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
5
4
3
2
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
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.
Found neglect of care and abuse due to failure to notify a physician after significant weight loss; assessed a $250 fine.
Abuse—Failed to intervene when resident's condition changed
16 Dec 2025Inspection
16 Dec 2025Inspection
Found a deficiency in keeping an accurate medication administration record for all medications, indicating a gap in safe medication administration.
Licensing—Failed to provide a safe medication administration system
16 Dec 2025Inspection
16 Dec 2025Inspection
Determined that the allegation of failing to intervene when a resident's condition changed is substantiated.
Licensing—Failed to intervene when resident's condition changed
31 Oct 2025Inspection
31 Oct 2025Inspection
Investigated the allegation that a safe environment was not provided. Found no licensing violations or abuse.
Licensing—Failed to provide safe environment
05 Sept 2025License Condition
05 Sept 2025License Condition
Concluded that the provider failed to provide a safe environment, risking immediate jeopardy to residents.
Regulatory Action—Failed to provide safe environment
10 Aug 2025Abuse: Neglect
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.
Abuse—Failed to provide safe environment
16 Apr 2025Inspection
16 Apr 2025Inspection
Determined neglect and abuse occurred due to failure to follow the care plan and safety checks, leaving the resident at risk.
Licensing—Failed to provide safe environment
14 Feb 2025Inspection
14 Feb 2025Inspection
Identified failure to develop, maintain, and implement an Acuity Based Staffing Tool, violating Oregon Administrative Rule.
Licensing—Failed to use an ABST
09 Feb 2025Inspection
09 Feb 2025Inspection
Investigated and found that an acuity-based staffing tool was not developed, maintained, or implemented. This constitutes a licensing violation.
Licensing—Failed to use an ABST
09 Feb 2025Abuse: Neglect
09 Feb 2025Abuse: Neglect
Investigated a resident-to-resident incident and found neglect and abuse due to inadequate interventions; a $375 fine assessed.
Abuse—Failed to provide safe environment
09 Feb 2025Abuse: Neglect
09 Feb 2025Abuse: Neglect
Investigated a resident-to-resident abuse/neglect allegation and found inadequate interventions failed to ensure a safe environment, risking harm.
Abuse—Failed to provide safe environment
06 Feb 2025Kitchen
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.
Identified multiple cleanliness and sanitation deficiencies in the kitchen and storage areas, including unclean surfaces, damaged equipment, missing sanitizers, and unlabeled items.
Investigated and found deficiencies in fall risk management and care planning, with multiple unreported falls and no interventions to prevent further injuries.
Abuse—Failed to properly plan care
11 Jan 2025Inspection
11 Jan 2025Inspection
Found a deficiency for failing to develop, maintain, and implement an Acuity Based Staffing Tool, in violation of Oregon Administrative Rule.
Licensing—Failed to use an ABST
02 Nov 2024Inspection
02 Nov 2024Inspection
Found failure to develop, maintain, and implement an Acuity Based Staffing Tool.
Licensing—Failed to use an ABST
30 Jul 2024Complaint
30 Jul 2024Complaint
Found no deficiencies.
Deficiency—General Building Exterior
30 Jul 2024Complaint
30 Jul 2024Complaint
Found no deficiencies. Investigated a complaint about an acuity-based staffing tool and related investigations.
Deficiency—Acuity-Based Staffing Tool
Deficiency—Inspections and Investigations
26 Jun 2024Inspection
26 Jun 2024Inspection
Identified a deficiency for failing to keep exterior pathways and accesses to common-use areas in good repair and accessible.
Licensing—Failed to maintain a safe physical environment
12 Mar 2024Abuse: Neglect
12 Mar 2024Abuse: Neglect
Investigated and found violations where inadequate care planning and interventions failed to prevent falls and injury.
Abuse—Failed to properly plan care
17 Feb 2024Abuse: Neglect
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.
Abuse—Failed to follow care plan
05 Feb 2024Inspection
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.
Licensing—Failed to assure resident rights
04 Jan 2024Inspection
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.
Licensing—Failed to follow care plan
23 Oct 2023Abuse: Neglect
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.
Abuse—Failed to properly plan care
11 Jun 2023Abuse: Neglect
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.
Abuse—Failed to properly plan care
04 Jun 2023Abuse: Neglect
04 Jun 2023Abuse: Neglect
Investigated a complaint of neglect and abuse and found improper care planning for repeated falls, resulting in injury.
Abuse—Failed to properly plan care
21 May 2023Inspection
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.
Licensing—Failed to provide a safe medication administration system
12 Apr 2023Abuse: Neglect
12 Apr 2023Abuse: Neglect
Investigated and found violations related to medication management and resident rights, with a $500 fine assessed.
Abuse—Failed to provide medical treatment as ordered
12 Apr 2023Abuse: Neglect
12 Apr 2023Abuse: Neglect
Determined neglect related to medication administration occurred, resulting in incorrect medication and discomfort; a fine was assessed.
Abuse—Failed to keep medication record current or accurate
26 Mar 2023Inspection
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.
Licensing—Failed to protect resident from physical abuse
26 Mar 2023Inspection
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.
Licensing—Failed to protect resident from physical abuse
10 Mar 2023Abuse: Neglect
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.
Abuse—Failed to have medication available
06 Mar 2023Abuse: Neglect
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.
Abuse—Failure to provide a system that prevents theft or misuse of medication
02 Mar 2023Complaint
02 Mar 2023Complaint
Investigated a complaint and identified deficiencies related to resident rights and ADL services. These findings reference state regulatory requirements.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Rights and Protection - General
Deficiency—Resident Services: Adls
27 Feb 2023Inspection
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.
Licensing—Failed to provide appropriate housekeeping services
11 Jan 2023Inspection
11 Jan 2023Inspection
Found that a prescribed medication was not given as ordered, indicating a medication administration failure was verified.
Licensing—Failed to administer medication as ordered
11 Jan 2023Inspection
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.
Licensing—Failed to administer ordered medication
10 Jan 2023Abuse: Neglect
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.
Abuse—Failed to properly plan care
25 Nov 2022Abuse: Neglect
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.
Abuse—Failed to have medication available
24 Nov 2022Inspection
24 Nov 2022Inspection
Determined a failure to have insulin medication on hand for timely dispensing, creating potential for harm.
Licensing—Failed to provide a safe medication administration system
18 Nov 2022Abuse: Neglect
18 Nov 2022Abuse: Neglect
Investigated and found violations for neglect and abuse due to failure to provide a safe environment.
Abuse—Failed to provide safe environment
27 Oct 2022Inspection
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.
Licensing—Failed to follow care plan
27 Sept 2022Validation
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.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Systems: Medication Administration
Deficiency—Restraints and Supportive Devices
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Plumbing Systems
Deficiency—Individual Door Locks: Key Access
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Behavior
26 Sept 2022Validation
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.
Found a failure to provide a safe medication administration system that caused pain and discomfort; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
19 Sept 2022Inspection
19 Sept 2022Inspection
Investigated and concluded that a licensing violation occurred due to failure to treat a resident with dignity and respect.
Licensing—Failed to assure resident rights
15 Sept 2022Abuse: Neglect
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.
Abuse—Failed to address resident's behavior
10 Sept 2022Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
07 Aug 2022Abuse: Neglect
07 Aug 2022Abuse: Neglect
Found that a care plan for two involved residents was not properly developed, resulting in emotional distress from their interactions.
Abuse—Failed to properly plan care
07 Aug 2022Abuse: Neglect
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.
Abuse—Failed to properly plan care
19 Jul 2022Inspection
19 Jul 2022Inspection
Found violations involving restraint of a combative resident that caused a skin tear and violated resident rights.
Licensing—Failed to protect resident from physical abuse
19 Jul 2022Inspection
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.
Licensing—Failed to protect resident from physical abuse
19 Jul 2022Inspection
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.
Licensing—Failed to protect resident from mental or emotional abuse
16 Jul 2022Abuse: Neglect
16 Jul 2022Abuse: Neglect
Investigated and identified a failure to provide a safe environment that led to minor harm; a $375 fine was assessed.
Abuse—Failed to provide safe environment
16 Jul 2022Abuse: Neglect
16 Jul 2022Abuse: Neglect
Found a failure to provide a safe environment, constituting abuse and neglect after an altercation between residents.
Abuse—Failed to provide safe environment
04 Jul 2022Abuse: Neglect
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.
Abuse—Failed to provide safe environment
29 Jun 2022Abuse: Neglect
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.
Abuse—Failed to provide safe environment
23 May 2022Inspection
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.
Licensing—Failed to provide safe environment
09 May 2022Abuse: Neglect
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.
Abuse—Failed to control pests
16 Mar 2022Inspection
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.
Licensing—Failed to protect resident from financial exploitation
14 Mar 2022Inspection
14 Mar 2022Inspection
Investigated and determined that a licensing violation occurred due to failure to provide transportation for medical purposes.
Licensing—Failed to provide service
19 Feb 2022Abuse: Neglect
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.
Abuse—Failed to properly plan care
14 Feb 2022Inspection
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.
Licensing—Failed to follow care plan
30 Jan 2022Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
16 Jan 2022Inspection
16 Jan 2022Inspection
Found inadequate staffing to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
19 Sept 2021Abuse: Neglect
19 Sept 2021Abuse: Neglect
Determined there was a failure to provide a safe environment, leading to a resident injury after altercations between residents.
Abuse—Failed to provide safe environment
04 Sept 2021Abuse: Neglect
04 Sept 2021Abuse: Neglect
Found a failure to protect residents and an incident that placed them at risk, with a fine assessed.
Abuse—Failed to provide safe environment
04 Sept 2021Abuse: Neglect
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.
Abuse—Failed to provide safe environment
26 Aug 2021Abuse: Neglect
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.
Abuse—Failed to properly plan care
26 Aug 2021Abuse: Neglect
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.
Abuse—Failed to provide safe environment
18 Aug 2021Abuse: Neglect
18 Aug 2021Abuse: Neglect
Determined care plans weren't followed and staffing was insufficient, leading to resident skin injuries and neglect/abuse.
Abuse—Failed to follow care plan
08 Jun 2021Inspection
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.
Licensing—Failed to provide appropriate staffing
09 Apr 2021Inspection
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.
Licensing—Failed to provide a safe medication administration system
26 Mar 2021Inspection
26 Mar 2021Inspection
Investigated the allegation and determined there was a violation for unsafe medication administration, including expired medication.
Licensing—Failed to provide a safe medication administration system
05 Jan 2021Inspection
05 Jan 2021Inspection
Investigated and found that medications were not administered as prescribed.
Licensing—Failed to provide a safe medication administration system
30 Dec 2020Inspection
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.
Licensing—Failed to provide a safe medication administration system
11 Dec 2020Inspection
11 Dec 2020Inspection
Identified a violation where medication and treatment orders were not carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
01 Oct 2020Inspection
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.
Licensing—Failed to answer call light in a timely manner
17 Sept 2020Inspection
17 Sept 2020Inspection
Found a deficiency in the safe medication and treatment administration system, with medication and treatment orders carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
19 Aug 2020Inspection
19 Aug 2020Inspection
Found failure to administer medication as ordered. Medication was marked as given but not actually administered.
Licensing—Failed to administer medication as ordered
30 Jul 2020Inspection
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.
Licensing—Failed to answer call light in a timely manner
01 Jul 2020Inspection
01 Jul 2020Inspection
Investigated a medication administration allegation and found that orders were not carried out as prescribed, verified from a resident care complaint.
Licensing—Failed to administer medication as ordered
13 May 2020Inspection
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.
Licensing—Failed to provide a safe medication administration system
22 Apr 2020Inspection
22 Apr 2020Inspection
Determined a deficiency regarding outdoor furniture weight, stability, design, and maintenance intended to prevent elopement.
Licensing—Failed to provide safe environment
17 Mar 2020Inspection
17 Mar 2020Inspection
Investigated an allegation of failing to administer medication as ordered and found medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
17 Mar 2020Inspection
17 Mar 2020Inspection
Determined that medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
17 Mar 2020Inspection
17 Mar 2020Inspection
Found that medication orders were not carried out as prescribed.
Licensing—Failed to administer ordered medication
06 Mar 2020Inspection
06 Mar 2020Inspection
Confirmed a failure to provide a safe environment that could threaten residents' health, safety, and welfare.
Licensing—Failed to provide safe environment
11 Feb 2020Inspection
11 Feb 2020Inspection
Found inadequate professional oversight of the medication administration system.
Licensing—Failed to provide a safe medication administration system
02 Feb 2020Abuse: Neglect
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.
Abuse—Failed to follow care plan
31 Jan 2020Abuse: Neglect
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.
Abuse—Failed to follow care plan
20 Aug 2019Inspection
20 Aug 2019Inspection
Investigated an allegation of unsafe medication administration and found that prescribed medications were not administered, creating a risk of serious harm.
Licensing—Failed to provide a safe medication administration system
16 Jul 2019Inspection
16 Jul 2019Inspection
Found that staff performed a task without proper delegation from a nurse, violating nursing delegation requirements.
Licensing—Failed to comply with nursing delegation requirement
15 Oct 2018Abuse: Financial abuse
15 Oct 2018Abuse: Financial abuse
Found financial exploitation of a resident with assets wrongfully taken, resulting in financial loss.
Abuse—Failed to protect resident from financial exploitation
30 Sept 2018Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
06 Sept 2018Inspection
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.
Licensing—Failed to administer medication as ordered
23 Aug 2018Abuse: Neglect
23 Aug 2018Abuse: Neglect
Found neglect by failing to dispense medications as prescribed, creating a risk of serious harm; a $375 fine was assessed.
Abuse—Failed to administer medication as ordered
06 Aug 2018Inspection
06 Aug 2018Inspection
Concluded that a failure to report potential or suspected abuse occurred and assessed a $750 civil penalty.
Licensing—Failed to report potential or suspected abuse
12 Jul 2018Inspection
12 Jul 2018Inspection
Found failure to report suspected abuse; a $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
12 Jul 2018Abuse: Restraints
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.
Abuse—Failed to assure resident rights
12 Jul 2018Inspection
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.
Licensing—Failed to provide safe environment
21 Jun 2018Inspection
21 Jun 2018Inspection
Determined that care supervision and health services were not provided, creating risk of harm and discomfort.
Licensing—Failed to properly plan care
07 May 2018Inspection
07 May 2018Inspection
Found medications were not dispensed as ordered, and a fine was assessed.
Licensing—Failed to administer medication as ordered
25 Apr 2018Inspection
25 Apr 2018Inspection
Found that ordered medication was not dispensed as prescribed, resulting in a licensing violation; a $375 fine was assessed.
Licensing—Failed to administer ordered medication
23 Apr 2018Inspection
23 Apr 2018Inspection
Found that a safe medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
28 Mar 2018Inspection
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.
Licensing—Failed to follow care plan
23 Feb 2018Abuse: Neglect
23 Feb 2018Abuse: Neglect
Investigated an allegation of inadequate care planning for falls and found a resident was not adequately protected from physical harm.
Abuse—Failed to adequately care plan related to falls
22 Feb 2018Inspection
22 Feb 2018Inspection
Investigated an allegation of failing to report suspected abuse; found a reporting deficiency.
Licensing—Failed to report potential or suspected abuse
22 Feb 2018Abuse: Neglect
22 Feb 2018Abuse: Neglect
Found an inadequate medication administration system. A $1500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
20 Feb 2018Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
12 Feb 2018Inspection
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.
Licensing—Failed to provide a safe medication administration system
25 Jan 2018Inspection
25 Jan 2018Inspection
Found deficiencies in safe medication administration practices based on an allegation of multiple medication errors.
Licensing—Failed to administer medication as ordered
25 Jan 2018Inspection
25 Jan 2018Inspection
Identified inadequate staffing and staff training.
Licensing—Failed to provide appropriate staffing
25 Jan 2018Inspection
25 Jan 2018Inspection
Investigated an allegation that unqualified staff provided unsupervised direct resident care and found staffing and training deficiencies.
Licensing—Failed to provide inservice
20 Jan 2018Abuse: Neglect
20 Jan 2018Abuse: Neglect
Investigated and found safety was not assured, with a $2,500 fine assessed.
Abuse—Failed to assure resident was safe
22 Dec 2017Inspection
22 Dec 2017Inspection
Found that the facility failed to provide an adequate medication system, and assessed a $300 fine.
Licensing—Failed to provide a safe medication administration system
21 Dec 2017Abuse: Neglect
21 Dec 2017Abuse: Neglect
Investigated an abuse/neglect allegation and substantiated failure to follow the care plan, resulting in inadequate care for a resident.
Abuse—Failed to follow care plan
12 Dec 2017Inspection
12 Dec 2017Inspection
Cited a violation for an inadequate medication administration system.
Licensing—Failed to provide a safe medication administration system
08 Dec 2017Abuse: Neglect
08 Dec 2017Abuse: Neglect
Found a safety deficiency involving failure to protect a resident from inappropriate physical contact by another resident.
Abuse—Failed to provide safe environment
22 Nov 2017Abuse: Neglect
22 Nov 2017Abuse: Neglect
Investigated an allegation of neglect and found failure to provide appropriate care, resulting in a $300 fine.
Abuse—Failed to provide service
20 Nov 2017Inspection
20 Nov 2017Inspection
Investigated an allegation of insufficient staffing and substantiated that appropriate staffing was not provided.
Licensing—Failed to provide appropriate staffing
20 Nov 2017Inspection
20 Nov 2017Inspection
Investigated the staffing allegation and found deficiencies in staffing.
Licensing—Failed to provide appropriate staffing
05 Nov 2017Abuse: Neglect
05 Nov 2017Abuse: Neglect
Found that proper supervision was not provided, creating risk of harm; a $400 fine was assessed.
Abuse—Failed to provide safe environment
02 Nov 2017Abuse: Financial abuse
02 Nov 2017Abuse: Financial abuse
Investigated the allegation of an unsafe environment and found a resident's medication was not protected from loss.
Abuse—Failed to provide safe environment
28 Oct 2017Abuse: Neglect
28 Oct 2017Abuse: Neglect
Found neglect due to failure to properly plan care and to provide appropriate supervision.
Abuse—Failed to properly plan care
18 Oct 2017Abuse: Neglect
18 Oct 2017Abuse: Neglect
Identified an inadequate medication system.
Abuse—Failed to provide a safe medication administration system
04 Oct 2017Abuse: Neglect
04 Oct 2017Abuse: Neglect
Found a failure to provide a safe medication administration system and assessed a $400 fine.
Abuse—Failed to provide a safe medication administration system
02 Oct 2017Inspection
02 Oct 2017Inspection
Found a deficiency in the medication administration system that could cause harm.
Licensing—Failed to provide a safe medication administration system
07 Sept 2017Inspection
07 Sept 2017Inspection
Found a failure to protect residents from inappropriate verbal comments.
Licensing—Failed to properly plan care
06 Sept 2017Abuse: Financial abuse
06 Sept 2017Abuse: Financial abuse
Found that residents were not protected from financial exploitation.
Abuse—Failed to protect resident from financial exploitation
05 Sept 2017Inspection
05 Sept 2017Inspection
Found an inadequate medication administration system and assessed a $300 fine.
Licensing—Failed to provide a safe medication administration system
30 Aug 2017Condition
30 Aug 2017Condition
Investigated a complaint and found violations indicating failure to maintain substantial compliance.
Regulatory Action—Failed to provide service
28 Aug 2017Inspection
28 Aug 2017Inspection
Found a deficiency in the safe medication administration system.
Licensing—Failed to provide a safe medication administration system
28 Aug 2017Abuse: Neglect
28 Aug 2017Abuse: Neglect
Investigated abuse/neglect case and found that appropriate care was not provided.
Abuse—Failed to provide service
22 Aug 2017Inspection
22 Aug 2017Inspection
Found failure to provide sanitary food service conditions.
Licensing—Failed to provide sanitary food service conditions
18 Aug 2017Inspection
18 Aug 2017Inspection
Found an inadequate medication administration system that posed potential harm.
Licensing—Failed to provide a safe medication administration system
18 Aug 2017Abuse: Neglect
18 Aug 2017Abuse: Neglect
Investigated a neglect allegation and found inadequate oversight and monitoring of changes in condition; a $300 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
15 Aug 2017Abuse: Neglect
15 Aug 2017Abuse: Neglect
Investigated and substantiated a failure to protect RV's from inappropriate interactions, with a $250 fine assessed.
Abuse—Failed to provide safe environment
09 Aug 2017Abuse: Neglect
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.
Abuse—Failed to provide safe environment
25 Jul 2017Inspection
25 Jul 2017Inspection
Investigated allegation that a safe environment was not provided. Found residents were not protected from inappropriate interaction.
Licensing—Failed to provide safe environment
17 Jul 2017Abuse: Neglect
17 Jul 2017Abuse: Neglect
Found failure to provide adequate care to RV, resulting in a significant weight loss. A $400 fine was assessed.
Abuse—Failed to provide service
13 Jul 2017Inspection
13 Jul 2017Inspection
Investigated the allegation and found a deficiency for failing to protect a resident from inappropriate verbal comments.
Licensing—Failed to properly plan care
13 Jul 2017Inspection
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.
Licensing—Failed to intervene when resident's condition changed
11 Jul 2017Inspection
11 Jul 2017Inspection
Investigated the allegation of an unsafe environment and found a resident was not protected from inappropriate physical contact.
Licensing—Failed to provide safe environment
03 Jul 2017Abuse: Neglect
03 Jul 2017Abuse: Neglect
Found that a safe environment was not provided for residents.
Abuse—Failed to provide safe environment
03 Jul 2017Inspection
03 Jul 2017Inspection
Investigated and found an inadequate medication administration system for RV1.
Licensing—Failed to administer ordered medication
22 Jun 2017Inspection
22 Jun 2017Inspection
Found that adequate care was not provided to a resident.
Licensing—Failed to provide service
20 Jun 2017Abuse: Neglect
20 Jun 2017Abuse: Neglect
Identified an inadequate medication administration system.
Abuse—Failed to provide a safe medication administration system
13 Jun 2017Inspection
13 Jun 2017Inspection
Found a deficiency in the medication administration system that posed potential for harm.
Licensing—Failed to provide a safe medication administration system
12 Jun 2017Inspection
12 Jun 2017Inspection
Found a failure to provide a safe environment for RV1 and RV4.
Licensing—Failed to provide safe environment
12 Jun 2017Inspection
12 Jun 2017Inspection
Found a failure to provide a safe environment for residents RV1 and RV3.
Licensing—Failed to provide safe environment
30 May 2017Abuse: Neglect
30 May 2017Abuse: Neglect
Investigated an allegation of neglect and found failures in care planning and in providing appropriate care to a resident.
Abuse—Failed to properly plan care
30 Mar 2017Inspection
30 Mar 2017Inspection
Found that medical treatment ordered was not provided as directed. The issue involved failing to follow doctor's orders for RV2.
Licensing—Failed to provide medical treatment as ordered
25 Mar 2017Abuse: Neglect
25 Mar 2017Abuse: Neglect
Investigated an allegation of neglect and found an inadequate medication administration system.
Abuse—Failed to provide a safe medication administration system
20 Mar 2017Inspection
20 Mar 2017Inspection
Found to fail to provide a safe environment for residents.
Licensing—Failed to provide safe environment
17 Mar 2017Inspection
17 Mar 2017Inspection
Investigated an allegation and found a failure to dispense medications appropriately to a resident.
Licensing—Failed to provide a safe medication administration system
12 Mar 2017Inspection
12 Mar 2017Inspection
Found that a resident was not protected from physical harm because staff did not intervene when the resident's condition changed.
Licensing—Failed to intervene when resident's condition changed
08 Mar 2017Abuse: Neglect
08 Mar 2017Abuse: Neglect
Investigated the allegation of not following the care plan and identified a failure to protect a resident from physical harm.
Abuse—Failed to follow care plan
08 Mar 2017Inspection
08 Mar 2017Inspection
Investigated a complaint and found a safety deficiency where residents were not protected from unwanted attention. The finding indicated potential harm.
Licensing—Failed to provide safe environment
20 Feb 2017Inspection
20 Feb 2017Inspection
Found a violation for failing to maintain an adequate medication administration system.
Licensing—Failed to provide a safe medication administration system
25 Jan 2017Abuse: Neglect
25 Jan 2017Abuse: Neglect
Investigated the allegation of neglect and found a deficiency in protecting a resident from another resident's behaviors.
Abuse—Failed to provide safe environment
13 Dec 2016Inspection
13 Dec 2016Inspection
Found deficiencies in the medication administration system that could pose a safety risk.
Licensing—Failed to provide a safe medication administration system
13 Dec 2016Abuse: Neglect
13 Dec 2016Abuse: Neglect
Found an inadequate medication administration system that could cause harm.
Abuse—Failed to provide a safe medication administration system
28 Nov 2016Inspection
28 Nov 2016Inspection
Investigated a delay in starting administration of a new prescription, showing a deficient safe medication administration system.
Licensing—Failed to provide a safe medication administration system
18 Nov 2016Abuse: Neglect
18 Nov 2016Abuse: Neglect
Determined that a resident was not protected from physical harm.
Abuse—Failed to provide safe environment
14 Nov 2016Inspection
14 Nov 2016Inspection
Investigated an allegation of unsafe medication administration and found that appropriate care was not provided.
Licensing—Failed to provide a safe medication administration system
04 Sept 2016Inspection
04 Sept 2016Inspection
Found failure to maintain a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
31 Aug 2016Abuse: Neglect
31 Aug 2016Abuse: Neglect
Found a deficiency in the medication administration system related to a neglect allegation.
Abuse—Failed to provide a safe medication administration system
14 Aug 2016Inspection
14 Aug 2016Inspection
Found a deficiency in medication administration because prescribed medications were not given as ordered.
Licensing—Failed to provide a safe medication administration system
22 Jun 2016Inspection
22 Jun 2016Inspection
Investigated the staffing allegation and found a deficiency related to staffing levels.
Licensing—Failed to provide appropriate staffing
10 Jun 2016Inspection
10 Jun 2016Inspection
Investigated and found a failure to provide a safe environment for residents.
Licensing—Failed to provide safe environment
10 Jun 2016Abuse: Neglect
10 Jun 2016Abuse: Neglect
Found violations for failing to provide an adequate medication administration system.
Abuse—Failed to provide a safe medication administration system
07 Jun 2016Inspection
07 Jun 2016Inspection
Investigated the allegation and found staff did not provide hands-on assistance with oral care.
Licensing—Failed to provide or assist with hygiene
07 Jun 2016Abuse: Neglect
07 Jun 2016Abuse: Neglect
Found an inadequate and unsafe medication administration system.
Abuse—Failed to provide a safe medication administration system
05 Jun 2016Abuse: Neglect
05 Jun 2016Abuse: Neglect
Investigated a neglect allegation and found RV1s care plan was not followed, resulting in physical injury.
Abuse—Failed to follow care plan
05 Jun 2016Abuse: Neglect
05 Jun 2016Abuse: Neglect
Found a deficiency in safe medication administration practices.
Abuse—Failed to provide a safe medication administration system
05 Jun 2016Abuse: Neglect
05 Jun 2016Abuse: Neglect
Investigated an allegation of neglect and found a failure to assess and intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
01 Jun 2016Inspection
01 Jun 2016Inspection
Investigated the complaint and found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
27 May 2016Abuse: Neglect
27 May 2016Abuse: Neglect
Investigated a neglect allegation and found a deficiency in providing a safe medication administration system, with a $300 fine assessed.
Abuse—Failed to provide a safe medication administration system
26 May 2016Abuse: Neglect
26 May 2016Abuse: Neglect
Investigated an allegation of neglect and found inadequate medication was not provided as ordered.
Abuse—Failed to provide medical treatment as ordered
23 May 2016Abuse: Neglect
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.
Abuse—Failed to intervene when resident's condition changed
23 May 2016Abuse: Neglect
23 May 2016Abuse: Neglect
Investigated the allegation of neglect and found a deficiency for failing to provide a safe environment.
Abuse—Failed to provide safe environment
21 May 2016Inspection
21 May 2016Inspection
Investigated the allegation and found failure to provide appropriate care to a resident.
Licensing—Failed to provide service
20 May 2016Inspection
20 May 2016Inspection
Found neglect for failing to administer medications as ordered.
Licensing—Failed to administer medication as ordered
15 May 2016Abuse: Neglect
15 May 2016Abuse: Neglect
Investigated the allegation of unsafe medication administration and found an inadequate medication administration system.
Abuse—Failed to provide a safe medication administration system
11 May 2016Inspection
11 May 2016Inspection
Investigated a licensing allegation and found a failure to provide a safe environment. Violations were cited under several rules.
Licensing—Failed to provide safe environment
06 May 2016Abuse: Neglect
06 May 2016Abuse: Neglect
Investigated an abuse/neglect allegation and found failure to provide adequate care.
Abuse—Failed to provide service
06 May 2016Inspection
06 May 2016Inspection
Investigated and substantiated a violation for failing to provide appropriate care to a resident.
Licensing—Failed to provide service
28 Apr 2016Abuse: Physical Abuse
28 Apr 2016Abuse: Physical Abuse
Investigated a report of physical abuse and found that a resident was not protected from rough treatment.
Abuse—Failed to protect resident from rough treatment
26 Apr 2016Abuse: Neglect
26 Apr 2016Abuse: Neglect
Investigated a neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
25 Apr 2016Abuse: Neglect
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.
Abuse—Failed to provide safe environment
23 Apr 2016Abuse: Neglect
23 Apr 2016Abuse: Neglect
Investigated an allegation of neglect and determined there was a failure to provide a safe environment for a resident.
Abuse—Failed to provide safe environment
21 Apr 2016Inspection
21 Apr 2016Inspection
Found inadequate care provided to a resident.
Licensing—Failed to provide service
20 Apr 2016Abuse: Neglect
20 Apr 2016Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
18 Apr 2016Inspection
18 Apr 2016Inspection
Investigated the allegation and identified a deficiency for not providing required oral care.
Licensing—Failed to provide service
29 Mar 2016Inspection
29 Mar 2016Inspection
Found failure to provide appropriate care to a resident.
Licensing—Failed to provide service
28 Mar 2016Inspection
28 Mar 2016Inspection
Found a licensing violation for failing to report injuries of unknown origin to APS as required.
Licensing—Failed to investigate injury of unknown origin to rule out abuse
19 Mar 2016Abuse: Neglect
19 Mar 2016Abuse: Neglect
Confirmed failure to provide a safe environment, with an abuse/neglect finding and a $300 fine.
Abuse—Failed to provide safe environment
14 Mar 2016Abuse: Financial abuse
14 Mar 2016Abuse: Financial abuse
Investigated a financial abuse allegation and found that a resident's resources were wrongfully taken.
Abuse—Failed to provide safe environment
02 Mar 2016Inspection
02 Mar 2016Inspection
Determined that there was a failure to provide a safe environment. Substantial noncompliance was found.
Licensing—Failed to provide safe environment
02 Mar 2016Abuse: Neglect
02 Mar 2016Abuse: Neglect
Investigated and substantiated an allegation of neglect for failing to provide service; a $300 fine assessed.
Abuse—Failed to provide service
22 Feb 2016Inspection
22 Feb 2016Inspection
Found a deficiency in infection control due to a floor not being sanitized for 24 hours.
Licensing—Failed to provide infection control
17 Feb 2016Inspection
17 Feb 2016Inspection
Investigated the allegation that ordered medication was not administered and found an inadequate medication administration system.
Licensing—Failed to administer ordered medication
21 Jan 2016Abuse: Neglect
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.
Abuse—Failed to provide safe environment
16 Jan 2016Inspection
16 Jan 2016Inspection
Identified a deficiency in the medication administration system.
Licensing—Failed to provide a safe medication administration system
13 Sept 2015Inspection
13 Sept 2015Inspection
Found that care was not provided as required.
Licensing—Failed to follow care plan
01 Jun 2015Abuse: Financial abuse
01 Jun 2015Abuse: Financial abuse
Investigated and found that residents' funds were not protected from theft.
Abuse—Failed to provide safe environment
06 Apr 2015Inspection
06 Apr 2015Inspection
Found failure to address resident behavior and provide a safe environment for residents.
Licensing—Failed to address resident's behavior
01 Apr 2015Abuse: Financial abuse
01 Apr 2015Abuse: Financial abuse
Concluded financial abuse occurred and failure to provide a safe environment.
Abuse—Failed to provide safe environment
27 Mar 2015Abuse: Neglect
27 Mar 2015Abuse: Neglect
Investigated allegations of inadequate dressing and grooming care, and found a failure to provide appropriate care.
Abuse—Failed to assist with dressing or grooming
10 Feb 2015Abuse: Financial abuse
10 Feb 2015Abuse: Financial abuse
Found failure to protect RV1 from theft of narcotics.
Abuse—Failed to provide safe environment
10 Feb 2015Abuse: Financial abuse
10 Feb 2015Abuse: Financial abuse
Found that safeguards to protect RV2's narcotics from theft were inadequate, a form of financial abuse.
Abuse—Failed to provide safe environment
14 Jan 2015Inspection
14 Jan 2015Inspection
Found that medical treatment as ordered was not provided, and the allegation was substantiated.
Licensing—Failed to provide medical treatment as ordered
06 Aug 2014Abuse: Neglect
06 Aug 2014Abuse: Neglect
Investigated an abuse/neglect allegation and found inadequate care provided to a resident.
Abuse—Failed to provide service
05 Mar 2014Abuse: Neglect
05 Mar 2014Abuse: Neglect
Investigated an allegation of neglect related to medication safety and found a failure to provide a safe medication administration process.
Abuse—Failed to provide a safe medication administration system
07 Feb 2014Abuse: Neglect
07 Feb 2014Abuse: Neglect
Investigated an allegation of failing to protect a resident from financial exploitation and imposed a $300 fine.
Abuse—Failed to protect resident from financial exploitation
08 Nov 2013Abuse: Financial abuse
08 Nov 2013Abuse: Financial abuse
Investigated a complaint and found a resident financially exploited, compromising safety.
Abuse—Failed to provide safe environment
15 Jun 2013Abuse: Financial abuse
15 Jun 2013Abuse: Financial abuse
Investigated an allegation of failing to provide a safe environment and found that medications were not protected from theft.
Abuse—Failed to provide safe environment
19 Mar 2012Abuse: Neglect
19 Mar 2012Abuse: Neglect
Found care was not provided appropriately due to failing to intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
09 Feb 2012Abuse: Financial abuse
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.
Abuse—Failed to provide a safe medication administration system
07 Apr 2011Abuse: Neglect
07 Apr 2011Abuse: Neglect
Investigated an allegation of neglect and found a failure to intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
06 Apr 2011Abuse: Neglect
06 Apr 2011Abuse: Neglect
Found a failure to provide a safe environment for residents.
Abuse—Failed to address resident's behavior
23 Mar 2011Abuse: Neglect
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.
Abuse—Failed to provide oversight and monitoring of change of condition
07 Mar 2011Inspection
07 Mar 2011Inspection
Investigated a licensing complaint and found failures to assure resident rights and to provide a safe environment.
Licensing—Failed to assure resident rights
26 Feb 2011Abuse: Neglect
26 Feb 2011Abuse: Neglect
Investigated a complaint alleging neglect and found that two residents were not protected from physical harm.
Abuse—Failed to address resident's behavior
06 Feb 2011Abuse: Neglect
06 Feb 2011Abuse: Neglect
Found a failure to provide a safe environment for residents.
Abuse—Failed to address resident's behavior
26 Dec 2010Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
18 Dec 2010Abuse: Physical Abuse
18 Dec 2010Abuse: Physical Abuse
Determined that a resident was subjected to rough treatment and that the environment was unsafe.
Abuse—Failed to protect resident from rough treatment
10 Dec 2010Inspection
10 Dec 2010Inspection
Investigated and found a failure to assure resident rights and to provide a safe environment.
Licensing—Failed to assure resident rights
24 Nov 2010Inspection
24 Nov 2010Inspection
Investigated a complaint about failure to provide adequate care, with findings substantiated.
Licensing—Failed to provide service
24 Nov 2010Inspection
24 Nov 2010Inspection
Investigated and identified a deficiency in safeguarding medications due to lack of a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
17 Oct 2010Abuse: Neglect
17 Oct 2010Abuse: Neglect
Investigated an allegation of neglect related to falls and found a safety deficiency.
Abuse—Failed to adequately care plan related to falls
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