Pricing ranges from
    $6,177 – 7,412/month

    Bayside Terrace by Cogir

    192 Norman Ave, Coos Bay, OR 97420
    • Assisted Living
    • Memory Care

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • 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

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.55·(67)

    Overall rating

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

      4.4
    • Staff

      4.5
    • Meals

      4.1
    • Amenities

      4.4
    • Value

      2.8

    Pros

    • Compassionate, resident-focused staff
    • Clean, well-maintained interior spaces
    • Attractive landscaped grounds and garden paths
    • Apartment-style private residences with en-suite bathrooms
    • Spacious, modern architectural design and high ceilings
    • Engaging, varied activity program
    • Quality, well-presented dining and special meals
    • Strong memory-care programming and continuum of care
    • Convenient location near hospital and shopping
    • Secure entry and ample parking
    • Warm, home-like, family atmosphere
    • On-site amenities (large dining room, aquarium, common areas)
    • Transportation and scheduled outings
    • Attentive admissions and move-in support

    Cons

    • Inconsistent meal quality and nutritional tailoring
    • Variable staffing levels affecting responsiveness
    • Perceived management transparency and favoritism concerns
    • Occasional housekeeping and sanitation lapses
    • Inconsistent activity variety and gender-specific programming
    • Communication delays and inconsistent follow-up
    • Restrictive contract and refund policies
    • Upscale hotel-like environment may feel impersonal to some
    • Gaps in clinical responsiveness and medication-administration oversight

    Summary of reviews

    Bayside Terrace presents as a modern, well-maintained assisted living community with apartment-style units, attractive landscaping and garden paths, and a range of amenities intended to create a hotel-like, residential experience. Many comments highlight private suites with en-suite bathrooms, high ceilings and upscale finishes, a large dining room, visual focal points (saltwater aquarium), and on-site conveniences such as ample parking and scheduled transportation. The physical environment and grounds are consistently described as tidy and welcoming.

    Staff and caregiving receive largely positive commentary: numerous reviewers describe attentive, compassionate, and respectful employees who foster a family-like atmosphere and help residents transition into community living. Memory-care programming and the continuum-of-care options are noted positively; families reported that activities and clinical services were appropriate and that staff generally knew residents’ preferences. However, review content also identifies operational gaps that affect care consistency. There are recurring concerns about variable staffing levels and occasional delays in responsiveness, together with comments that point to gaps in clinical responsiveness and medication-administration oversight. In a few instances reviewers raised allegations of serious staff-conduct concerns and questioned management decisions; these items indicate a need for prospective families to ask direct questions about supervision and clinical oversight during a tour.

    Dining is a mixed area: many reviewers praise well-presented and enjoyable meals, holiday and family dining options, and a healthful variety, while others seek fresher, less-processed choices and lower-sodium/ sugar options. Meal consistency and nutrition tailoring for individual preferences emerge as areas for improvement. The activity program receives strong positive notes for creativity — crafts, music, jam-making, farmer’s-market participation, movies and frequent outings — but some comments request broader variety, more gender-specific options, and more consistent delivery when staffing or infection-control events affect programming.

    Management and day-to-day operations show a split perception. Several families commend accessible, supportive admissions staff and managers who follow up; others express concerns about management visibility, communication speed, and perceived favoritism or lack of transparency in decision-making. Housekeeping and sanitation are generally seen as strengths, though occasional lapses (for example, missed vacuuming or cleaning tasks) are reported. Financial and contractual terms are also a practical consideration: penalties for short-term leaves and limited refundability of prepaid rent were noted and should be reviewed closely by prospective residents and families.

    Overall, Bayside Terrace appears to be a strong fit for people seeking a modern, activity-rich, landscaped community with an emphasis on family-style care and private living spaces. Prospective residents should prioritize questions about current staffing ratios and schedules, meal planning and dietary accommodations, clinical oversight and medication protocols, housekeeping standards, and specific contract terms to ensure the community’s operational practices align with their expectations and care needs.

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    Location

    Bayside Terrace by Cogir is located at 192 Norman Ave, Coos Bay, OR, 97420.

    About Bayside Terrace by Cogir

    Bayside Terrace Assisted Living & Memory Care offers a sophisticated and welcoming environment for seniors seeking both independence and compassionate support. Residents are greeted with modern, stylish interiors and private apartments designed for comfort and elegant living. The community is thoughtfully laid out to foster an active social life, encouraging relationships and daily enrichment through well-planned common spaces such as large community rooms featuring inviting tables and chairs, as well as areas dedicated to relaxation and entertainment, including a room with a piano for music lovers and a spacious living room with comfortable seating and a television.

    At Bayside Terrace, the focus is on making daily living enjoyable and stress-free. Residents enjoy three chef-prepared meals daily, served in a friendly and communal atmosphere. The culinary experience is a highlight, adding a touch of luxury as well as the assurance of nutritious, delicious dining. The amenities offered throughout the community are designed to support a carefree lifestyle where household chores and daily worries are expertly managed by attentive staff.

    For those in need of specialized support, Bayside Terrace provides comprehensive Memory Care services available around the clock, every day of the week. These services are carefully tailored to meet each resident's physical, emotional, and spiritual needs, particularly for individuals experiencing dementia or Alzheimer’s Disease. The dedicated team at Bayside Terrace is committed to delivering high-quality, resident-centered care in a safe and supportive environment. Residents benefit from enriching programs, engaging social activities, wellness classes, and gourmet meals—all curated to enhance their quality of life.

    A unique and cornerstone program within the community is Spark™, which is specially designed to empower seniors to reach their full potential while spending their days with joyful purpose. Spark™ emphasizes supporting each individual's ideas, choices, and independence, encouraging creative expression and active participation in shaping their community experience. Staff members at Bayside Terrace play a vital role in nurturing the innate spark within every resident, enthusiastically helping to transform new ideas into reality.

    Pet-friendly policies round out the amenities, welcoming residents and their animal companions to truly feel at home. Bayside Terrace Assisted Living & Memory Care stands as a place dedicated to warmth, engagement, and the highest standards of senior living, providing not just a residence, but a vibrant community where every day presents opportunities for connection, fulfillment, and well-being.

    About Cogir Senior Living

    Bayside Terrace by Cogir is managed by Cogir Senior Living.

    Cogir Senior Living was founded in 1995 by Serge G. Duguay, a passionate real estate entrepreneur in Quebec, Canada. What began as a small family business has grown into one of North America's leading senior living operators. From humble beginnings with about a dozen U.S. communities in 2020, Cogir has experienced remarkable growth, approaching 100 communities across 11 states by 2025. The company's U.S. operations are headquartered in Sacramento, California, with additional offices in Scottsdale, Arizona, and Seattle, Washington, under the leadership of CEO David Eskenazy.

    People often ask...

    Bayside Terrace by Cogir offers competitive pricing, with rates starting at a cost of $6,177 per month.

    Bayside Terrace by Cogir offers assisted living and memory care.

    There are 51 photos of Bayside Terrace by Cogir on Mirador.

    The full address for this community is 192 Norman Ave, Coos Bay, OR 97420.

    No, Bayside Terrace by Cogir 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 number50M440
    StatusActive
    Facility typeResidential Care Facility
    Capacity22 residents
    Licensee192 Norman Avenue OpCo LLC
    EffectiveOctober 1st, 2016
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    210

    Reports

    0

    Type A Citations

    0

    Type B Citations

    3

    Complaints

    16

    Years

    26 Jul 2026Inspection
    Found a deficiency for failing to implement and maintain an Acuity-Based Staffing Tool. The issue related to an Oregon Administrative Rules requirement.
    • Licensing—Failed to use an ABST
    24 Jul 2026License Condition
    Investigated and found a failure to provide a safe environment.
    • Regulatory Action—Failed to provide safe environment
    22 Jul 2026Kitchen
    Found sanitation and administration deficiencies in the kitchen and related areas, including dirty surfaces, missing ceiling sections, and equipment not meeting temperature requirements.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    22 Jul 2026Change of Owner
    Identified multiple deficiencies across service planning, medication management, staff training, fire safety, and facility maintenance.
    • Deficiency—Service Plan: Service Planning Team
    • Deficiency—Systems: Tracking Control Substances
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Resident Right to Refuse
    • Deficiency—Systems: Medication Administration
    • Deficiency—Training Within 30 Days of Hire ? Direct Care Staff
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—General Building: Doors-Walls, Cleanable
    22 Jul 2026Kitchen
    Found deficiencies in kitchen sanitation and equipment, including debris buildup, exposed insulation, and dishwashing temperature issues.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    21 Jul 2026Inspection
    Found that an acuity-based staffing tool was not implemented or maintained.
    • Licensing—Failed to use an ABST
    16 Jul 2026Change of Owner
    Identified numerous deficiencies across resident rights, health services, abuse reporting, safety, nutrition, and staffing, including resident-to-resident abuse, inadequate monitoring, and unsafe environmental conditions.
    • Deficiency—Resident Rights and Protection - General
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Resident Health Services
    • Deficiency—Infection Prevention & Control
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Resident Right to Refuse
    • Deficiency—Systems: Psychotropic Medication
    • Deficiency—Restraints and Supportive Devices
    • Deficiency—Staffing Requirements and Training: Staffing
    • Deficiency—Acuity Based Staffing Tool - ABST Time
    • Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Call Sys, Exit Dr Alarm, Phones, TV, or Cable
    • Deficiency—Individual Privacy: Own Unit
    • Deficiency—Staffing Requirements and Training ? Pre-service
    • Deficiency—Administration Responsibilities
    • Deficiency—Administration Compliance
    • Deficiency—Staff Training Requirements
    • Deficiency—Compliance with Rules Health Care
    • Deficiency—Nutrition and Hydration
    • Deficiency—Secure Outdoor Recreation Area
    08 Jul 2026Inspection
    Identified a deficiency for not implementing and maintaining an Acuity-Based Staffing Tool. Violations were cited under OAR 411-054-0037(1-7).
    • Licensing—Failed to use an ABST
    24 Jun 2026Inspection
    Found that an Acuity-Based Staffing Tool was not implemented or maintained. This violated state staffing requirements.
    • Licensing—Failed to use an ABST
    01 Jun 2026Inspection
    Identified a deficiency for failing to develop, maintain, and implement an acuity-based staffing tool. The finding noted a breach of established staffing requirements.
    • Licensing—Failed to use an ABST
    26 May 2026Inspection
    Found a violation for failing to implement and maintain an acuity-based staffing tool.
    • Licensing—Failed to use an ABST
    10 May 2026Inspection
    Found a deficiency for failing to implement and maintain an Acuity-Based Staffing Tool.
    • Licensing—Failed to use an ABST
    29 Apr 2026Inspection
    Identified a deficiency for failing to implement and maintain an acuity-based staffing tool. This represents a violation of Oregon Administrative Rules.
    • Licensing—Failed to use an ABST
    17 Apr 2026Inspection
    Found that a staff member verbally abused a resident and failed to protect residents from verbal abuse, constituting neglect of care and violation of resident rights.
    • Licensing—Failed to protect resident from verbal abuse
    05 Sept 2025Abuse: Neglect
    Investigated a neglect report and found a safety lapse that left a memory care resident outside without assistance, creating risk. A $250 fine was assessed.
    • Abuse—Failed to provide safe environment
    29 Jul 2025Inspection
    Found that staff failed to provide correct ostomy care, resulting in a cut and discomfort to a resident.
    • Licensing—Failed to provide service
    20 Jun 2025Inspection
    Found that staff did not follow the resident's care plan during a transfer, causing a fall and injury.
    • Licensing—
    23 Apr 2025Kitchen
    Identified multiple deficiencies in kitchen sanitation and food handling, indicating violations of food safety rules.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    23 Apr 2025Kitchen
    Found multiple deficiencies in meal service and kitchen sanitation, and administration compliance in memory care.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    01 Jan 2025Abuse: Neglect
    Investigated and found violations involving failure to provide a safe environment and inadequate care planning, creating risk of harm.
    • Abuse—Failed to provide safe environment
    18 Sept 2024Abuse: Neglect
    Investigated a neglect allegation for failing to provide a safe environment; found a failure that led to an injury and a $500 fine was assessed.
    • Abuse—Failed to provide safe environment
    12 Sept 2024Inspection
    Found that the facility failed to implement a department approved Acuity-Based Staffing Tool (ABST).
    • Licensing—Failed to use an ABST
    31 Jul 2024Complaint
    Investigated a complaint about an acuity-based staffing tool during a single visit.
    • Deficiency—Acuity-Based Staffing Tool
    29 Jul 2024Abuse: Neglect
    Investigated and found violations related to staffing and timely call-light response, contributing to a resident's death. A $2,500 fine was assessed.
    • Abuse—Failed to answer call light in a timely manner
    17 Jul 2024Inspection
    Found that a courtyard gate was left open, allowing an elopement and creating risk to a resident; violations were identified and a fine assessed.
    • Licensing—Failed to provide safe environment
    17 Jul 2024Abuse: Neglect
    Found a failure to provide a safe environment when a courtyard gate did not latch, allowing elopement; this constituted neglect and abuse.
    • Abuse—Failed to provide safe environment
    14 May 2024Abuse: Neglect
    Identified failure to protect a fall-risk resident from falls after the resident was found on the floor with neck pain and unclear safety precautions.
    • Abuse—Failed to provide safe environment
    07 May 2024Inspection
    Investigated a complaint alleging verbal abuse and neglect; authorities found a violation of resident rights and neglect of care.
    • Licensing—Failed to protect resident from verbal abuse
    24 Apr 2024Inspection
    Investigated a report of an unsafe environment and found that a person was left unsupervised in a medical setting, creating risk of harm.
    • Licensing—Failed to provide safe environment
    23 Apr 2024Licensure
    Identified kitchen sanitation and administration deficiencies during initial visits. Later follow-up found substantial compliance.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Inspections and Investigation: Insp Interval
    • Deficiency—Administration Compliance
    23 Apr 2024Licensure
    Observed widespread kitchen sanitation deficiencies and ongoing failure to implement corrective actions, with repeat violations cited for food sanitation and inspection follow-up. Findings included persistent debris and equipment deterioration and improper thawing of meat across visits.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Inspections and Investigation: Insp Interval
    14 Mar 2024Inspection
    Found deficiencies in an Acuity-Based Staffing Tool, with inconsistencies between the resident roster, care plans, and ABST data.
    • Licensing—Failed to use an ABST
    26 Feb 2024Abuse: Neglect
    Identified failure to follow the care plan safety checks that led to a resident fall with injury, classified as neglect and abuse.
    • Abuse—Failed to follow care plan
    13 Feb 2024Complaint
    Found no deficiencies.
    • Deficiency—Systems: Medications and Treatments
    • Deficiency—Systems: Treatment Orders
    13 Feb 2024Abuse: Neglect
    Found a failure to timely reorder a resident's pain medication, leaving them in severe pain and constituting neglect and abuse. A fine was assessed.
    • Abuse—Failed to provide a safe medication administration system
    13 Feb 2024Complaint
    Found no deficiencies.
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Systems: Treatment Orders
    05 Feb 2024Inspection
    Investigated found violations for failing to protect a resident from inappropriate sexual contact by a caregiver. The actions were considered sexual abuse and neglect under state rules.
    • Licensing—Failed to protect resident from inappropriate sexual contact
    27 Dec 2023Inspection
    Found that a staff member was upset and gruff with a resident during a care incident, causing distress and violating resident rights and neglect of care.
    • Licensing—Failed to assure resident rights
    21 Dec 2023Inspection
    Investigated a medication administration issue; found a resident received the wrong dosage, indicating a deficiency in carrying out medication orders.
    • Licensing—Failed to provide a safe medication administration system
    20 Dec 2023Abuse: Neglect
    Investigated a complaint about ostomy care. Found neglect and abuse due to insufficient assistance with an ostomy bag, resulting in loss of personal dignity.
    • Abuse—Failed to provide service
    18 Dec 2023Abuse: Neglect
    Investigated found that a breathing treatment medication was not ordered timely, causing missed treatments and shortness of breath, constituting neglect and abuse.
    • Abuse—Failed to have medication available
    21 Nov 2023Abuse: Neglect
    Investigated the allegation and identified deficiencies in care planning that contributed to a fall with injury during walking.
    • Abuse—Failed to properly plan care
    20 Nov 2023Inspection
    Found a failure to provide a safe environment for residents, including an incident where dish soap was left on a kitchen counter and a resident drank it.
    • Licensing—Failed to provide safe environment
    19 Nov 2023Inspection
    Investigated a complaint and found that a resident monitoring and reporting system was not implemented 24 hours a day, and staff did not chart or follow up on injuries until the next day.
    • Licensing—Failed to provide service
    18 Nov 2023Abuse: Neglect
    Observed thickened, yellow toenails with overgrowth and pain, and a failure to provide nail care, resulting in neglect and abuse concerns.
    • Abuse—Failed to provide service
    18 Nov 2023Abuse: Neglect
    Found a failure to provide a safe environment, resulting in a substantiated abuse/neglect finding and a fine.
    • Abuse—Failed to provide safe environment
    01 Nov 2023Abuse: Neglect
    Identified failure to properly plan care to mitigate falls, with a $500 fine assessed.
    • Abuse—Failed to properly plan care
    29 Aug 2023Inspection
    Investigated and found that a staff member yelled at a resident, causing distress and violating resident rights and constituting emotional abuse.
    • Licensing—Failed to protect resident from mental or emotional abuse
    25 Aug 2023Inspection
    Investigated a complaint about medication administration safety and found a deficiency where a doxycycline dose was not in-house or MAR-approved.
    • Licensing—Failed to provide a safe medication administration system
    20 Aug 2023Abuse: Neglect
    Found inadequate fall prevention care planning, leaving a resident at risk after two unwitnessed falls. A $500 fine was assessed.
    • Abuse—Failed to properly plan care
    14 Aug 2023Inspection
    Found a deficiency in the medication administration system due to not reordering residents' medications timely. The finding identified a violation of Oregon Administrative Rules.
    • Licensing—Failed to provide a safe medication administration system
    14 Aug 2023Inspection
    Found that a resident's medications were not administered as ordered.
    • Licensing—Failed to administer medication as ordered
    28 Jul 2023Inspection
    Investigated a complaint and found a staff member hurried a resident during incontinence care, dismissing the resident's request to be cleaned, resulting in a rights violation, neglect and abuse.
    • Licensing—Failed to assure resident rights
    24 Jul 2023Inspection
    Investigated a complaint and found verbal abuse toward a resident, constituting neglect of care.
    • Licensing—Failed to protect resident from verbal abuse
    21 Jun 2023License Condition
    Investigated the allegation that a safe environment was not provided and identified violations of safety requirements.
    • Regulatory Action—Failed to provide safe environment
    16 Jun 2023License Condition
    Investigated the allegation of not providing a safe environment and identified deficiencies related to safety during the re-licensure review.
    • Regulatory Action—Failed to provide safe environment
    06 Jun 2023Validation
    Identified widespread deficiencies across administration, resident care, safety, and compliance during a change of ownership survey, resulting in multiple citations.
    • Deficiency—Comment
    • Deficiency—Facility Administration: Operation
    • Deficiency—Reasonable Precautions
    • Deficiency—Resident Rights and Protection - General
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Resident Move-In and Eval: Res Evaluation
    • Deficiency—Service Plan: General
    • Deficiency—Service Plan: Service Planning Team
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Resident Health Services
    • Deficiency—Rn Delegation and Teaching
    • Deficiency—Infection Prevention & Control
    • Deficiency—Systems: Medications and Treatments
    • Deficiency—Systems: Medication Administration
    • Deficiency—Systems: Psychotropic Medication
    • Deficiency—Acuity-Based Staffing Tool
    • 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—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
    • Deficiency—Administration Compliance
    • Deficiency—Staff Training Requirements
    • Deficiency—Compliance With Rules Health Care
    • Deficiency—Nutrition and Hydration
    • Deficiency—Activities
    • Deficiency—Secure Outdoor Recreation Area
    06 Jun 2023Validation
    Found widespread deficiencies across administration, resident rights, service planning, health services, infection control, fire safety, and building maintenance.
    • Deficiency—Comment
    • Deficiency—Facility Administration: Operation
    • Deficiency—Resident Rights and Protection - General
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Resident Move-In and Eval: Res Evaluation
    • Deficiency—Service Plan: General
    • Deficiency—Service Plan: Service Planning Team
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Resident Health Services
    • Deficiency—Rn Delegation and Teaching
    • Deficiency—Infection Prevention & Control
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Medication Administration
    • Deficiency—Systems: Self-Administration of Meds
    • Deficiency—Restraints and Supportive Devices
    • Deficiency—Acuity-Based Staffing Tool
    • Deficiency—Staffing Requirements and Training – Pre-Serv
    • 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—General Building: Doors-Walls, Cleanable
    • Deficiency—Call System
    16 May 2023Abuse: Neglect
    Found neglect and abuse for failing to address a resident's swallowing changes, which led to aspiration pneumonia, and assessed a $500 fine.
    • Abuse—Failed to address resident's behavior
    22 Apr 2023Abuse: Neglect
    Investigated a fall risk care-planning failure that led to a fall and injury; a $1,000 fine was assessed.
    • Abuse—Failed to properly plan care
    16 Apr 2023Abuse: Neglect
    Investigated and identified deficiencies in care planning that allowed inappropriate sexual contact toward a resident, causing emotional harm. Found that these deficiencies violated resident rights and constituted abuse and neglect.
    • Abuse—Failed to protect resident from inappropriate sexual contact
    26 Mar 2023Abuse: Neglect
    Found neglect and abuse related to failure to plan care for a resident with sexually aggressive behavior; assessed a $500 fine.
    • Abuse—Failed to properly plan care
    21 Mar 2023Abuse: Neglect
    Investigated a complaint that a resident was not protected from inappropriate sexual contact; found inadequate care planning led to emotional harm and abuse, with a fine assessed.
    • Abuse—Failed to protect resident from inappropriate sexual contact
    09 Mar 2023Abuse: Neglect
    Found violations related to inadequate care planning to protect residents from inappropriate behavior, resulting in emotional harm, and a $500 fine was assessed.
    • Abuse—Failed to protect resident from inappropriate sexual contact
    07 Mar 2023Abuse: Neglect
    Found failure to properly plan care for a known fall risk, resulting in a head injury and a $1,000 fine.
    • Abuse—Failed to properly plan care
    20 Jan 2023Licensure
    Found multiple deficiencies in kitchen sanitation and maintenance, and administration compliance issues; violations cited related to food sanitation rules and licensing rules.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Inspections and Investigation: Insp Interval
    • Deficiency—Administration Compliance
    20 Jan 2023Licensure
    Identified significant kitchen cleanliness and repair deficiencies, including debris buildup and damaged surfaces, with remediation efforts proceeding and later achieving substantial compliance.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Inspections and Investigation: Insp Interval
    28 Dec 2022Abuse: Neglect
    Found a resident did not receive medication for 8 days due to medication being mis-filed with another resident's, indicating neglect and abuse with a fine assessed.
    • Abuse—Failed to properly secure or store medication
    25 Nov 2022Abuse: Neglect
    Found violations related to failure to properly plan care, resulting in neglect and abuse; assessed a $250 fine.
    • Abuse—Failed to properly plan care
    23 Nov 2022Abuse: Neglect
    Identified abuse/neglect due to failure to protect a resident from inappropriate sexual contact and failure to update the care plan to address inappropriate interactions, resulting in the resident fearing interaction with a staff member.
    • Abuse—Failed to protect resident from inappropriate sexual contact
    22 Nov 2022Abuse: Neglect
    Identified a failure to protect a resident from inappropriate sexual contact and neglect due to an outdated care plan.
    • Abuse—Failed to protect resident from inappropriate sexual contact
    18 Oct 2022Abuse: Neglect
    Found that inadequate night-shift staffing prevented following the care plan, resulting in neglect and abuse; a fine was assessed.
    • Abuse—Failed to follow care plan
    27 Jun 2022Abuse: Neglect
    Found failure to provide a safe environment due to inadequate supervision and staff support. The incident left a resident with a bruise and was identified as neglect and abuse.
    • Abuse—Failed to provide safe environment
    08 Jun 2022Abuse: Neglect
    Identified neglect and abuse due to failure to properly plan care for a resident's inappropriate behaviors toward others, resulting in emotional harm and loss of dignity.
    • Abuse—Failed to properly plan care
    01 Jun 2022Inspection
    Investigated and found that adequate screening or assessment was not performed and that quarterly evaluations of residents' service plans were not conducted.
    • Licensing—Failed to perform adequate screening or assessment
    01 Jun 2022Inspection
    Investigated the allegation of inadequate staffing and found insufficient staffing to meet residents' scheduled and unscheduled needs.
    • Licensing—Failed to provide appropriate staffing
    01 Jun 2022Inspection
    Investigated a complaint alleging failure to provide a safe environment and found a deficiency related to safety precautions that could threaten residents’ health, safety, or welfare.
    • Licensing—Failed to provide safe environment
    02 May 2022Inspection
    Found that the care plan was not followed, with the resident's bandage not changed as required, creating risk of harm and indicating neglect and abuse.
    • Licensing—Failed to follow care plan
    11 Mar 2022Inspection
    Investigated the complaint and found abuse and neglect of a resident.
    • Licensing—Failed to protect resident from physical abuse
    11 Mar 2022Inspection
    Investigated an allegation of verbal abuse; found that a staff member yelled, cursed, and grabbed a resident during an attempted shower, constituting verbal abuse and neglect.
    • Licensing—Failed to protect resident from verbal abuse
    01 Mar 2022Inspection
    Found that weekly vaccination reporting for residents and staff was not submitted to the proper authority for 27 days in February 2022.
    • Licensing—Failed to submit timely or adequate staffing documentation
    01 Mar 2022Inspection
    Investigated the allegation and identified ongoing noncompliance with weekly reporting requirements for vaccinated individuals, residents, and staff.
    • Licensing—Failed to submit timely or adequate staffing documentation
    15 Sept 2021Inspection
    Determined that a staff member violated resident rights and engaged in emotional abuse toward a resident.
    • Licensing—Failed to protect resident from mental or emotional abuse
    12 Aug 2021Inspection
    Found violations due to unsafe medication administration and a deficient medication system that placed a resident at risk of harm.
    • Licensing—Failed to provide a safe medication administration system
    04 Jun 2021Abuse: Neglect
    Investigated the allegation and found that proper hydration was not assured, leading to dehydration and risk of harm.
    • Abuse—Failed to assure proper hydration
    20 May 2021Abuse: Neglect
    Investigated found that staff failed to follow the care plan, exposing a resident to risk of harm and constituting abuse and neglect; a $250 fine was assessed.
    • Abuse—Failed to follow care plan
    12 May 2021Abuse: Neglect
    Identified abuse and neglect due to failure to provide a safe environment, and assessed a $188 fine.
    • Abuse—Failed to provide safe environment
    05 May 2021Inspection
    Investigated and found failure to protect the resident from verbal abuse.
    • Licensing—Failed to protect resident from verbal abuse
    17 Mar 2021Abuse: Neglect
    Investigated a report of abuse/neglect and found a failure to provide a safe environment, resulting in self-harm risk; a fine was assessed.
    • Abuse—Failed to provide safe environment
    09 Mar 2021Abuse: Neglect
    Found violations of resident rights and neglect/abuse due to failing to address a non-working call button and not providing an interim service plan, which contributed to a resident fall.
    • Abuse—Failed to provide or maintain resident care equipment
    06 Jan 2021Abuse: Neglect
    Identified neglect and abuse due to failure to properly care plan for a resident's fall risk, resulting in a fall with a forehead injury.
    • Abuse—Failed to properly plan care
    24 Aug 2020Abuse: Neglect
    Found neglect and abuse due to improper care planning for fall risk, which led to a wheelchair fall and head hematoma.
    • Abuse—Failed to properly plan care
    25 Jun 2020Inspection
    Found that a safe medication administration system was not provided, with patches not administered as ordered and MAR entries not reflecting reality, creating risk of serious harm.
    • Licensing—Failed to provide a safe medication administration system
    17 Jun 2020Abuse: Neglect
    Found that a staff member failed to protect a resident from emotional and mental abuse, constituting neglect. The provider knew of the issue and attempted to restrict interaction, but the behavior continued.
    • Abuse—Failed to protect resident from mental or emotional abuse
    27 May 2020Inspection
    Investigated a complaint and found neglect; a staff member grabbed a resident's arm and yelled, constituting abuse and a failure to provide a safe environment.
    • Licensing—Failed to provide safe environment
    26 Apr 2020Abuse: Neglect
    Determined neglect and abuse for failing to provide a safe environment, resulting in multiple falls and injuries. A $500 fine was assessed.
    • Abuse—Failed to provide safe environment
    20 Dec 2019Abuse: Neglect
    Found that safety checks required by the care plan were not performed, resulting in a fall and injury; a fine was assessed.
    • Abuse—
    11 Dec 2019Abuse: Neglect
    Investigated and found that the resident care plan was not followed to remind the resident to use a walker or wheelchair and to observe for weakness during ambulation, creating a risk of harm.
    • Abuse—Failed to follow care plan
    18 Nov 2019Abuse: Neglect
    Investigated and found violations regarding falls risk care planning and delayed response to a call light that led to falls and skin tears.
    • Abuse—Failed to properly plan care
    15 Nov 2019Inspection
    Investigated and found that staff forced cleanup of a resident against their will, causing stress and bruising and a failure to provide a safe environment.
    • Licensing—Failed to provide safe environment
    20 Oct 2019Inspection
    Found a failure to provide a safe environment and to follow a resident's care plan, resulting in neglect and abuse.
    • Licensing—Failed to provide safe environment
    18 Oct 2019Abuse: Neglect
    Investigated a neglect allegation and found that supervision needed to keep a vulnerable adult safe was not provided, creating a risk of serious harm.
    • Abuse—Failed to provide safe environment
    17 Oct 2019Inspection
    Concluded there was a violation related to a safe medication administration system.
    • Licensing—Failed to provide a safe medication administration system
    07 Oct 2019Abuse: Neglect
    Investigated an allegation of failing to administer prescribed medication. Found neglect that created a risk of serious harm to a resident.
    • Abuse—Failed to administer ordered medication
    22 Sept 2019Inspection
    Found a failure to provide a safe medication administration system, leading to neglect of care and abuse.
    • Licensing—Failed to provide a safe medication administration system
    21 Sept 2019Inspection
    Found neglect of care that led to a resident injury. Found that the environment failed to provide a safe setting and violated state rules.
    • Licensing—Failed to provide safe environment
    25 Jul 2019Inspection
    Found a deficiency in the medication administration system with no harm or potential for minor harm.
    • Licensing—Failed to provide a safe medication administration system
    19 Jun 2019Abuse: Neglect
    Concluded neglect led to a resident eloping, resulting in a fall and skin tears; a fine was assessed.
    • Abuse—Failed to assure resident was safe
    18 Jun 2019Inspection
    Investigated an allegation of unsafe environment and identified a safety violation related to neglect that contributed to a fall.
    • Licensing—Failed to provide safe environment
    20 Apr 2019Abuse: Verbal/Mental abuse
    Investigated the complaint and concluded that a resident was not protected from verbal abuse, resulting in significant emotional harm.
    • Abuse—Failed to protect resident from verbal abuse
    23 Mar 2019Abuse: Neglect
    Found neglect for not following the care plan, creating risk of serious harm, and a fine was assessed.
    • Abuse—Failed to follow care plan
    23 Mar 2019Abuse: Neglect
    Found neglect due to not following a resident's care plan, creating risk of serious harm. A fine was assessed.
    • Abuse—Failed to follow care plan
    22 Mar 2019Inspection
    Found a violation of administering medication as ordered.
    • Licensing—Failed to administer medication as ordered
    21 Mar 2019Abuse: Neglect
    Investigated an abuse/neglect allegation and found failure to provide a safe medication administration system, with a $1,500 fine assessed.
    • Abuse—Failed to provide a safe medication administration system
    21 Mar 2019Inspection
    Found that suspected abuse was not reported; a $750 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    12 Mar 2019Abuse: Verbal/Mental abuse
    Investigated an allegation of verbal/mental abuse and found neglect for not protecting a resident from inappropriate sexual comments.
    • Abuse—Failed to protect resident from mental or emotional abuse
    12 Mar 2019Abuse: Verbal/Mental abuse
    Investigated and found violations for failing to report potential or suspected abuse and for neglecting a vulnerable adult with respect to protection from sexual abuse.
    • Abuse—Failed to report potential or suspected abuse
    06 Mar 2019Inspection
    Investigated a complaint and found a failure to report suspected abuse and a failure to follow the care plan.
    • Licensing—Failed to follow care plan
    06 Mar 2019Abuse: Neglect
    Found neglect resulting in unreasonable discomfort and assessed a $1,500 fine.
    • Abuse—Failed to follow care plan
    06 Mar 2019Abuse: Neglect
    Investigated an allegation of neglect and concluded that proper care was not provided, creating a risk of serious harm.
    • Abuse—Failed to provide safe environment
    23 Feb 2019Abuse: Neglect
    Identified neglect due to failure to supervise and plan care, creating a serious risk to residents; assessed a fine of $188.
    • Abuse—Failed to properly plan care
    23 Feb 2019Abuse: Neglect
    Found neglect and failure to provide a safe environment that created risk of serious harm to residents, with safety-plan failures and ongoing resident-to-resident injuries.
    • Abuse—Failed to provide safe environment
    27 Jan 2019Abuse: Neglect
    Investigated an allegation of neglect and found neglect due to failure to protect a resident from rough treatment, resulting in harm or potential harm.
    • Abuse—Failed to protect resident from rough treatment
    24 Jan 2019Abuse: Verbal/Mental abuse
    Determined that a resident experienced verbal/mental abuse and significant emotional harm due to failure to protect from inappropriate verbal interaction.
    • Abuse—Failed to protect resident from mental or emotional abuse
    30 Dec 2018Abuse: Neglect
    Identified neglect due to inadequate supervision that created risk of serious harm to a resident; a fine was assessed.
    • Abuse—Failed to provide safe environment
    27 Dec 2018Abuse: Verbal/Mental abuse
    Concluded that a resident experienced verbal/mental abuse and neglect creating risk of serious harm.
    • Abuse—Failed to protect resident from mental or emotional abuse
    23 Dec 2018Abuse: Neglect
    Investigated a neglect allegation and found a resident experienced significant emotional harm from two verbal altercations and arm shaking.
    • Abuse—Failed to provide safe environment
    23 Dec 2018Abuse: Neglect
    Found neglect due to not following the AV care plan, resulting in serious loss of personal dignity.
    • Abuse—Failed to follow care plan
    21 Dec 2018Abuse: Neglect
    Investigated an abuse/neglect allegation and found a violation for not following the care plan, resulting in a serious loss of personal dignity.
    • Abuse—Failed to follow care plan
    21 Dec 2018Abuse: Neglect
    Found neglect and safety violations; a $188 fine was assessed.
    • Abuse—Failed to follow care plan
    14 Dec 2018Abuse: Neglect
    Investigated a neglect allegation and found a resident at risk due to a fall mat being out of position in the room.
    • Abuse—Failed to follow care plan
    14 Dec 2018Abuse: Neglect
    Found neglect due to not following the care plan, resulting in emotional harm to the individual.
    • Abuse—Failed to follow care plan
    26 Nov 2018Abuse: Neglect
    Investigated a neglect related to falls due to failure to update the service plan with fall prevention, resulting in multiple falls with injury and discomfort; fined $375.
    • Abuse—Failed to adequately care plan related to falls
    16 Nov 2018Abuse: Neglect
    Found neglect by not following the care plan for meals, causing weight loss and risk of serious harm; a $375 fine was assessed.
    • Abuse—Failed to assist with eating
    16 Nov 2018Abuse: Neglect
    Found a deficiency in safe medication administration that risked serious harm to a resident. A $188 fine was assessed.
    • Abuse—Failed to provide a safe medication administration system
    25 Oct 2018Abuse: Neglect
    Found neglect related to not dispensing prescribed medications, creating risk of serious harm to a resident.
    • Abuse—Failed to administer ordered medication
    24 Aug 2018Abuse: Neglect
    Investigated a failure to administer medications as ordered that created risk of serious harm; a fine was assessed.
    • Abuse—Failed to administer medication as ordered
    09 Aug 2018Abuse: Neglect
    Determined that neglect occurred by failing to provide a safe environment and basic services, resulting in unreasonable discomfort and loss of a resident's personal dignity.
    • Abuse—Failed to provide safe environment
    23 Jul 2018Inspection
    Investigated and found that medications were not administered as ordered, creating a risk of serious harm.
    • Licensing—Failed to administer ordered medication
    20 Jul 2018Abuse: Neglect
    Concluded that neglect occurred by not following doctor orders or using equipment to protect a resident from falls, risking serious harm; assessed a $375 fine.
    • Abuse—Failed to provide or maintain resident care equipment
    20 Jul 2018Abuse: Neglect
    Investigated an abuse/neglect allegation about failing to dispense medications as ordered, resulting in physical harm.
    • Abuse—Failed to administer medication as ordered
    19 Jul 2018Abuse: Neglect
    Concluded that neglect occurred due to failure to care plan for repeated falls, creating a risk of serious harm resulting in physical injury. A $375 fine was assessed.
    • Abuse—Failed to adequately care plan related to falls
    25 Jun 2018Inspection
    Investigated and found resident records were not kept current or accurate, creating risk to residents.
    • Licensing—Failed to keep resident record current or accurate
    25 Jun 2018Inspection
    Found a failure to protect residents from physical abuse. A safety deficiency identified.
    • Licensing—Failed to provide safe environment
    20 Jun 2018Inspection
    Determined neglect of care occurred due to failure to assure resident safety.
    • Licensing—Failed to assure resident was safe
    19 Jun 2018Inspection
    Determined that the allegation of failing to intervene when a resident's condition changed was supported by findings.
    • Licensing—Failed to intervene when resident's condition changed
    30 May 2018Abuse: Neglect
    Found neglect for failing to administer ordered medication and assessed a $250 fine.
    • Abuse—Failed to administer ordered medication
    30 May 2018Inspection
    Found failure to report suspected abuse and assessed a $750 fine.
    • Licensing—Failed to report potential or suspected abuse
    02 Apr 2018Inspection
    Investigated a falls-related care planning deficiency and substantiated that appropriate care was not provided to a resident. The issue was classified with minor harm or potential for moderate harm.
    • Licensing—Failed to adequately care plan related to falls
    28 Mar 2018Abuse: Neglect
    Found a failure to adequately plan care related to falls. A fine was assessed.
    • Abuse—Failed to adequately care plan related to falls
    22 Feb 2018Abuse: Neglect
    Found failure to provide appropriate hygiene care to a resident.
    • Abuse—Failed to provide or assist with hygiene
    22 Feb 2018Abuse: Neglect
    Determined that proper care planning was not performed, resulting in substantiated neglect.
    • Abuse—Failed to properly plan care
    31 Jan 2018Abuse: Financial abuse
    Found financial abuse due to failure to provide a system that prevents theft or misuse of medication and protect medications from loss.
    • Abuse—Failure to provide a system that prevents theft or misuse of medication
    17 Jan 2018Abuse: Neglect
    Substantiated a failure to protect a resident from physical harm and an inadequate care plan related to falls, with a $750 fine assessed.
    • Abuse—Failed to adequately care plan related to falls
    03 Jan 2018Inspection
    Found that care was not followed per the resident's care plan.
    • Licensing—Failed to follow care plan
    03 Jan 2018Abuse: Verbal/Mental abuse
    Investigated and found that a resident experienced verbal abuse and was not protected from inappropriate verbal interactions.
    • Abuse—Failed to protect resident from verbal abuse
    06 Nov 2017Abuse: Involuntary Seclusion
    Investigated a complaint of involuntary seclusion and found a failure to protect a resident from involuntary seclusion.
    • Abuse—Failed to protect resident from involuntary seclusion
    30 Sept 2017Inspection
    Found that residents were not adequately protected from inappropriate interactions, indicating a safety issue.
    • Licensing—Failed to provide safe environment
    27 Sept 2017Inspection
    Investigated an allegation of inadequate screening and found a failure to provide a safe environment.
    • Licensing—Failed to perform adequate screening or assessment
    25 Jul 2017Inspection
    Investigated a complaint and found a failure to protect medication from loss.
    • Licensing—Failure to provide a system that prevents theft or misuse of medication
    13 Jul 2017Abuse: Neglect
    Found a deficiency for failing to provide a safe environment, and a $300 fine assessed.
    • Abuse—Failed to provide a safe medication administration system
    09 May 2017Inspection
    Investigated an allegation of failing to provide appropriate skin care and found deficiencies in care.
    • Licensing—Failed to provide appropriate skin care
    08 May 2017Abuse: Neglect
    Found a failure to provide a safe environment, with a $400 fine assessed.
    • Abuse—Failed to provide safe environment
    02 May 2017Abuse: Neglect
    Found a violation of safe medication administration practices that led to a resident receiving the wrong medications.
    • Abuse—Failed to provide a safe medication administration system
    10 Apr 2017Condition
    Investigated an abuse/neglect allegation and found a failure to provide a safe environment that posed moderate harm or potential for serious harm.
    • Regulatory Action—Failed to provide safe environment
    29 Mar 2017Abuse: Neglect
    Found a safety deficiency where residents were not provided a safe environment.
    • Abuse—Failed to address resident's behavior
    28 Mar 2017Abuse: Neglect
    Investigated a complaint and found a deficient medication administration system.
    • Abuse—Failed to provide a safe medication administration system
    24 Mar 2017Abuse: Neglect
    Investigated the allegation of abuse and found that appropriate care was not provided.
    • Abuse—Failed to investigate injury of unknown origin to rule out abuse
    24 Mar 2017Inspection
    Found that the environment failed to protect residents from inappropriate interactions.
    • Licensing—Failed to provide safe environment
    24 Mar 2017Inspection
    Found a failure to provide a safe environment.
    • Licensing—Failed to provide safe environment
    24 Mar 2017Inspection
    Investigated the allegation of safety issues and found that a safe environment was not provided.
    • Licensing—Failed to provide safe environment
    24 Mar 2017Inspection
    Investigated a licensing issue and found a failure to provide a safe medication administration system.
    • Licensing—Failed to provide a safe medication administration system
    24 Mar 2017Abuse: Neglect
    Found that care was not provided according to the plan, resulting in inadequate care for a resident.
    • Abuse—Failed to follow care plan
    07 Mar 2017Abuse: Neglect
    Investigated a complaint and concluded that a safe environment was not provided.
    • Abuse—Failed to address resident's behavior
    31 Jan 2017Inspection
    Investigated an allegation of an unsafe environment and identified a safety deficiency.
    • Licensing—Failed to provide safe environment
    23 Jan 2017Inspection
    Investigated a complaint alleging failure to follow a care plan and found that appropriate care was not provided.
    • Licensing—Failed to follow care plan
    12 Jan 2017Inspection
    Found a failure to provide a safe environment. This was cited as a licensing violation.
    • Licensing—Failed to provide safe environment
    14 Dec 2016Inspection
    Found failure to provide a safe environment.
    • Licensing—Failed to provide a homelike environment
    14 Dec 2016Inspection
    Found failure to provide appropriate care to a resident.
    • Licensing—Failed to provide service
    22 Nov 2016Abuse: Neglect
    Found that a care plan was not followed, leading to an unwitnessed fall with injury.
    • Abuse—Failed to follow care plan
    16 Nov 2016Abuse: Financial abuse
    Found a financial abuse allegation and that a resident's resources were not protected.
    • Abuse—Failed to provide safe environment
    16 Apr 2016Inspection
    Determined that medications were not dispensed as ordered.
    • Licensing—Failed to administer medication as ordered
    19 Feb 2016Abuse: Neglect
    Investigated and found failure to provide appropriate care, with a $300 fine assessed.
    • Abuse—Failed to provide service
    03 Sept 2015Abuse: Neglect
    Investigated the complaint and found a resident safety deficiency due to neglect that was substantiated; a $300 fine was assessed.
    • Abuse—Failed to assure resident was safe
    13 Jul 2015Abuse: Neglect
    Investigated the allegation of neglect and found failure to provide appropriate care.
    • Abuse—Failed to provide oversight and monitoring of change of condition
    14 Jan 2015Inspection
    Concluded that a safe medication administration system was not followed, resulting in a resident receiving the wrong dose.
    • Licensing—Failed to provide a safe medication administration system
    27 Oct 2014Inspection
    Found a deficient medication system that could enable theft or misuse of medications.
    • Licensing—Failure to provide a system that prevents theft or misuse of medication
    11 Sept 2014Inspection
    Investigated the allegation and found medication was not administered as ordered.
    • Licensing—Failed to administer medication as ordered
    04 Aug 2014Inspection
    Identified an inadequate medication system that could allow theft or misuse of medications.
    • Licensing—Failure to provide a system that prevents theft or misuse of medication
    12 Jun 2014Inspection
    Investigated the allegation that medication was not administered as ordered and found deficiencies in the medication administration system.
    • Licensing—Failed to administer medication as ordered
    12 Jun 2014Abuse: Neglect
    Investigated and identified a deficiency in medication administration after a failure to administer medication as ordered, resulting in an inadequate system for handling medications.
    • Abuse—Failed to administer medication as ordered
    12 Jun 2014Inspection
    Found inadequate care due to failure to provide medical treatment as ordered.
    • Licensing—Failed to provide medical treatment as ordered
    24 Mar 2014Abuse: Financial abuse
    Investigated a financial exploitation allegation and found that a ring valued at $600 was taken from a resident.
    • Abuse—Failed to provide safe environment
    18 Mar 2014Inspection
    Found that the medication administration system was inadequate.
    • Licensing—Failed to provide a safe medication administration system
    14 Mar 2014Abuse: Financial abuse
    Found that a safe environment was not provided.
    • Abuse—Failed to provide safe environment
    09 Sept 2013Abuse: Neglect
    Investigated the allegation of failing to intervene when a resident's condition changed and found inadequate care.
    • Abuse—Failed to intervene when resident's condition changed
    21 Jun 2013Abuse: Neglect
    Found deficiencies in the medication administration system and assessed a $300 fine.
    • Abuse—Failed to provide a safe medication administration system
    16 Mar 2013Inspection
    Found ordered medication was not administered as required. A deficiency in medication administration was identified.
    • Licensing—Failed to administer ordered medication
    10 Mar 2013Abuse: Neglect
    Investigated a neglect allegation and determined that inadequate care occurred.
    • Abuse—Failed to follow care plan
    27 Feb 2013Inspection
    Investigated an allegation of an unsafe medication administration system and found failure to follow doctor orders.
    • Licensing—Failed to provide a safe medication administration system
    02 Jul 2012Abuse: Financial abuse
    Investigated an allegation of financial abuse and an unsafe environment; found a resident was not protected from theft.
    • Abuse—Failed to provide safe environment
    02 May 2012Abuse: Neglect
    Found a deficient medication system after investigating an allegation of unsafe medication administration.
    • Abuse—Failed to provide a safe medication administration system
    25 Jan 2012Inspection
    Found a resident was not provided with a safe environment.
    • Licensing—Failed to follow care plan
    17 Jan 2012Abuse: Financial abuse
    Found a deficiency for failing to provide a safe environment and protect from theft. A $300 fine was assessed.
    • Abuse—Failed to provide safe environment
    30 Dec 2011Abuse: Financial abuse
    Found an inadequate money management and accounting system for resident PIF accounts and a $300 fine was assessed.
    • Abuse—Failed to protect resident from financial exploitation
    27 Dec 2011Abuse: Financial abuse
    Investigated a financial exploitation allegation and found a failure to protect a resident from financial exploitation.
    • Abuse—Failed to protect resident from financial exploitation
    27 Dec 2011Abuse: Financial abuse
    Investigated and found that residents' resources were misused for another's gain without consent.
    • Abuse—Failed to protect resident from financial exploitation
    28 Nov 2011Abuse: Financial abuse
    Determined a safe environment was not maintained.
    • Abuse—Failed to provide safe environment
    18 Oct 2011Abuse: Financial abuse
    Found failure to protect residents' money and property from theft.
    • Abuse—Failed to provide safe environment
    18 Jul 2010Inspection
    Found a safety deficiency for failing to protect a resident from theft.
    • Licensing—Failed to provide safe environment

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