfaces, unlabeled items, temperature concerns, and a missing staff illness policy.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    06 Feb 2025Kitchen
    Identified multiple cleanliness and sanitation deficiencies in the kitchen and storage areas, including unclean surfaces, damaged equipment, missing sanitizers, and unlabeled items.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    17 Jan 2025Abuse: Neglect
    Investigated and found deficiencies in fall risk management and care planning, with multiple unreported falls and no interventions to prevent further injuries.
    • AbuseFailed to properly plan care
    11 Jan 2025Inspection
    Found a deficiency for failing to develop, maintain, and implement an Acuity Based Staffing Tool, in violation of Oregon Administrative Rule.
    • LicensingFailed to use an ABST
    02 Nov 2024Inspection
    Found failure to develop, maintain, and implement an Acuity Based Staffing Tool.
    • LicensingFailed to use an ABST
    30 Jul 2024Complaint
    Found no deficiencies.
    • DeficiencyGeneral Building Exterior
    30 Jul 2024Complaint
    Found no deficiencies. Investigated a complaint about an acuity-based staffing tool and related investigations.
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyInspections and Investigations
    26 Jun 2024Inspection
    Identified a deficiency for failing to keep exterior pathways and accesses to common-use areas in good repair and accessible.
    • LicensingFailed to maintain a safe physical environment
    12 Mar 2024Abuse: Neglect
    Investigated and found violations where inadequate care planning and interventions failed to prevent falls and injury.
    • AbuseFailed to properly plan care
    17 Feb 2024Abuse: Neglect
    Found that the care plan was not followed to keep residents separated, leading to two altercations and injuries; a $188 fine was assessed.
    • AbuseFailed to follow care plan
    05 Feb 2024Inspection
    Investigated the allegation and found a staff member refused to help a resident out of bed for breakfast, compromising dignity, and the environment failed to provide a safe setting.
    • LicensingFailed to assure resident rights
    04 Jan 2024Inspection
    Investigated a complaint and found that staff did not follow the care plan to place the fall mat, resulting in bruising and discomfort for a resident.
    • LicensingFailed to follow care plan
    23 Oct 2023Abuse: Neglect
    Found neglect and abuse due to failure to properly care plan for a known fall risk, which caused a resident to fall from a wheelchair during mealtime and injure their head; a fine of $375 was assessed.
    • AbuseFailed to properly plan care
    11 Jun 2023Abuse: Neglect
    Investigated found inadequate care planning and safety measures that led to a resident-to-resident altercation with injuries; a fine was assessed.
    • AbuseFailed to properly plan care
    04 Jun 2023Abuse: Neglect
    Investigated a complaint of neglect and abuse and found improper care planning for repeated falls, resulting in injury.
    • AbuseFailed to properly plan care
    21 May 2023Inspection
    Investigated a complaint and found a failure to provide a safe medication administration system, resulting in a diabetes dose being given about 2.5 hours early and deemed abuse.
    • LicensingFailed to provide a safe medication administration system
    12 Apr 2023Abuse: Neglect
    Investigated and found violations related to medication management and resident rights, with a $500 fine assessed.
    • AbuseFailed to provide medical treatment as ordered
    12 Apr 2023Abuse: Neglect
    Determined neglect related to medication administration occurred, resulting in incorrect medication and discomfort; a fine was assessed.
    • AbuseFailed to keep medication record current or accurate
    26 Mar 2023Inspection
    Investigated and identified violations involving abuse prevention and resident rights; a staff member used physical force to seat a resident, causing unreasonable discomfort.
    • LicensingFailed to protect resident from physical abuse
    26 Mar 2023Inspection
    Investigated the allegation of physical abuse and found a violation for failing to protect a resident from abuse. The findings describe holding the resident’s hands down across their lap, which caused distress and constituted abuse.
    • LicensingFailed to protect resident from physical abuse
    10 Mar 2023Abuse: Neglect
    Found that the resident's chronic pain medication was not reordered timely, causing a missed dose and unnecessary discomfort, which constitutes neglect and abuse.
    • AbuseFailed to have medication available
    06 Mar 2023Abuse: Neglect
    Identified a failure to provide a safe medication administration system, which led to the Alleged Victim not receiving a reordered PRN breathing treatment and experiencing unnecessary discomfort, constituting abuse and neglect. A fine of $188 was assessed.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    02 Mar 2023Complaint
    Investigated a complaint and identified deficiencies related to resident rights and ADL services. These findings reference state regulatory requirements.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Rights and Protection - General
    • DeficiencyResident Services: Adls
    27 Feb 2023Inspection
    Found a licensing violation for failing to provide 24-hour ADL assistance to a resident, including toileting and bowel/bladder management, with evidence of a towel and commode having dried feces and urine.
    • LicensingFailed to provide appropriate housekeeping services
    11 Jan 2023Inspection
    Found that a prescribed medication was not given as ordered, indicating a medication administration failure was verified.
    • LicensingFailed to administer medication as ordered
    11 Jan 2023Inspection
    Investigated the allegation that a medication was marked as administered when it was not; findings verified an inaccuracy in the Medication Administration Record.
    • LicensingFailed to administer ordered medication
    10 Jan 2023Abuse: Neglect
    Found neglect and abuse due to failure to care plan for a high fall risk resident, resulting in a fall and injuries. A $375 fine was assessed.
    • AbuseFailed to properly plan care
    25 Nov 2022Abuse: Neglect
    Investigated and found neglect and abuse due to failure to have pain medication available, leaving a resident without pain relief from November 25 to 28, 2022.
    • AbuseFailed to have medication available
    24 Nov 2022Inspection
    Determined a failure to have insulin medication on hand for timely dispensing, creating potential for harm.
    • LicensingFailed to provide a safe medication administration system
    18 Nov 2022Abuse: Neglect
    Investigated and found violations for neglect and abuse due to failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    27 Oct 2022Inspection
    Investigated found that a staff member failed to follow the care plan during hygiene care, grabbing the resident by the inner thigh to turn them in bed, causing pain and red marks and constituting physical abuse.
    • LicensingFailed to follow care plan
    27 Sept 2022Validation
    The investigation identified numerous deficiencies across administration, records, resident services, health care, pain management, safety, training, and fire safety, resulting in multiple citations.
    • DeficiencyComment
    • DeficiencyFacility Administration: Operation
    • DeficiencyFacility Administration: Records
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Resident Right to Refuse
    • DeficiencySystems: Medication Administration
    • 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
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyPlumbing Systems
    • DeficiencyIndividual Door Locks: Key Access
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyBehavior
    26 Sept 2022Validation
    Investigated numerous deficiencies in resident care, health services, medication management, fire safety, and building upkeep; concluded substantial compliance after follow-up review.
    • DeficiencyComment
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencySystems: Tracking Control Substances
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Resident Right to Refuse
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Self-Administration of Meds
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    • 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: Doors-Walls, Cleanable
    24 Sept 2022Abuse: Neglect
    Found a failure to provide a safe medication administration system that caused pain and discomfort; a $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    19 Sept 2022Inspection
    Investigated and concluded that a licensing violation occurred due to failure to treat a resident with dignity and respect.
    • LicensingFailed to assure resident rights
    15 Sept 2022Abuse: Neglect
    Identified neglect and abuse due to failing to address a resident's inappropriate interactions. This caused emotional harm to the resident.
    • AbuseFailed to address resident's behavior
    10 Sept 2022Abuse: Neglect
    Found neglect and abuse due to failing to reorder medications timely, leaving a resident without a breathing treatment. A $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    07 Aug 2022Abuse: Neglect
    Found that a care plan for two involved residents was not properly developed, resulting in emotional distress from their interactions.
    • AbuseFailed to properly plan care
    07 Aug 2022Abuse: Neglect
    Investigated an abuse/neglect allegation and found a failure to properly care plan for residents, causing emotional distress. A fine was assessed.
    • AbuseFailed to properly plan care
    19 Jul 2022Inspection
    Found violations involving restraint of a combative resident that caused a skin tear and violated resident rights.
    • LicensingFailed to protect resident from physical abuse
    19 Jul 2022Inspection
    Investigated the allegation of failure to protect a resident from physical abuse; a staff member's actions were found to be abuse and neglect, with a skin tear observed.
    • LicensingFailed to protect resident from physical abuse
    19 Jul 2022Inspection
    Investigated the allegation of mental/emotional abuse; found that a staff member yanked a resident's cup during a meal, causing distress and a spill.
    • LicensingFailed to protect resident from mental or emotional abuse
    16 Jul 2022Abuse: Neglect
    Investigated and identified a failure to provide a safe environment that led to minor harm; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    16 Jul 2022Abuse: Neglect
    Found a failure to provide a safe environment, constituting abuse and neglect after an altercation between residents.
    • AbuseFailed to provide safe environment
    04 Jul 2022Abuse: Neglect
    Found supervision and staff support failures related to known behaviors, leading to an incident where a resident struck another. A $375.00 fine was assessed.
    • AbuseFailed to provide safe environment
    29 Jun 2022Abuse: Neglect
    Investigated identified neglect and abuse due to failure to provide a safe environment, after a resident-to-resident incident caused by inadequate supervision.
    • AbuseFailed to provide safe environment
    23 May 2022Inspection
    Found that a staff member restrained the resident by grabbing the wrists, causing a bruise with an untrained technique, violating resident rights and constituting neglect and wrongful restraint, and that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    09 May 2022Abuse: Neglect
    Found a pest-control deficiency after ants were found on a resident and their bed, placing them at risk of harm.
    • AbuseFailed to control pests
    16 Mar 2022Inspection
    Determined a violation for failing to protect a resident's property from theft after money and slippers disappeared, with an unknown person responsible for the theft.
    • LicensingFailed to protect resident from financial exploitation
    14 Mar 2022Inspection
    Investigated and determined that a licensing violation occurred due to failure to provide transportation for medical purposes.
    • LicensingFailed to provide service
    19 Feb 2022Abuse: Neglect
    Investigated a complaint and found inadequate care planning for a resident's behaviors, exposing another resident to risk of harm and constituting abuse and neglect.
    • AbuseFailed to properly plan care
    14 Feb 2022Inspection
    Investigated an allegation that care plan procedures were not followed; found that a staff member failed to keep two residents separated as required, placing them at risk of harm.
    • LicensingFailed to follow care plan
    30 Jan 2022Abuse: Neglect
    Investigated a medication administration incident and found violations involving an unsafe medication system and inadequate staff training, constituting abuse and neglect; a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    16 Jan 2022Inspection
    Found inadequate staffing to meet scheduled and unscheduled resident needs.
    • LicensingFailed to provide appropriate staffing
    19 Sept 2021Abuse: Neglect
    Determined there was a failure to provide a safe environment, leading to a resident injury after altercations between residents.
    • AbuseFailed to provide safe environment
    04 Sept 2021Abuse: Neglect
    Found a failure to protect residents and an incident that placed them at risk, with a fine assessed.
    • AbuseFailed to provide safe environment
    04 Sept 2021Abuse: Neglect
    Investigated an incident of abuse and neglect; found that staff did not use appropriate interventions for a resident's behavior, leaving both residents at risk for harm.
    • AbuseFailed to provide safe environment
    26 Aug 2021Abuse: Neglect
    Found neglect and abuse from failure to plan for conflicts between residents, which led to a staff member yelling at a resident and causing fear and discomfort; a $188 fine was assessed.
    • AbuseFailed to properly plan care
    26 Aug 2021Abuse: Neglect
    Found neglect and abuse due to failure to provide a safe environment after an unwanted hug, with a $188 fine assessed.
    • AbuseFailed to provide safe environment
    18 Aug 2021Abuse: Neglect
    Determined care plans weren't followed and staffing was insufficient, leading to resident skin injuries and neglect/abuse.
    • AbuseFailed to follow care plan
    08 Jun 2021Inspection
    Investigated the allegation of insufficient staffing and substantiated that there was not enough staff to meet residents' scheduled and unscheduled needs, including kitchen and food service.
    • LicensingFailed to provide appropriate staffing
    09 Apr 2021Inspection
    Investigated an allegation that a staff member gave a discontinued medication to a resident who had already received it. Found a failure to provide a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    26 Mar 2021Inspection
    Investigated the allegation and determined there was a violation for unsafe medication administration, including expired medication.
    • LicensingFailed to provide a safe medication administration system
    05 Jan 2021Inspection
    Investigated and found that medications were not administered as prescribed.
    • LicensingFailed to provide a safe medication administration system
    30 Dec 2020Inspection
    Investigated the allegation of an unsafe medication administration system and found that medication and treatment orders were not carried out as prescribed.
    • LicensingFailed to provide a safe medication administration system
    11 Dec 2020Inspection
    Identified a violation where medication and treatment orders were not carried out as prescribed.
    • LicensingFailed to provide a safe medication administration system
    01 Oct 2020Inspection
    Investigated the complaint and found a deficiency for not having enough awake qualified direct care staff to meet residents' needs, and a resident waited over 30 minutes for a call light response.
    • LicensingFailed to answer call light in a timely manner
    17 Sept 2020Inspection
    Found a deficiency in the safe medication and treatment administration system, with medication and treatment orders carried out as prescribed.
    • LicensingFailed to provide a safe medication administration system
    19 Aug 2020Inspection
    Found failure to administer medication as ordered. Medication was marked as given but not actually administered.
    • LicensingFailed to administer medication as ordered
    30 Jul 2020Inspection
    Found insufficient awake qualified direct care staff to meet scheduled and unscheduled resident needs, resulting in a resident waiting 2 hours for a call-light response.
    • LicensingFailed to answer call light in a timely manner
    01 Jul 2020Inspection
    Investigated a medication administration allegation and found that orders were not carried out as prescribed, verified from a resident care complaint.
    • LicensingFailed to administer medication as ordered
    13 May 2020Inspection
    Investigated the allegation of inadequate professional oversight of the medication and treatment administration system. Found inadequate professional oversight of the medication and treatment administration system.
    • LicensingFailed to provide a safe medication administration system
    22 Apr 2020Inspection
    Determined a deficiency regarding outdoor furniture weight, stability, design, and maintenance intended to prevent elopement.
    • LicensingFailed to provide safe environment
    17 Mar 2020Inspection
    Investigated an allegation of failing to administer medication as ordered and found medication orders were not carried out as prescribed.
    • LicensingFailed to administer medication as ordered
    17 Mar 2020Inspection
    Determined that medication orders were not carried out as prescribed.
    • LicensingFailed to administer medication as ordered
    17 Mar 2020Inspection
    Found that medication orders were not carried out as prescribed.
    • LicensingFailed to administer ordered medication
    06 Mar 2020Inspection
    Confirmed a failure to provide a safe environment that could threaten residents' health, safety, and welfare.
    • LicensingFailed to provide safe environment
    11 Feb 2020Inspection
    Found inadequate professional oversight of the medication administration system.
    • LicensingFailed to provide a safe medication administration system
    02 Feb 2020Abuse: Neglect
    Found violations for failing to follow a care plan and monitor residents, which led to an altercation and potential harm, with a $188 fine assessed.
    • AbuseFailed to follow care plan
    31 Jan 2020Abuse: Neglect
    Investigated a complaint about failure to follow a care plan that led to a resident-to-resident altercation; findings indicate neglect and abuse.
    • AbuseFailed to follow care plan
    20 Aug 2019Inspection
    Investigated an allegation of unsafe medication administration and found that prescribed medications were not administered, creating a risk of serious harm.
    • LicensingFailed to provide a safe medication administration system
    16 Jul 2019Inspection
    Found that staff performed a task without proper delegation from a nurse, violating nursing delegation requirements.
    • LicensingFailed to comply with nursing delegation requirement
    15 Oct 2018Abuse: Financial abuse
    Found financial exploitation of a resident with assets wrongfully taken, resulting in financial loss.
    • AbuseFailed to protect resident from financial exploitation
    30 Sept 2018Abuse: Neglect
    Found neglect related to medication administration that created risk of harm by failing to provide scheduled medication, and a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    06 Sept 2018Inspection
    Found a licensing violation for failing to administer medications as ordered, which created a risk of serious harm; a $450 fine was assessed.
    • LicensingFailed to administer medication as ordered
    23 Aug 2018Abuse: Neglect
    Found neglect by failing to dispense medications as prescribed, creating a risk of serious harm; a $375 fine was assessed.
    • AbuseFailed to administer medication as ordered
    06 Aug 2018Inspection
    Concluded that a failure to report potential or suspected abuse occurred and assessed a $750 civil penalty.
    • LicensingFailed to report potential or suspected abuse
    12 Jul 2018Inspection
    Found failure to report suspected abuse; a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    12 Jul 2018Abuse: Restraints
    Investigated and found that residents' mobility was restricted by removing mobility devices at night. A fine was assessed for the violations.
    • AbuseFailed to assure resident rights
    12 Jul 2018Inspection
    Determined that the allegation of failing to provide a safe environment was supported, with findings of neglect leading to a verbal altercation between residents and significant emotional harm.
    • LicensingFailed to provide safe environment
    21 Jun 2018Inspection
    Determined that care supervision and health services were not provided, creating risk of harm and discomfort.
    • LicensingFailed to properly plan care
    07 May 2018Inspection
    Found medications were not dispensed as ordered, and a fine was assessed.
    • LicensingFailed to administer medication as ordered
    25 Apr 2018Inspection
    Found that ordered medication was not dispensed as prescribed, resulting in a licensing violation; a $375 fine was assessed.
    • LicensingFailed to administer ordered medication
    23 Apr 2018Inspection
    Found that a safe medication administration system was not provided.
    • LicensingFailed to provide a safe medication administration system
    28 Mar 2018Inspection
    Investigated the allegation of failing to follow a care plan; the finding showed the provider did not provide appropriate care, with potential for harm.
    • LicensingFailed to follow care plan
    23 Feb 2018Abuse: Neglect
    Investigated an allegation of inadequate care planning for falls and found a resident was not adequately protected from physical harm.
    • AbuseFailed to adequately care plan related to falls
    22 Feb 2018Inspection
    Investigated an allegation of failing to report suspected abuse; found a reporting deficiency.
    • LicensingFailed to report potential or suspected abuse
    22 Feb 2018Abuse: Neglect
    Found an inadequate medication administration system. A $1500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    20 Feb 2018Abuse: Neglect
    Investigated an allegation of neglect related to medication administration and found a failure to maintain an adequate medication system, resulting in a $1,500 fine.
    • AbuseFailed to provide a safe medication administration system
    12 Feb 2018Inspection
    Investigated the allegation of failing to provide a safe medication administration system and found an inadequate medication system; a fine was assessed.
    • LicensingFailed to provide a safe medication administration system
    25 Jan 2018Inspection
    Found deficiencies in safe medication administration practices based on an allegation of multiple medication errors.
    • LicensingFailed to administer medication as ordered
    25 Jan 2018Inspection
    Identified inadequate staffing and staff training.
    • LicensingFailed to provide appropriate staffing
    25 Jan 2018Inspection
    Investigated an allegation that unqualified staff provided unsupervised direct resident care and found staffing and training deficiencies.
    • LicensingFailed to provide inservice
    20 Jan 2018Abuse: Neglect
    Investigated and found safety was not assured, with a $2,500 fine assessed.
    • AbuseFailed to assure resident was safe
    22 Dec 2017Inspection
    Found that the facility failed to provide an adequate medication system, and assessed a $300 fine.
    • LicensingFailed to provide a safe medication administration system
    21 Dec 2017Abuse: Neglect
    Investigated an abuse/neglect allegation and substantiated failure to follow the care plan, resulting in inadequate care for a resident.
    • AbuseFailed to follow care plan
    12 Dec 2017Inspection
    Cited a violation for an inadequate medication administration system.
    • LicensingFailed to provide a safe medication administration system
    08 Dec 2017Abuse: Neglect
    Found a safety deficiency involving failure to protect a resident from inappropriate physical contact by another resident.
    • AbuseFailed to provide safe environment
    22 Nov 2017Abuse: Neglect
    Investigated an allegation of neglect and found failure to provide appropriate care, resulting in a $300 fine.
    • AbuseFailed to provide service
    20 Nov 2017Inspection
    Investigated an allegation of insufficient staffing and substantiated that appropriate staffing was not provided.
    • LicensingFailed to provide appropriate staffing
    20 Nov 2017Inspection
    Investigated the staffing allegation and found deficiencies in staffing.
    • LicensingFailed to provide appropriate staffing
    05 Nov 2017Abuse: Neglect
    Found that proper supervision was not provided, creating risk of harm; a $400 fine was assessed.
    • AbuseFailed to provide safe environment
    02 Nov 2017Abuse: Financial abuse
    Investigated the allegation of an unsafe environment and found a resident's medication was not protected from loss.
    • AbuseFailed to provide safe environment
    28 Oct 2017Abuse: Neglect
    Found neglect due to failure to properly plan care and to provide appropriate supervision.
    • AbuseFailed to properly plan care
    18 Oct 2017Abuse: Neglect
    Identified an inadequate medication system.
    • AbuseFailed to provide a safe medication administration system
    04 Oct 2017Abuse: Neglect
    Found a failure to provide a safe medication administration system and assessed a $400 fine.
    • AbuseFailed to provide a safe medication administration system
    02 Oct 2017Inspection
    Found a deficiency in the medication administration system that could cause harm.
    • LicensingFailed to provide a safe medication administration system
    07 Sept 2017Inspection
    Found a failure to protect residents from inappropriate verbal comments.
    • LicensingFailed to properly plan care
    06 Sept 2017Abuse: Financial abuse
    Found that residents were not protected from financial exploitation.
    • AbuseFailed to protect resident from financial exploitation
    05 Sept 2017Inspection
    Found an inadequate medication administration system and assessed a $300 fine.
    • LicensingFailed to provide a safe medication administration system
    30 Aug 2017Condition
    Investigated a complaint and found violations indicating failure to maintain substantial compliance.
    • Regulatory ActionFailed to provide service
    28 Aug 2017Inspection
    Found a deficiency in the safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    28 Aug 2017Abuse: Neglect
    Investigated abuse/neglect case and found that appropriate care was not provided.
    • AbuseFailed to provide service
    22 Aug 2017Inspection
    Found failure to provide sanitary food service conditions.
    • LicensingFailed to provide sanitary food service conditions
    18 Aug 2017Inspection
    Found an inadequate medication administration system that posed potential harm.
    • LicensingFailed to provide a safe medication administration system
    18 Aug 2017Abuse: Neglect
    Investigated a neglect allegation and found inadequate oversight and monitoring of changes in condition; a $300 fine was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    15 Aug 2017Abuse: Neglect
    Investigated and substantiated a failure to protect RV's from inappropriate interactions, with a $250 fine assessed.
    • AbuseFailed to provide safe environment
    09 Aug 2017Abuse: Neglect
    Investigated the allegation of failing to provide a safe environment and found that a resident was not protected from physical harm.
    • AbuseFailed to provide safe environment
    25 Jul 2017Inspection
    Investigated allegation that a safe environment was not provided. Found residents were not protected from inappropriate interaction.
    • LicensingFailed to provide safe environment
    17 Jul 2017Abuse: Neglect
    Found failure to provide adequate care to RV, resulting in a significant weight loss. A $400 fine was assessed.
    • AbuseFailed to provide service
    13 Jul 2017Inspection
    Investigated the allegation and found a deficiency for failing to protect a resident from inappropriate verbal comments.
    • LicensingFailed to properly plan care
    13 Jul 2017Inspection
    Investigated an allegation that staff failed to intervene when a resident's condition changed and allowed inappropriate verbal comments toward a resident.
    • LicensingFailed to intervene when resident's condition changed
    11 Jul 2017Inspection
    Investigated the allegation of an unsafe environment and found a resident was not protected from inappropriate physical contact.
    • LicensingFailed to provide safe environment
    03 Jul 2017Abuse: Neglect
    Found that a safe environment was not provided for residents.
    • AbuseFailed to provide safe environment
    03 Jul 2017Inspection
    Investigated and found an inadequate medication administration system for RV1.
    • LicensingFailed to administer ordered medication
    22 Jun 2017Inspection
    Found that adequate care was not provided to a resident.
    • LicensingFailed to provide service
    20 Jun 2017Abuse: Neglect
    Identified an inadequate medication administration system.
    • AbuseFailed to provide a safe medication administration system
    13 Jun 2017Inspection
    Found a deficiency in the medication administration system that posed potential for harm.
    • LicensingFailed to provide a safe medication administration system
    12 Jun 2017Inspection
    Found a failure to provide a safe environment for RV1 and RV4.
    • LicensingFailed to provide safe environment
    12 Jun 2017Inspection
    Found a failure to provide a safe environment for residents RV1 and RV3.
    • LicensingFailed to provide safe environment
    30 May 2017Abuse: Neglect
    Investigated an allegation of neglect and found failures in care planning and in providing appropriate care to a resident.
    • AbuseFailed to properly plan care
    30 Mar 2017Inspection
    Found that medical treatment ordered was not provided as directed. The issue involved failing to follow doctor's orders for RV2.
    • LicensingFailed to provide medical treatment as ordered
    25 Mar 2017Abuse: Neglect
    Investigated an allegation of neglect and found an inadequate medication administration system.
    • AbuseFailed to provide a safe medication administration system
    20 Mar 2017Inspection
    Found to fail to provide a safe environment for residents.
    • LicensingFailed to provide safe environment
    17 Mar 2017Inspection
    Investigated an allegation and found a failure to dispense medications appropriately to a resident.
    • LicensingFailed to provide a safe medication administration system
    12 Mar 2017Inspection
    Found that a resident was not protected from physical harm because staff did not intervene when the resident's condition changed.
    • LicensingFailed to intervene when resident's condition changed
    08 Mar 2017Abuse: Neglect
    Investigated the allegation of not following the care plan and identified a failure to protect a resident from physical harm.
    • AbuseFailed to follow care plan
    08 Mar 2017Inspection
    Investigated a complaint and found a safety deficiency where residents were not protected from unwanted attention. The finding indicated potential harm.
    • LicensingFailed to provide safe environment
    20 Feb 2017Inspection
    Found a violation for failing to maintain an adequate medication administration system.
    • LicensingFailed to provide a safe medication administration system
    25 Jan 2017Abuse: Neglect
    Investigated the allegation of neglect and found a deficiency in protecting a resident from another resident's behaviors.
    • AbuseFailed to provide safe environment
    13 Dec 2016Inspection
    Found deficiencies in the medication administration system that could pose a safety risk.
    • LicensingFailed to provide a safe medication administration system
    13 Dec 2016Abuse: Neglect
    Found an inadequate medication administration system that could cause harm.
    • AbuseFailed to provide a safe medication administration system
    28 Nov 2016Inspection
    Investigated a delay in starting administration of a new prescription, showing a deficient safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    18 Nov 2016Abuse: Neglect
    Determined that a resident was not protected from physical harm.
    • AbuseFailed to provide safe environment
    14 Nov 2016Inspection
    Investigated an allegation of unsafe medication administration and found that appropriate care was not provided.
    • LicensingFailed to provide a safe medication administration system
    04 Sept 2016Inspection
    Found failure to maintain a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    31 Aug 2016Abuse: Neglect
    Found a deficiency in the medication administration system related to a neglect allegation.
    • AbuseFailed to provide a safe medication administration system
    14 Aug 2016Inspection
    Found a deficiency in medication administration because prescribed medications were not given as ordered.
    • LicensingFailed to provide a safe medication administration system
    22 Jun 2016Inspection
    Investigated the staffing allegation and found a deficiency related to staffing levels.
    • LicensingFailed to provide appropriate staffing
    10 Jun 2016Inspection
    Investigated and found a failure to provide a safe environment for residents.
    • LicensingFailed to provide safe environment
    10 Jun 2016Abuse: Neglect
    Found violations for failing to provide an adequate medication administration system.
    • AbuseFailed to provide a safe medication administration system
    07 Jun 2016Inspection
    Investigated the allegation and found staff did not provide hands-on assistance with oral care.
    • LicensingFailed to provide or assist with hygiene
    07 Jun 2016Abuse: Neglect
    Found an inadequate and unsafe medication administration system.
    • AbuseFailed to provide a safe medication administration system
    05 Jun 2016Abuse: Neglect
    Investigated a neglect allegation and found RV1s care plan was not followed, resulting in physical injury.
    • AbuseFailed to follow care plan
    05 Jun 2016Abuse: Neglect
    Found a deficiency in safe medication administration practices.
    • AbuseFailed to provide a safe medication administration system
    05 Jun 2016Abuse: Neglect
    Investigated an allegation of neglect and found a failure to assess and intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    01 Jun 2016Inspection
    Investigated the complaint and found a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    27 May 2016Abuse: Neglect
    Investigated a neglect allegation and found a deficiency in providing a safe medication administration system, with a $300 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    26 May 2016Abuse: Neglect
    Investigated an allegation of neglect and found inadequate medication was not provided as ordered.
    • AbuseFailed to provide medical treatment as ordered
    23 May 2016Abuse: Neglect
    Investigated the allegation of neglect and found substantiated that staff failed to assess and intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    23 May 2016Abuse: Neglect
    Investigated the allegation of neglect and found a deficiency for failing to provide a safe environment.
    • AbuseFailed to provide safe environment
    21 May 2016Inspection
    Investigated the allegation and found failure to provide appropriate care to a resident.
    • LicensingFailed to provide service
    20 May 2016Inspection
    Found neglect for failing to administer medications as ordered.
    • LicensingFailed to administer medication as ordered
    15 May 2016Abuse: Neglect
    Investigated the allegation of unsafe medication administration and found an inadequate medication administration system.
    • AbuseFailed to provide a safe medication administration system
    11 May 2016Inspection
    Investigated a licensing allegation and found a failure to provide a safe environment. Violations were cited under several rules.
    • LicensingFailed to provide safe environment
    06 May 2016Abuse: Neglect
    Investigated an abuse/neglect allegation and found failure to provide adequate care.
    • AbuseFailed to provide service
    06 May 2016Inspection
    Investigated and substantiated a violation for failing to provide appropriate care to a resident.
    • LicensingFailed to provide service
    28 Apr 2016Abuse: Physical Abuse
    Investigated a report of physical abuse and found that a resident was not protected from rough treatment.
    • AbuseFailed to protect resident from rough treatment
    26 Apr 2016Abuse: Neglect
    Investigated a neglect allegation and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    25 Apr 2016Abuse: Neglect
    Investigated a neglect allegation and found that a safe environment was not provided, resulting in a substantiated finding and a $2,500 fine.
    • AbuseFailed to provide safe environment
    23 Apr 2016Abuse: Neglect
    Investigated an allegation of neglect and determined there was a failure to provide a safe environment for a resident.
    • AbuseFailed to provide safe environment
    21 Apr 2016Inspection
    Found inadequate care provided to a resident.
    • LicensingFailed to provide service
    20 Apr 2016Abuse: Neglect
    Investigated an allegation of neglect and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    18 Apr 2016Inspection
    Investigated the allegation and identified a deficiency for not providing required oral care.
    • LicensingFailed to provide service
    29 Mar 2016Inspection
    Found failure to provide appropriate care to a resident.
    • LicensingFailed to provide service
    28 Mar 2016Inspection
    Found a licensing violation for failing to report injuries of unknown origin to APS as required.
    • LicensingFailed to investigate injury of unknown origin to rule out abuse
    19 Mar 2016Abuse: Neglect
    Confirmed failure to provide a safe environment, with an abuse/neglect finding and a $300 fine.
    • AbuseFailed to provide safe environment
    14 Mar 2016Abuse: Financial abuse
    Investigated a financial abuse allegation and found that a resident's resources were wrongfully taken.
    • AbuseFailed to provide safe environment
    02 Mar 2016Inspection
    Determined that there was a failure to provide a safe environment. Substantial noncompliance was found.
    • LicensingFailed to provide safe environment
    02 Mar 2016Abuse: Neglect
    Investigated and substantiated an allegation of neglect for failing to provide service; a $300 fine assessed.
    • AbuseFailed to provide service
    22 Feb 2016Inspection
    Found a deficiency in infection control due to a floor not being sanitized for 24 hours.
    • LicensingFailed to provide infection control
    17 Feb 2016Inspection
    Investigated the allegation that ordered medication was not administered and found an inadequate medication administration system.
    • LicensingFailed to administer ordered medication
    21 Jan 2016Abuse: Neglect
    Investigated an allegation that a safe environment was not provided and found a failure to provide a safe environment for residents.
    • AbuseFailed to provide safe environment
    16 Jan 2016Inspection
    Identified a deficiency in the medication administration system.
    • LicensingFailed to provide a safe medication administration system
    13 Sept 2015Inspection
    Found that care was not provided as required.
    • LicensingFailed to follow care plan
    01 Jun 2015Abuse: Financial abuse
    Investigated and found that residents' funds were not protected from theft.
    • AbuseFailed to provide safe environment
    06 Apr 2015Inspection
    Found failure to address resident behavior and provide a safe environment for residents.
    • LicensingFailed to address resident's behavior
    01 Apr 2015Abuse: Financial abuse
    Concluded financial abuse occurred and failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    27 Mar 2015Abuse: Neglect
    Investigated allegations of inadequate dressing and grooming care, and found a failure to provide appropriate care.
    • AbuseFailed to assist with dressing or grooming
    10 Feb 2015Abuse: Financial abuse
    Found failure to protect RV1 from theft of narcotics.
    • AbuseFailed to provide safe environment
    10 Feb 2015Abuse: Financial abuse
    Found that safeguards to protect RV2's narcotics from theft were inadequate, a form of financial abuse.
    • AbuseFailed to provide safe environment
    14 Jan 2015Inspection
    Found that medical treatment as ordered was not provided, and the allegation was substantiated.
    • LicensingFailed to provide medical treatment as ordered
    06 Aug 2014Abuse: Neglect
    Investigated an abuse/neglect allegation and found inadequate care provided to a resident.
    • AbuseFailed to provide service
    05 Mar 2014Abuse: Neglect
    Investigated an allegation of neglect related to medication safety and found a failure to provide a safe medication administration process.
    • AbuseFailed to provide a safe medication administration system
    07 Feb 2014Abuse: Neglect
    Investigated an allegation of failing to protect a resident from financial exploitation and imposed a $300 fine.
    • AbuseFailed to protect resident from financial exploitation
    08 Nov 2013Abuse: Financial abuse
    Investigated a complaint and found a resident financially exploited, compromising safety.
    • AbuseFailed to provide safe environment
    15 Jun 2013Abuse: Financial abuse
    Investigated an allegation of failing to provide a safe environment and found that medications were not protected from theft.
    • AbuseFailed to provide safe environment
    19 Mar 2012Abuse: Neglect
    Found care was not provided appropriately due to failing to intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    09 Feb 2012Abuse: Financial abuse
    Found a substantiated financial abuse allegation and a deficiency related to providing a secure environment. A $300 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    07 Apr 2011Abuse: Neglect
    Investigated an allegation of neglect and found a failure to intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    06 Apr 2011Abuse: Neglect
    Found a failure to provide a safe environment for residents.
    • AbuseFailed to address resident's behavior
    23 Mar 2011Abuse: Neglect
    Investigated and found a substantiated neglect allegation due to failure to provide oversight and monitoring of change of condition, with a $750 fine assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    07 Mar 2011Inspection
    Investigated a licensing complaint and found failures to assure resident rights and to provide a safe environment.
    • LicensingFailed to assure resident rights
    26 Feb 2011Abuse: Neglect
    Investigated a complaint alleging neglect and found that two residents were not protected from physical harm.
    • AbuseFailed to address resident's behavior
    06 Feb 2011Abuse: Neglect
    Found a failure to provide a safe environment for residents.
    • AbuseFailed to address resident's behavior
    26 Dec 2010Abuse: Neglect
    Investigated a neglect allegation and found deficiencies in medication administration and treatment, including failing to refill narcotic pain medication and not following a doctor's order to remove a splint/boot during healing.
    • AbuseFailed to provide a safe medication administration system
    18 Dec 2010Abuse: Physical Abuse
    Determined that a resident was subjected to rough treatment and that the environment was unsafe.
    • AbuseFailed to protect resident from rough treatment
    10 Dec 2010Inspection
    Investigated and found a failure to assure resident rights and to provide a safe environment.
    • LicensingFailed to assure resident rights
    24 Nov 2010Inspection
    Investigated a complaint about failure to provide adequate care, with findings substantiated.
    • LicensingFailed to provide service
    24 Nov 2010Inspection
    Investigated and identified a deficiency in safeguarding medications due to lack of a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    17 Oct 2010Abuse: Neglect
    Investigated an allegation of neglect related to falls and found a safety deficiency.
    • AbuseFailed to adequately care plan related to falls

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