I moved my mom here and have been very pleased - the facility is impeccably clean, cheery and recently remodeled, with spacious rooms and two large outdoor areas. Meals are nutritious with choices served in a formal dining room, staff are kind, professional and attentive (frequent check-ins, bathing help, pain monitoring), and activities are engaging with visiting artists, bingo and exercise. The small, welcoming community feels safe and comforting, memory and hospice support are available, and the move-in process was organized and reassuring.
Loved one of 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
3.68·(25)
Overall rating
5
4
3
2
1
Care
3.5
Staff
3.9
Meals
3.7
Amenities
4.3
Value
2.0
Pros
Clean, well-maintained environment
Home-like common areas
Spacious resident rooms
Secure indoor and outdoor walking areas
Compassionate and welcoming staff
Color-coded staff role identification
Engaging, hands-on activities program
Active and accessible activities director
Nutritious, varied meal options
Organized admissions and move-in processes
Frequent resident check-ins and attentive bedside service
Bathing and personal-care assistance available
Recent facility updates and remodel
On-site hospice and end-of-life coordination
Convenient location for visitors
Cons
Inconsistent staffing levels and turnover
Interrupted or canceled programming due to staffing
Inconsistent personal-care delivery, including bathing schedules
Limited capacity for higher-acuity dementia and personal-care needs
Variable staff professionalism and communication
Higher private-pay cost structure
Incontinence-care and sanitation concerns
Variable family satisfaction and community reputation
Summary of reviews
Jefferson Lodge Memory Care Community presents a mix of strengths and operational challenges. Many families describe a clean, calm, and home-like physical environment with recent renovations, spacious rooms, and accessible indoor and outdoor walking areas. Dining receives generally favorable comments: meals are described as nutritious and varied, with two-meal options and friendly service. The community offers organized admissions and an orderly move-in process that several families found reassuring.
Staffing and day-to-day care elicit divergent impressions. Positive accounts highlight compassionate, welcoming staff who check in frequently, address residents by name, and provide bathing and personal-care assistance. The presence of an active activities director and a hands-on programming approach—bingo, exercise, visiting artists, and varied tasks—are consistently cited as strengths. The facility also coordinates with hospice and demonstrates capacity to support end-of-life needs for some residents.
However, multiple operational concerns appear across reviews. Staffing levels and turnover are recurring issues, linked to canceled activities, uneven program organization, and variability in personal-care delivery (including inconsistent bathing schedules). Reviewers also expressed concerns about the facility’s ability to meet higher-acuity dementia and personal-care needs, and a subset described incontinence-care and sanitation-related problems. Communication style and professionalism were described as uneven in places, contributing to variability in family satisfaction and the facility’s community reputation. The community operates on a higher private-pay cost structure, which families should weigh against observed care consistency.
For families evaluating Jefferson Lodge, the notable pattern is one of clear strengths in environment, meals, and engagement when staffing and leadership are stable, contrasted with occasional operational lapses tied to staffing and experience. Prospective residents and their families should ask specific questions about current staffing ratios and turnover, documented bathing and incontinence-care protocols, dementia-care capabilities for higher-acuity needs, what services are included in fees, and recent corrective actions taken for any sanitation or conduct concerns. Direct observation during multiple visits, conversations with the activities director and nursing leadership, and reviewing contracts and staffing schedules will help determine whether the community’s typical practices align with a particular resident’s care needs and expectations.
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Location
Jefferson Lodge Memory Care Community is located at 664 SE Jefferson St, Dallas, OR, 97338.
About Jefferson Lodge Memory Care Community
Jefferson Lodge Memory Care Community is nestled in a quiet Dallas, Oregon, neighborhood, surrounded by vineyards and rolling hills that set a tranquil atmosphere reminiscent of small-town charm. This intimate community has been thoughtfully designed to provide exceptional, personalized memory care for individuals living with Alzheimer’s disease and other types of dementia. Residents benefit from a warm and welcoming environment that radiates compassion, where they are made to feel valued, purposeful, and loved each day. Jefferson Lodge truly feels like home, thanks to its focus on meaningful connections between residents, their families, and care partners.
The community features a fully renovated building with architecturally and operationally innovative spaces. Bright, oversized windows line the hallways, inviting natural light and scenic views into daily life. A welcoming lobby sets the tone for a home-like experience, while comfortable common areas, such as the living room with a grand piano, provide inviting spots for socialization and relaxation. Residents can also safely enjoy a secure outdoor courtyard, perfect for activities, special events, and visits with loved ones. At the heart of Jefferson Lodge is an open kitchen, serving as the hub of the community where activities and dining come together to provide both nourishment and opportunities for engagement.
At Jefferson Lodge, care is guided by best-practices research and thoughtful consultations with families who have experienced Alzheimer’s and other dementias firsthand. The Mosaic Memory Care Program is at the heart of this approach, celebrating all the unique pieces that make up each resident’s life. Rooted in the Positive Approach to Care philosophy, Mosaic is thoughtfully designed to honor residents at every stage of their journey, supporting them with enriching, individualized programs and experiences. The small size of the community allows each care team member to form meaningful bonds with residents, ensuring a deep understanding of each person’s story, strengths, preferences, and changing abilities.
Residents at Jefferson Lodge enjoy a variety of daily programs, events, and entertainment curated by wellness and life-enrichment teams. These offerings enhance each resident’s physical, social, emotional, and spiritual well-being, recognizing that purposeful engagement leads to a better quality of life for those living with memory challenges. Meaningful activities are woven into the fabric of daily life, offering opportunities to connect, reminisce, and find joy. Every memory care apartment is designed with safety and comfort in mind, catering to a wide range of needs and budgets, and placing residents just steps away from a world of supportive services and enrichment opportunities.
Dining plays a significant role at Jefferson Lodge, creating both comfort and connection for residents. Meals are served family style from the open kitchen, letting residents enjoy the sights, sounds, and delicious aromas of food being prepared throughout the day. Table settings feature brightly colored linens and china to enhance visual perception, while frequent baking helps conjure memories of home and the joy of shared meals. The EverDine program offers flexibility and choice, allowing memory care residents to select what, when, and where they would like to eat, with the ongoing support and companionship of the respectful dining team.
For caregivers seeking temporary support for their loved ones, Jefferson Lodge offers respite care or short-term stays. This program is designed to give caregivers a necessary break, whether for self-care or travel, while providing their loved ones with engaging experiences and a chance to benefit from the stimulating, supportive community environment. Respite stays are an important resource, ensuring both caregivers and their loved ones experience renewal and connection.
The dedicated team at Jefferson Lodge Memory Care Community is passionate about enhancing the lives of residents and providing peace of mind for families. Every associate—whether part of the culinary, caregiving, or maintenance team—brings not only expertise in dementia care but also a deep sense of commitment and genuine compassion. Empowerment and collaboration are hallmarks of the community’s approach, ensuring that the needs and preferences of residents are always at the forefront of care and daily life. Jefferson Lodge stands out as a loving, caring, and connected community where every individual is recognized, embraced, and supported with the dignity they deserve.
Founded by four experienced partners, Cascade Living Group is a privately-owned senior living provider headquartered in Bothell, Washington. Operating 31 communities across Oregon, Nevada, California, Washington, and Arizona, they offer assisted living, independent living, and memory care services.
People often ask...
Jefferson Lodge Memory Care Community offers competitive pricing, with rates starting at a cost of $7,372 per month.
Jefferson Lodge Memory Care Community offers assisted living and memory care.
There are 39 photos of Jefferson Lodge Memory Care Community on Mirador.
The full address for this community is 664 SE Jefferson St, Dallas, OR 97338.
No, Jefferson Lodge Memory Care 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 a safety-environment violation due to neglect, placing residents at risk when a resident pushed another and a walker was kicked away, and interventions were ineffective.
Abuse—Failed to provide safe environment
31 Jan 2026Abuse: Neglect
31 Jan 2026Abuse: Neglect
Found abuse by neglect involving failure to maintain a functioning pressure alarm during transfers, risking harm to the client.
Abuse—Failed to follow care plan
28 Jan 2026Abuse: Neglect
28 Jan 2026Abuse: Neglect
Found abuse by neglect for failing to provide a safe environment, with a $375 fine assessed.
Abuse—Failed to provide safe environment
20 Jan 2026Inspection
20 Jan 2026Inspection
Concluded that a records access violation occurred and was substantiated.
Licensing—Failed to provide safe environment
20 Jan 2026Inspection
20 Jan 2026Inspection
Found a violation due to failing to provide records to the Department upon request. The failure violated the records access rule.
Licensing—Failed to provide safe environment
12 Jan 2026Abuse: Neglect
12 Jan 2026Abuse: Neglect
Investigated alleged neglect with a substantiated finding of abuse, resulting in a fine for the provider due to supervision failures that placed a resident at risk.
Abuse—Failed to provide safe environment
12 Jan 2026Abuse: Neglect
12 Jan 2026Abuse: Neglect
Found abuse by neglect due to inadequate staff supervision, which placed a resident at risk of harm when an altercation occurred.
Abuse—Failed to provide safe environment
12 Jan 2026Abuse: Neglect
12 Jan 2026Abuse: Neglect
Investigated and found abuse by neglect due to failure to provide a safe environment and adequate supervision. The finding notes that an altercation occurred resulting in injury.
Abuse—Failed to provide safe environment
15 Dec 2025Abuse: Neglect
15 Dec 2025Abuse: Neglect
Investigated and found that a safe environment was not provided due to an aggression incident between residents; no injuries occurred, but a risk of harm existed.
Abuse—Failed to provide safe environment
13 Dec 2025Abuse: Neglect
13 Dec 2025Abuse: Neglect
Investigated identified abuse by neglect due to a failure to provide a safe environment; a $375 fine was assessed.
Abuse—Failed to provide safe environment
16 Oct 2025Inspection
16 Oct 2025Inspection
Found neglect and abuse due to failure to take vitals after a fall, placing the resident at risk.
Licensing—Failed to provide safe environment
04 Oct 2025Abuse: Neglect
04 Oct 2025Abuse: Neglect
Investigated allegations of failing to provide a safe environment; a resident with known aggressive behavior endangered others, resulting in a substantiated abuse/neglect finding and a fine.
Abuse—Failed to provide safe environment
03 Oct 2025Abuse: Neglect
03 Oct 2025Abuse: Neglect
Found abuse by neglect due to staff failing to intervene when two residents were near each other, placing one resident at risk; a $500 fine was assessed.
Abuse—Failed to provide safe environment
01 Oct 2025Inspection
01 Oct 2025Inspection
Found that staff left a resident alone during toileting, leading to a fall and tailbone injuries, violating resident rights and constituting abuse.
Licensing—Failed to follow care plan
17 Aug 2025Abuse: Neglect
17 Aug 2025Abuse: Neglect
Found a failure to provide a safe environment, including an incident where a resident attempted to stab another with a fork. A $375 fine was assessed.
Abuse—Failed to provide safe environment
03 Aug 2025Abuse: Neglect
03 Aug 2025Abuse: Neglect
Found a failure to provide a safe environment that endangered a resident, and a $375 fine was assessed.
Abuse—Failed to provide safe environment
03 Aug 2025Abuse: Neglect
03 Aug 2025Abuse: Neglect
Investigated found failure to follow the care plan, leaving a known fall risk resident on the floor and urine-soaked, with a fine assessed.
Abuse—Failed to follow care plan
03 Aug 2025Inspection
03 Aug 2025Inspection
Investigated an allegation of improper restraint and found that staff sedated a resident for convenience, constituting neglect and abuse.
Licensing—Failed to use restraint properly
31 Jul 2025Inspection
31 Jul 2025Inspection
Found a violation of safe medication administration practices after investigation into an allegation that residents did not receive PRNs when needed and that an unprescribed medication was given.
Licensing—Failed to provide a safe medication administration system
24 Jul 2025Inspection
24 Jul 2025Inspection
Investigated the allegation of inadequate staffing and found insufficient awake direct care staff to meet residents' 24-hour needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
22 Jul 2025Abuse: Neglect
22 Jul 2025Abuse: Neglect
Identified neglect and abuse due to restraining a resident and failing to provide proper care, with a fine assessed.
Abuse—Failed to provide safe environment
21 Jul 2025Complaint
21 Jul 2025Complaint
Investigated a licensing complaint with potential for moderate harm. The available information does not specify any deficiencies.
Deficiency—Licensing Complaint Investigation
19 Jul 2025Inspection
19 Jul 2025Inspection
Found insufficient qualified awake direct care staff to meet residents' 24-hour needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
17 Jul 2025Inspection
17 Jul 2025Inspection
Found insufficient awake direct care staff to meet 24-hour scheduled and unscheduled resident needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
14 Jul 2025Inspection
14 Jul 2025Inspection
Found failure to complete or update and review the ABST evaluation for each resident quarterly.
Licensing—Failed to use an ABST
07 Jul 2025Inspection
07 Jul 2025Inspection
Investigated and found staffing failures to meet 24-hour needs and ABST duties, including insufficient awake direct care staff and failure to update ABST-based plans.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
29 Jun 2025Abuse: Neglect
29 Jun 2025Abuse: Neglect
Found that the care plan was not followed, placing the resident at risk for harm; a fine was assessed.
Abuse—Failed to follow care plan
29 Jun 2025Inspection
29 Jun 2025Inspection
Found staffing deficiencies and failure to use ABST results to update the staffing plan and conduct quarterly ABST evaluations.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
19 Jun 2025Inspection
19 Jun 2025Inspection
Identified staffing deficiencies and missing ABST evaluations to meet residents' 24-hour needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
19 Jun 2025Abuse: Neglect
19 Jun 2025Abuse: Neglect
Investigated a fall-risk resident's care plan and found it wasn't followed during a transfer. The resident was found on the floor in the dining area, at risk for harm but not injured.
Abuse—Failed to follow care plan
13 Jun 2025Inspection
13 Jun 2025Inspection
Found failure to complete or update ABST evaluations quarterly for residents as required.
Licensing—Failed to update staffing plan based on ABST
07 Jun 2025Inspection
07 Jun 2025Inspection
Found deficiencies in staffing and ABST use, resulting in insufficient qualified awake direct care staff to meet 24-hour needs.
Licensing—Failed to update staffing plan based on ABST
24 May 2025Inspection
24 May 2025Inspection
Found that ABST results were not used to update the posted staffing plan and ABST evaluations for residents were not completed or updated quarterly.
Licensing—Failed to update staffing plan based on ABST
16 May 2025Inspection
16 May 2025Inspection
Found staffing deficiencies—insufficient qualified awake direct care staff to meet 24-hour needs and failure to use ABST results to develop and routinely update the staffing plan and complete quarterly ABST evaluations.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
14 May 2025Abuse: Neglect
14 May 2025Abuse: Neglect
Identified violations for neglect and abuse due to failing to provide safety interventions for a fall-risk resident using a commode.
Abuse—Failed to properly plan care
14 May 2025Inspection
14 May 2025Inspection
Identified staffing deficiencies and failure to use the ABST and update the posted staffing plan.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
08 May 2025Abuse: Neglect
08 May 2025Abuse: Neglect
Found failure to follow the care plan, leading to a resident fall and skin injury.
Abuse—Failed to follow care plan
08 May 2025Abuse: Neglect
08 May 2025Abuse: Neglect
Identified that staff did not follow the care plan for a known fall-risk resident, resulting in a fall and potential harm.
Abuse—Failed to follow care plan
08 May 2025Inspection
08 May 2025Inspection
Found failure to use ABST results to develop and routinely update the posted staffing plan and to complete or update ABST evaluations quarterly.
Licensing—Failed to update staffing plan based on ABST
05 May 2025Complaint
05 May 2025Complaint
Investigated the complaint and found no deficiencies.
Deficiency—Licensing Complaint Investigation
05 May 2025Complaint
05 May 2025Complaint
Investigated the complaint and found no deficiencies.
Deficiency—Licensing Complaint Investigation
05 May 2025Complaint
05 May 2025Complaint
Concluded that a licensing violation occurred due to failure to immediately notify the local Department office or local AAA about abuse incidents.
Found that ABST results were not used to update the posted staffing plan and quarterly ABST evaluations were not completed or reviewed as required.
Licensing—Failed to update staffing plan based on ABST
03 May 2025Inspection
03 May 2025Inspection
Investigated an allegation that staffing updates were not based on ABST results and quarterly ABST evaluations were not completed or reviewed. The investigation found these failures in violation of ABST-related staffing requirements.
Licensing—Failed to update staffing plan based on ABST
18 Apr 2025Inspection
18 Apr 2025Inspection
Found staffing deficiencies related to providing qualified awake direct care staff around the clock and using ABST results to develop and routinely update the posted staffing plan; also found failures to complete or review ABST evaluations for each resident quarterly.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
13 Apr 2025Inspection
13 Apr 2025Inspection
Found staffing deficiencies due to insufficient qualified awake direct care staff and failure to use ABST to guide staffing planning and quarterly evaluations.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
07 Apr 2025Inspection
07 Apr 2025Inspection
Found noncompliance with ABST quarterly evaluation requirements for residents.
Licensing—Failed to use an ABST
07 Apr 2025Abuse: Neglect
07 Apr 2025Abuse: Neglect
Found neglect due to failure to prevent a known fall risk from falling, which led to injury to a resident.
Abuse—Failed to properly plan care
03 Apr 2025Inspection
03 Apr 2025Inspection
Found insufficient awake direct care staff to meet 24-hour needs and ABST-based staffing processes were not completed or updated quarterly.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
30 Mar 2025Inspection
30 Mar 2025Inspection
Identified deficiency for failing to complete, update, and review quarterly ABST evaluations for each resident.
Licensing—Failed to use an ABST
28 Mar 2025Inspection
28 Mar 2025Inspection
Found staffing deficiencies related to awake direct care and ABST use, with insufficient staff to meet 24-hour needs and ABST processes not completed or updated as required.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
23 Mar 2025Inspection
23 Mar 2025Inspection
Investigated and found that a semi-nude photo of the resident was taken and posted to social media, violating resident rights and constituting abuse and neglect, and a failure to protect the resident's safety.
Licensing—Failed to assure resident rights
21 Mar 2025Inspection
21 Mar 2025Inspection
Identified that ABST evaluations for each resident were not completed, updated, or reviewed quarterly.
Licensing—Failed to use an ABST
20 Mar 2025Inspection
20 Mar 2025Inspection
Identified failure to complete or update ABST evaluations for each resident quarterly.
Licensing—Failed to use an ABST
15 Mar 2025Inspection
15 Mar 2025Inspection
Identified staffing deficiencies and failure to use ABST results to inform staffing plans, and incomplete quarterly ABST evaluations.
Licensing—Failed to use an ABST
06 Mar 2025Abuse: Neglect
06 Mar 2025Abuse: Neglect
Found that the provider failed to provide a safe environment, resulting in harm to a resident; a fine was assessed.
Abuse—Failed to provide safe environment
03 Mar 2025Inspection
03 Mar 2025Inspection
Identified a deficiency in developing, maintaining, and implementing an Acuity Based Staffing Tool as required by the rule. This indicates non-compliance with the staffing tool requirements.
Licensing—Failed to use an ABST
31 Jan 2025Inspection
31 Jan 2025Inspection
Found a deficiency in the development, maintenance, and implementation of an acuity-based staffing tool.
Licensing—Failed to use an ABST
29 Jan 2025Inspection
29 Jan 2025Inspection
Found a deficiency for failing to develop, maintain, and implement an acuity-based staffing tool.
Licensing—Failed to use an ABST
26 Jan 2025Inspection
26 Jan 2025Inspection
Found noncompliance with Acuity Based Staffing Tool requirements due to failure to develop, maintain, and implement the tool as required by OAR 411-054-0037(1-7).
Licensing—Failed to use an ABST
23 Jan 2025Inspection
23 Jan 2025Inspection
Investigated and found violations of resident rights and abuse due to verbal insults, with a failure to protect the resident from verbal abuse.
Licensing—Failed to cooperate with an investigation
23 Jan 2025Inspection
23 Jan 2025Inspection
Investigated a complaint and found substantiated violations involving verbal abuse toward a resident and neglect.
Licensing—Failed to cooperate with an investigation
23 Jan 2025Inspection
23 Jan 2025Inspection
Found a deficiency in developing, maintaining, and implementing an Acuity Based Staffing Tool as required by rule.
Licensing—Failed to use an ABST
03 Jan 2025Inspection
03 Jan 2025Inspection
Investigated and found that a fall-prevention device was turned off, causing a resident fall and injury, with violations of resident rights and neglect/abuse identified.
Licensing—Failed to follow care plan
03 Jan 2025Inspection
03 Jan 2025Inspection
Investigated a staffing allegation and found a failure to develop, maintain, and implement an Acuity Based Staffing Tool per the applicable rule.
Licensing—Failed to provide appropriate staffing
22 Dec 2024Inspection
22 Dec 2024Inspection
Found that a staff member physically abused a resident and failed to protect the resident from abuse, resulting in a skin tear.
Licensing—Failed to protect resident from physical abuse
12 Dec 2024Abuse: Neglect
12 Dec 2024Abuse: Neglect
Found a failure to provide a safe environment, resulting in a substantiated abuse/neglect finding.
Abuse—Failed to provide safe environment
08 Nov 2024Abuse: Neglect
08 Nov 2024Abuse: Neglect
Found neglect and abuse due to failure to implement appropriate fall-prevention interventions, resulting in an injury; a $1500 fine assessed.
Abuse—Failed to properly plan care
08 Nov 2024Abuse: Neglect
08 Nov 2024Abuse: Neglect
Investigated and found that falls occurred and care planning to reduce falls was inadequate, indicating neglect and abuse; a fine was assessed.
Abuse—Failed to properly plan care
09 Aug 2024Inspection
09 Aug 2024Inspection
Investigated a report of unsafe supervision during ambulation; found that a staff member was not close enough to protect a resident from falling, resulting in a fractured wrist.
Licensing—Failed to provide safe environment
30 Jul 2024Abuse: Neglect
30 Jul 2024Abuse: Neglect
Found a failure to provide a safe environment when a one-to-one staff was not near a resident during an altercation, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to properly plan care
30 Jul 2024Abuse: Neglect
30 Jul 2024Abuse: Neglect
Determined neglect occurred due to failure to provide a safe environment and to follow a service plan, resulting in scratches from an altercation.
Abuse—Failed to properly plan care
29 Jun 2024Abuse: Neglect
29 Jun 2024Abuse: Neglect
Found a failure to provide a safe environment that resulted in substantiated abuse and neglect; a fine was assessed.
Abuse—Failed to provide safe environment
29 Jun 2024Abuse: Neglect
29 Jun 2024Abuse: Neglect
Found a failure to provide a safe environment, constituting neglect and abuse. A $375 fine was assessed.
Abuse—Failed to provide safe environment
23 May 2024Abuse: Neglect
23 May 2024Abuse: Neglect
Investigated a safety complaint and found a failure to provide a safe environment leading to neglect and abuse.
Abuse—Failed to provide safe environment
11 May 2024Abuse: Neglect
11 May 2024Abuse: Neglect
Investigated an incident where a resident was agitated; staff did not notify other staff and failed to ensure safety, resulting in neglect and abuse.
Abuse—Failed to provide safe environment
10 May 2024Inspection
10 May 2024Inspection
Determined that a safe environment was not provided, resulting in an elopement without injury.
Licensing—Failed to provide safe environment
02 May 2024Abuse: Neglect
02 May 2024Abuse: Neglect
Found violations for failing to provide a safe environment, resulting in a $375 fine.
Abuse—Failed to provide safe environment
25 Mar 2024Validation
25 Mar 2024Validation
Identified multiple deficiencies in service planning, medication management, restraints, staff training, and life-safety compliance.
Deficiency—Comment
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
18 Mar 2024Abuse: Neglect
18 Mar 2024Abuse: Neglect
Found that monitoring failures allowed a resident to trigger aggression, resulting in a physical altercation and discomfort to another resident. A $375 fine was assessed.
Abuse—Failed to provide safe environment
15 Mar 2024License Condition
15 Mar 2024License Condition
Found deficiencies showing failure to provide a safe environment, with several rule violations cited.
Regulatory Action—Failed to provide safe environment
20 Feb 2024Abuse: Neglect
20 Feb 2024Abuse: Neglect
Found that staff failed to follow the care plan by not keeping residents separated, resulting in harm to a resident.
Abuse—Failed to provide safe environment
03 Feb 2024Abuse: Neglect
03 Feb 2024Abuse: Neglect
Investigated a complaint and found neglect and abuse due to failure to properly plan care for a resident's behaviors. A $375 fine was assessed.
Abuse—Failed to properly plan care
01 Feb 2024Licensure
01 Feb 2024Licensure
Determined substantial compliance with meal service and food sanitation requirements.
Deficiency—Comment
26 Jan 2024Abuse: Neglect
26 Jan 2024Abuse: Neglect
Found deficiencies in monitoring an aggressive resident and ensuring medical evaluation after a resident-to-resident incident, leading to preventable harm. The issue was classified as abuse and neglect and a fine was assessed.
Abuse—Failed to provide safe environment
16 Jan 2024Abuse: Neglect
16 Jan 2024Abuse: Neglect
Investigated a resident-to-resident incident where staff failed to monitor a resident with known aggression, risking harm to another resident and causing distress; a fine was assessed.
Abuse—Failed to provide safe environment
29 Dec 2023Abuse: Neglect
29 Dec 2023Abuse: Neglect
Determined that staff failed to provide a safe environment by not implementing interventions or monitoring known behavior, resulting in a physical altercation and harm to a resident; a fine was assessed.
Abuse—Failed to provide safe environment
24 Dec 2023Abuse: Neglect
24 Dec 2023Abuse: Neglect
Identified failure to monitor a resident and intervene, leading to an incident in which one resident harmed another; a fine was assessed.
Abuse—Failed to provide safe environment
19 Dec 2023Abuse: Neglect
19 Dec 2023Abuse: Neglect
Investigated a resident-to-resident incident and found neglect and abuse due to failure to implement interventions and obtain medical evaluation, causing unreasonable discomfort.
Abuse—Failed to provide safe environment
14 Dec 2023Abuse: Neglect
14 Dec 2023Abuse: Neglect
Found neglect and abuse due to failure to protect a resident from known aggressive behavior, resulting in harm.
Abuse—Failed to provide safe environment
05 Dec 2023Abuse: Neglect
05 Dec 2023Abuse: Neglect
Found failure to protect a resident from an aggressive peer, resulting in abuse and neglect with a $375 fine assessed.
Abuse—Failed to provide safe environment
04 Dec 2023Abuse: Neglect
04 Dec 2023Abuse: Neglect
Found deficiencies for failing to provide a safe environment and to monitor a known aggressive resident, resulting in a physical altercation and undue discomfort to the Alleged Victim.
Abuse—Failed to provide safe environment
30 Nov 2023Abuse: Neglect
30 Nov 2023Abuse: Neglect
Found inadequate supervision that allowed an elopement attempt and injury, and a fine was assessed.
Abuse—Failed to provide safe environment
28 Nov 2023Abuse: Neglect
28 Nov 2023Abuse: Neglect
Found failure to provide a safe environment that resulted in abuse and neglect; a $500 fine was assessed.
Abuse—Failed to provide safe environment
23 Nov 2023Abuse: Neglect
23 Nov 2023Abuse: Neglect
Investigated an allegation of abuse and neglect due to failure to provide a safe environment, leading to a resident altercation.
Abuse—Failed to provide safe environment
22 Nov 2023Abuse: Neglect
22 Nov 2023Abuse: Neglect
Found that staff failed to implement interventions and monitor behavior, leading to a physical altercation and abuse.
Abuse—Failed to provide safe environment
19 Nov 2023Abuse: Neglect
19 Nov 2023Abuse: Neglect
Identified failures to provide a safe environment that led to a resident altercation and discomfort. Violations were cited with a fine assessed.
Abuse—Failed to provide safe environment
19 Nov 2023Abuse: Neglect
19 Nov 2023Abuse: Neglect
Found neglect and abuse due to failure to implement interventions and monitor a resident's known behavior, resulting in a physical altercation that caused discomfort to another resident; a fine was assessed.
Abuse—Failed to provide safe environment
18 Nov 2023Abuse: Neglect
18 Nov 2023Abuse: Neglect
Investigated and found neglect and abuse due to failure to implement interventions and monitor known behavior, resulting in a resident being harmed during a physical altercation.
Abuse—Failed to provide safe environment
17 Nov 2023License Condition
17 Nov 2023License Condition
Found that an acuity-based staffing tool was not fully implemented or updated as required.
Regulatory Action—Failed to use an ABST
10 Nov 2023Abuse: Neglect
10 Nov 2023Abuse: Neglect
Found abuse and neglect due to failure to monitor and intervene for a known behavior, resulting in a physical altercation.
Abuse—Failed to provide safe environment
04 Nov 2023Abuse: Neglect
04 Nov 2023Abuse: Neglect
Found a failure to provide a safe environment that led to a resident-to-resident altercation and abuse. The incident involved neglect of care and violation of resident rights.
Abuse—Failed to provide safe environment
31 Oct 2023Inspection
31 Oct 2023Inspection
Investigated a resident care incident and found violations constituting physical abuse and neglect. The incident involved a staff member striking a resident after resistance and failure to follow the resident's care plan.
Licensing—Failed to protect resident from physical abuse
30 Oct 2023Abuse: Neglect
30 Oct 2023Abuse: Neglect
Investigated found abuse and neglect due to failures to provide a safe environment and monitor a resident's behavior, leading to a resident-on-resident altercation and harm.
Abuse—Failed to provide safe environment
29 Oct 2023Abuse: Neglect
29 Oct 2023Abuse: Neglect
Found neglect and abuse for failing to implement interventions and monitor known behavior, leading to a physical altercation and discomfort to a resident; a $375 fine was assessed.
Abuse—Failed to provide safe environment
29 Oct 2023Abuse: Neglect
29 Oct 2023Abuse: Neglect
Investigated and found a failure to provide a safe environment, which led to a physical altercation and discomfort to a resident.
Abuse—Failed to provide safe environment
29 Oct 2023Abuse: Neglect
29 Oct 2023Abuse: Neglect
Investigated an altercation linked to unsafe monitoring and failure to follow interventions, resulting in neglect and abuse.
Abuse—Failed to provide safe environment
29 Oct 2023Abuse: Neglect
29 Oct 2023Abuse: Neglect
Found abuse and neglect due to failure to follow the care plan, resulting in a resident altercation and injury.
Abuse—Failed to provide safe environment
17 Oct 2023Abuse: Neglect
17 Oct 2023Abuse: Neglect
Found a failure to provide a safe environment, constituting abuse and neglect. An altercation occurred in which a resident was hit and blankets were pulled off.
Abuse—Failed to provide safe environment
17 Oct 2023Inspection
17 Oct 2023Inspection
Investigated a complaint alleging failure to report abuse and resident falls. Determined a violation of reporting requirements.
Licensing—Failed to provide safe environment
16 Oct 2023Abuse: Neglect
16 Oct 2023Abuse: Neglect
Found violations for abuse and neglect that placed a resident at risk, and assessed a $375 fine.
Abuse—Failed to provide safe environment
03 Oct 2023Complaint
03 Oct 2023Complaint
Investigated found multiple deficiencies across abuse reporting, care planning, medication orders, staffing, acuity-based staffing, discharge readiness, and nutrition to ensure resident safety.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Involuntary Move-Out Criteria
Deficiency—Nutrition and Hydration
02 Oct 2023Abuse: Neglect
02 Oct 2023Abuse: Neglect
Found failures to properly address aggressive behavior in the care plan, resulting in neglect and abuse.
Abuse—Failed to properly plan care
29 Sept 2023Abuse: Neglect
29 Sept 2023Abuse: Neglect
Investigated a complaint and found failures to monitor residents according to known behavior, resulting in a physical altercation and unreasonable discomfort to a resident.
Abuse—Failed to provide safe environment
28 Sept 2023Abuse: Neglect
28 Sept 2023Abuse: Neglect
Investigated a fall-related care failure and found neglect and abuse due to inadequate care planning, which led to a resident's fall and injury. A fine of $1,500 was assessed.
Abuse—Failed to properly plan care
28 Sept 2023Abuse: Neglect
28 Sept 2023Abuse: Neglect
Investigated and substantiated neglect due to failure to plan care and provide supervision for a resident with a known history of falls, resulting in multiple falls and ongoing discomfort; a $1,500 fine was assessed.
Abuse—Failed to properly plan care
21 Sept 2023Abuse: Neglect
21 Sept 2023Abuse: Neglect
Found inadequate care planning led to multiple falls and injuries for the resident.
Abuse—Failed to properly plan care
20 Sept 2023Inspection
20 Sept 2023Inspection
Found insufficient qualified awake direct care staffing to meet 24-hour scheduled and unscheduled resident needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
01 Sept 2023Inspection
01 Sept 2023Inspection
Found that a daily meal program for nutrition and hydration based on residents' preferences and needs was not provided.
Licensing—Failed to provide proper food/nutrition
01 Sept 2023Abuse: Neglect
01 Sept 2023Abuse: Neglect
Found a failure to provide a safe environment, constituting abuse. A $375 fine was assessed.
Abuse—Failed to provide safe environment
01 Sept 2023Abuse: Neglect
01 Sept 2023Abuse: Neglect
Identified that a resident was not provided a safe environment and concerns about theft were not addressed, constituting neglect and abuse. A $375 fine was assessed.
Abuse—Failed to provide safe environment
01 Sept 2023Inspection
01 Sept 2023Inspection
Investigated and confirmed a failure to immediately notify local authorities about an incident of abuse or suspected abuse.
Licensing—Failed to report potential or suspected abuse
01 Sept 2023Inspection
01 Sept 2023Inspection
Found that service plans did not reflect resident needs.
Licensing—Failed to properly plan care
01 Sept 2023Inspection
01 Sept 2023Inspection
Investigated and found that medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
30 Jul 2023Abuse: Neglect
30 Jul 2023Abuse: Neglect
Found that a resident did not receive required showers and appropriate care, leading to a toe infection and amputation. A fine of $1,125 was assessed.
Abuse—Failed to provide service
24 Jul 2023Abuse: Neglect
24 Jul 2023Abuse: Neglect
Investigated a complaint and found neglect and abuse due to multiple falls with injuries and inadequate safety measures.
Abuse—Failed to provide safe environment
07 Jul 2023Inspection
07 Jul 2023Inspection
Investigated and found a deficiency for failing to meet the scheduled and unscheduled needs of residents. The violation was cited as a Level 2 minor harm risk.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
29 Jun 2023Abuse: Neglect
29 Jun 2023Abuse: Neglect
Determined that the resident faced unsafe conditions and inadequate care; abuse and neglect were identified, and a $250 fine was assessed.
Abuse—Failed to provide service
24 Jun 2023Abuse: Neglect
24 Jun 2023Abuse: Neglect
Investigated and found neglect due to inadequate supervision that allowed a fall and a broken hand; a $500 fine was assessed.
Abuse—Failed to provide safe environment
16 May 2023Inspection
16 May 2023Inspection
Investigated and determined that a resident's health and care needs were not evaluated within 24 hours after discharge readiness.
Licensing—Failed to perform adequate screening or assessment
24 Apr 2023Abuse: Neglect
24 Apr 2023Abuse: Neglect
Identified neglect and abuse due to failure to adjust care plans and provide interventions, which led to injuries; a fine was assessed.
Abuse—Failed to properly plan care
24 Apr 2023Abuse: Neglect
24 Apr 2023Abuse: Neglect
Investigated an incident of abuse and neglect involving two residents; found that care plans were not adjusted and appropriate interventions were not implemented, leading to injuries.
Abuse—Failed to properly plan care
02 Apr 2023Abuse: Neglect
02 Apr 2023Abuse: Neglect
Determined neglect and abuse occurred due to failing to provide a safe environment and to follow care plans, resulting in a fine.
Abuse—Failed to provide safe environment
18 Mar 2023Abuse: Neglect
18 Mar 2023Abuse: Neglect
Found neglect and abuse violations and assessed a fine.
Abuse—Failed to properly plan care
15 Feb 2023Abuse: Neglect
15 Feb 2023Abuse: Neglect
Investigated and found that a resident was not provided a safe environment, constituting abuse and neglect; a $450 fine was assessed.
Abuse—Failed to provide safe environment
14 Feb 2023Abuse: Neglect
14 Feb 2023Abuse: Neglect
Determined that care plan was not followed, placing a resident at risk and constituting abuse and neglect; a $500 fine was assessed.
Abuse—Failed to follow care plan
11 Feb 2023Abuse: Neglect
11 Feb 2023Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to properly plan care for an aggressive resident, which caused bruising.
Abuse—Failed to properly plan care
09 Feb 2023Licensure
09 Feb 2023Licensure
Determined substantial compliance with meal service requirements and related food sanitation rules.
Deficiency—Comment
06 Feb 2023Abuse: Neglect
06 Feb 2023Abuse: Neglect
Investigated and found failures to properly plan care and address falls, resulting in injuries and indicating abuse and neglect.
Abuse—Failed to properly plan care
18 Jan 2023Inspection
18 Jan 2023Inspection
Found a deficiency for failing to submit timely or adequate staffing documentation, including weekly vaccination reporting. A $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
05 Jan 2023Abuse: Neglect
05 Jan 2023Abuse: Neglect
Found that staff failed to properly plan care and apply reasonable interventions for a resident with aggressive behaviors, leading to an incident and a substantiated neglect/abuse finding.
Abuse—Failed to properly plan care
19 Dec 2022Abuse: Neglect
19 Dec 2022Abuse: Neglect
Determined that care planning failed to address ongoing aggression, resulting in abuse and neglect. A choking incident occurred when a resident grabbed another resident's throat, heightening safety concerns.
Abuse—Failed to properly plan care
11 Dec 2022Abuse: Neglect
11 Dec 2022Abuse: Neglect
Investigated a neglect allegation and found that care planning and interventions to address ongoing aggression were not properly implemented, leading to potential harm to a resident. A $500 fine was assessed.
Abuse—Failed to properly plan care
01 Dec 2022Inspection
01 Dec 2022Inspection
Found failure to submit timely weekly vaccination reporting for residents and staff, ongoing for 30 days. A $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
11 Nov 2022Abuse: Neglect
11 Nov 2022Abuse: Neglect
Investigated allegations found failures to plan care and implement interventions addressing ongoing falls, resulting in injuries from multiple falls.
Abuse—Failed to properly plan care
13 Oct 2022Abuse: Neglect
13 Oct 2022Abuse: Neglect
Found neglect due to failure to properly care plan for falls for a known fall risk, with multiple falls and injuries reported.
Abuse—Failed to properly plan care
10 Oct 2022Abuse: Neglect
10 Oct 2022Abuse: Neglect
Found failures to properly plan care and provide safety checks every 15 minutes, leading to an altercation and injury.
Abuse—Failed to properly plan care
02 Oct 2022Abuse: Neglect
02 Oct 2022Abuse: Neglect
Investigated and found a failure to properly plan care for a resident's behavioral issues, constituting neglect and abuse with risk of harm.
Abuse—Failed to properly plan care
02 Oct 2022Abuse: Neglect
02 Oct 2022Abuse: Neglect
Found neglect and abuse due to failure to properly care plan for aggressive behavior, with a $375 fine assessed.
Abuse—Failed to properly plan care
16 Sept 2022Abuse: Neglect
16 Sept 2022Abuse: Neglect
Investigated a complaint alleging failure to properly plan care for a resident with aggressive behaviors; findings show the care plan and interventions were not adjusted, leading to an incident where a resident harmed another.
Abuse—Failed to properly plan care
08 Sept 2022Abuse: Neglect
08 Sept 2022Abuse: Neglect
Found violations for neglect and abuse due to failing to intervene when a resident's condition declined; a $500 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
02 Sept 2022Abuse: Neglect
02 Sept 2022Abuse: Neglect
Found failure to follow the care plan that allowed a wandering resident to enter another resident’s room, leading to a physical altercation and injury; a $500 fine was assessed.
Abuse—Failed to follow care plan
26 Aug 2022Abuse: Neglect
26 Aug 2022Abuse: Neglect
Found that a care plan and its interventions were not followed, resulting in abuse and neglect; a $500 fine was assessed.
Abuse—Failed to follow care plan
25 Aug 2022Abuse: Neglect
25 Aug 2022Abuse: Neglect
Found abuse/neglect due to failure to follow the care plan, with a $500 fine assessed.
Abuse—Failed to follow care plan
17 Aug 2022Abuse: Neglect
17 Aug 2022Abuse: Neglect
Found that the care plan was not followed, leading to an incident where a resident slapped another and was not kept away from others, constituting neglect and abuse. A $500 fine was assessed.
Abuse—Failed to follow care plan
16 Aug 2022Abuse: Neglect
16 Aug 2022Abuse: Neglect
Investigated a resident-to-resident aggression case and found the care plan for an agitated resident was not properly adjusted, resulting in neglect and abuse, with a fine assessed.
Abuse—Failed to properly plan care
03 Aug 2022Abuse: Neglect
03 Aug 2022Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a safe environment, resulting in an aggressive incident toward a resident; a monetary penalty was assessed.
Abuse—Failed to provide safe environment
01 Aug 2022Inspection
01 Aug 2022Inspection
Identified a licensing violation for failing to submit timely weekly vaccination reporting for residents and staff over a 30-day period.
Licensing—Failed to submit timely or adequate staffing documentation
17 May 2022Abuse: Neglect
17 May 2022Abuse: Neglect
Investigated an allegation of neglect and abuse and found that inadequate care planning and interventions addressed a resident's bed sliding, constituting abuse.
Abuse—Failed to properly plan care
11 May 2022Abuse: Neglect
11 May 2022Abuse: Neglect
Found violations for failing to follow the care plan, leading to a skin tear; a $500 fine was assessed.
Abuse—Failed to follow care plan
17 Nov 2021Inspection
17 Nov 2021Inspection
Investigated a complaint and found that a resident's rights were violated and abuse and neglect occurred, with a failure to provide a safe environment.
Licensing—Failed to provide safe environment
14 Nov 2021Abuse: Neglect
14 Nov 2021Abuse: Neglect
Determined that a staff member stole and over-administered PRN narcotics to a resident, causing financial exploitation, and that supervision of the medication administration system was inadequate.
Abuse—Failed to protect resident from financial exploitation
14 Nov 2021Inspection
14 Nov 2021Inspection
Investigated and found that a staff member exploited a resident by taking medications. Supervision over the medication administration process was inadequate.
Licensing—Failed to protect resident from financial exploitation
14 Nov 2021Abuse: Neglect
14 Nov 2021Abuse: Neglect
Investigated allegations of unsafe medication handling; concluded there was excessive PRN narcotics administration and failures in the medication system. This included inadequate supervision and oversight by responsible personnel.
Abuse—Failed to provide a safe medication administration system
14 Nov 2021Abuse: Neglect
14 Nov 2021Abuse: Neglect
Investigated an allegation of financial exploitation and found that a staff member took a resident's medication, resulting in financial exploitation; also found failings in supervision and oversight of the medication administration system.
Abuse—Failed to protect resident from financial exploitation
17 Jul 2021Inspection
17 Jul 2021Inspection
Found that an individual was left alone in a wheelchair, attempted to stand, fell, and sustained injuries; neglect of care created an unsafe environment.
Licensing—Failed to provide safe environment
30 Jun 2021Abuse: Neglect
30 Jun 2021Abuse: Neglect
Found failure to follow the care plan, leaving a resident alone without proper footwear and resulting in neglect and abuse.
Abuse—Failed to follow care plan
10 Jun 2021Abuse: Neglect
10 Jun 2021Abuse: Neglect
Identified failure to properly plan for aggressive behaviors that affected residents. This resulted in neglect and abuse findings.
Abuse—Failed to properly plan care
25 May 2021Inspection
25 May 2021Inspection
Identified neglect of care and an unsafe environment that resulted in a head injury during care.
Licensing—Failed to provide safe environment
18 Apr 2021Inspection
18 Apr 2021Inspection
Investigated and found that a staff member grabbed a resident's left wrist and held them down during a combative episode, resulting in a bruise; a safe-environment deficiency was identified.
Licensing—Failed to provide safe environment
11 Jan 2021Inspection
11 Jan 2021Inspection
Found failure to provide toileting assistance; the allegation was verified.
Licensing—Failed to assist with toileting
11 Jan 2021Inspection
11 Jan 2021Inspection
Investigated the staffing allegation and found it substantiated.
Licensing—Failed to provide appropriate staffing
06 Jan 2021Abuse: Neglect
06 Jan 2021Abuse: Neglect
Found failures in fall risk care planning that led to seven falls and multiple hospital visits, with a fine assessed.
Abuse—Failed to properly plan care
27 Dec 2020Abuse: Neglect
27 Dec 2020Abuse: Neglect
Investigated an allegation of neglect regarding inadequate nutrition that led to harm and hospital visit; a $500 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
20 Dec 2020Inspection
20 Dec 2020Inspection
Found a deficiency for failing to report suspected abuse to the local APS office.
Licensing—Failed to provide safe environment
20 Dec 2020Inspection
20 Dec 2020Inspection
Investigated the allegation of failing to monitor residents' change of condition and found a deficiency in oversight and monitoring.
Licensing—Failed to provide oversight and monitoring of change of condition
16 Dec 2020Inspection
16 Dec 2020Inspection
Investigated an allegation of not following the care plan and found inadequate staffing and failure to implement the plan.
Licensing—Failed to follow care plan
16 Dec 2020Inspection
16 Dec 2020Inspection
Investigated allegations that a resident's care plan was not followed, leading to discomfort. Found violations of several care-related rules.
Licensing—Failed to follow care plan
16 Dec 2020Inspection
16 Dec 2020Inspection
Investigated a care plan violation and found that a staff member failed to follow the care plan, causing discomfort and neglect; the organization did not ensure plan adherence.
Licensing—Failed to follow care plan
09 Nov 2020Abuse: Neglect
09 Nov 2020Abuse: Neglect
Found failure to provide a safe environment that led to pain, constituting neglect and abuse; a $500 fine was assessed.
Abuse—Failed to provide safe environment
12 Oct 2020Abuse: Neglect
12 Oct 2020Abuse: Neglect
Found failure to provide a safe environment, resulting in abuse/neglect; a $375 fine was assessed.
Abuse—Failed to provide safe environment
09 Oct 2020Abuse: Neglect
09 Oct 2020Abuse: Neglect
Investigated and determined that a failure to provide a safe environment resulted in abuse and neglect. A fine was assessed.
Abuse—Failed to provide safe environment
25 Sept 2020Inspection
25 Sept 2020Inspection
Investigated an allegation that residents were not provided laundry services; findings verified.
Licensing—Failed to provide appropriate housekeeping services
25 Sept 2020Inspection
25 Sept 2020Inspection
Investigated the allegation that staff failed to assist with toileting and found a failure to provide activities of daily living support.
Licensing—Failed to assist with toileting
25 Sept 2020Inspection
25 Sept 2020Inspection
Found insufficient awake qualified direct care staffing to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
13 Sept 2020Abuse: Neglect
13 Sept 2020Abuse: Neglect
Found a failure to provide a safe environment that led to six non-injury falls and was deemed neglect and abuse.
Abuse—Failed to provide safe environment
29 Jul 2020Abuse: Neglect
29 Jul 2020Abuse: Neglect
Found that a safe environment was not provided, exposing a resident to risk of harm during a resident-to-resident altercation. A fine was assessed.
Abuse—Failed to provide safe environment
26 Jul 2020Abuse: Neglect
26 Jul 2020Abuse: Neglect
Found a failure to provide a safe environment, constituting neglect and abuse.
Abuse—Failed to provide safe environment
26 Jun 2020Inspection
26 Jun 2020Inspection
Determined that a staff member restrained a resident and administered insulin after the resident declined, causing distress and a bruise, and that this reflected a failure to provide a safe environment.
Licensing—Failed to provide safe environment
14 Jun 2020Inspection
14 Jun 2020Inspection
Concluded that inappropriate sexual contact occurred and protections for a resident from sexual abuse were insufficient.
Licensing—Failed to provide safe environment
13 May 2020Abuse: Neglect
13 May 2020Abuse: Neglect
Found a failure to provide a safe environment by not protecting a resident from non-consensual sexual touching.
Abuse—Failed to provide safe environment
04 May 2020Abuse: Neglect
04 May 2020Abuse: Neglect
Found that a resident was not protected from sexual encounters, resulting in serious emotional harm and risk of further harm. The findings indicate neglect and abuse.
Abuse—Failed to provide safe environment
30 Apr 2020Abuse: Neglect
30 Apr 2020Abuse: Neglect
Found neglect due to failure to plan care and protect residents, resulting in two sexual assaults.
Abuse—Failed to properly plan care
03 Jan 2020Abuse: Neglect
03 Jan 2020Abuse: Neglect
Found inadequate care planning for a resident's fall risk, placing the resident at risk for harm.
Abuse—Failed to properly plan care
30 Sept 2019Inspection
30 Sept 2019Inspection
Investigated the allegation and identified a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
30 Sept 2019Inspection
30 Sept 2019Inspection
Found failure to provide appropriate activities. The finding carried a Level 1 designation indicating no harm or potential for minor harm.
Licensing—Failed to provide appropriate activities
21 May 2019Abuse: Neglect
21 May 2019Abuse: Neglect
Found violations for failing to provide a safe environment, resulting in abuse/neglect, with a fine assessed.
Abuse—Failed to provide safe environment
14 Mar 2019Inspection
14 Mar 2019Inspection
Found failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
14 Mar 2019Abuse: Neglect
14 Mar 2019Abuse: Neglect
Investigated a medication management failure and found neglect due to an inaccurate system that allowed a resident to go without tramadol, with increased behaviors. A $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
28 Jan 2019Abuse: Neglect
28 Jan 2019Abuse: Neglect
Found neglect due to inadequate supervision that caused pain to a person under care; assessed a $500 fine.
Abuse—Failed to properly plan care
21 Jan 2019Abuse: Neglect
21 Jan 2019Abuse: Neglect
Found a neglect violation that placed a resident at risk of harm, and a $375 fine was assessed.
Abuse—Failed to properly plan care
30 Dec 2018Abuse: Neglect
30 Dec 2018Abuse: Neglect
Determined neglect due to failure to provide supervision, creating a risk of serious harm. A $375 fine was assessed.
Abuse—Failed to properly plan care
28 Dec 2018Abuse: Neglect
28 Dec 2018Abuse: Neglect
Found neglect that failed to maintain the health and safety of a vulnerable adult, creating a risk of serious harm when the individual was hit.
Abuse—Failed to properly plan care
12 Dec 2018Abuse: Neglect
12 Dec 2018Abuse: Neglect
Investigated an abuse/neglect allegation and found health and safety were not maintained, resulting in harm. A $500 fine was assessed.
Abuse—Failed to properly plan care
09 Dec 2018Abuse: Neglect
09 Dec 2018Abuse: Neglect
Found neglect of a care recipient that resulted in physical harm; a $250 fine was assessed.
Abuse—Failed to properly plan care
18 Nov 2018Inspection
18 Nov 2018Inspection
Investigated an allegation of failing to report suspected abuse and found that suspected abuse was not reported.
Licensing—Failed to report potential or suspected abuse
18 Nov 2018Abuse: Neglect
18 Nov 2018Abuse: Neglect
Found neglect-related deficiencies resulting in a resident's falls and injuries; a $500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
02 Nov 2018Abuse: Neglect
02 Nov 2018Abuse: Neglect
Found neglect that failed to provide basic care, leaving a resident at risk of serious harm.
Abuse—Failed to provide safe environment
02 Nov 2018Inspection
02 Nov 2018Inspection
Found failure to report suspected abuse. A $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
05 May 2018Abuse: Sexual abuse
05 May 2018Abuse: Sexual abuse
Investigated a sexual abuse allegation, concluded there was a safety violation, and assessed a $375 fine.
Abuse—Failed to provide safe environment
14 Nov 2017Abuse: Neglect
14 Nov 2017Abuse: Neglect
Investigated the neglect allegation and found failure to assess and intervene to prevent a resident from falling and being injured.
Abuse—Failed to follow care plan
25 Aug 2017Abuse: Neglect
25 Aug 2017Abuse: Neglect
Investigated and found a failure to follow the care plan that led to a resident fall, resulting in a fractured finger and hospital stay; a fine was assessed.
Abuse—Failed to follow care plan
20 Apr 2017Abuse: Neglect
20 Apr 2017Abuse: Neglect
Investigated an allegation of neglect and found residents were not protected from a resident-to-resident altercation. This reflected a failure to provide a safe environment.
Abuse—Failed to provide safe environment
25 Jan 2017Inspection
25 Jan 2017Inspection
Investigated and concluded that a safe environment was not provided, resulting in an altercation between residents.
Licensing—Failed to provide safe environment
23 Jan 2017Abuse: Financial abuse
23 Jan 2017Abuse: Financial abuse
Investigated a financial abuse allegation and found that residents' money was not protected from theft.
Abuse—Failed to protect resident from financial exploitation
14 Dec 2016Inspection
14 Dec 2016Inspection
Concluded that a resident was not protected from verbal abuse.
Licensing—Failed to protect resident from verbal abuse
13 Nov 2016Inspection
13 Nov 2016Inspection
Found a failure to provide a safe environment, resulting in risk of physical assault.
Licensing—Failed to provide safe environment
16 Oct 2016Abuse: Neglect
16 Oct 2016Abuse: Neglect
Found failure to assess and intervene when a resident's condition changed, resulting in an altercation between residents.
Abuse—Failed to intervene when resident's condition changed
16 Oct 2016Abuse: Neglect
16 Oct 2016Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to provide a safe environment that led to one resident punching another in the eye.
Abuse—Failed to provide safe environment
02 Oct 2016Abuse: Neglect
02 Oct 2016Abuse: Neglect
Investigated an allegation of neglect; found the care plan was not followed, resulting in a broken hip, and a $300 fine was assessed.
Abuse—Failed to follow care plan
25 Sept 2016Abuse: Neglect
25 Sept 2016Abuse: Neglect
Investigated and found a failure to provide a safe environment, resulting in residents at risk of physical assault.
Abuse—Failed to provide safe environment
27 Aug 2016Abuse: Neglect
27 Aug 2016Abuse: Neglect
Investigated a complaint and identified a failure to follow the care plan with minor harm potential.
Abuse—Failed to follow care plan
18 Aug 2016Inspection
18 Aug 2016Inspection
Found a deficiency for failing to assist with dressing or grooming. The deficiency violated ADL assistance requirements.
Licensing—Failed to assist with dressing or grooming
21 Jul 2016Inspection
21 Jul 2016Inspection
Investigated allegations of failure to provide a safe environment and found residents were not protected from physical assault.
Licensing—Failed to provide safe environment
01 Jul 2016Inspection
01 Jul 2016Inspection
Found deficiencies in the medication management system.
Licensing—Failed to provide a safe medication administration system
16 Jun 2016Abuse: Neglect
16 Jun 2016Abuse: Neglect
Investigated an allegation of neglect and found that care after a resident's condition changed was not provided appropriately. The allegation was supported by findings.
Abuse—Failed to intervene when resident's condition changed
07 Mar 2016Inspection
07 Mar 2016Inspection
Investigated and found that RV was not protected from inappropriate verbal comments. The finding indicates a rule violation.
Licensing—Failed to assure resident rights
16 Dec 2015Abuse: Neglect
16 Dec 2015Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
31 Aug 2015Abuse: Neglect
31 Aug 2015Abuse: Neglect
Investigated and found residents were not protected from physical aggression.
Abuse—Failed to provide safe environment
09 Aug 2015Abuse: Neglect
09 Aug 2015Abuse: Neglect
Found a failure to provide a safe environment and assessed a $300 fine.
Abuse—Failed to provide safe environment
25 May 2015Inspection
25 May 2015Inspection
Investigated an allegation that resident records were not kept current or accurate and found that records were not kept current and the resident's needs were not properly assessed.
Licensing—Failed to keep resident record current or accurate
27 Aug 2014Abuse: Neglect
27 Aug 2014Abuse: Neglect
Investigated and found that a safe environment was not maintained.
Abuse—Failed to provide safe environment
20 Sept 2013Abuse: Neglect
20 Sept 2013Abuse: Neglect
Investigated and found a failure to provide appropriate care for a resident, with a substantiated abuse/neglect finding and a $250 fine assessed.
Abuse—Failed to address resident's behavior
29 Aug 2013Inspection
29 Aug 2013Inspection
Investigated and found failure to provide a safe environment.
Licensing—Failed to provide safe environment
11 Sept 2012Inspection
11 Sept 2012Inspection
Determined that a violation of resident rights occurred when the resident's family was not allowed to stay with the resident at the time of passing.
Licensing—Failed to assure resident rights
29 Jun 2012Inspection
29 Jun 2012Inspection
Found failure to report an elder abuse allegation to designated authorities.
Licensing—Failed to report potential or suspected abuse
30 Apr 2012Inspection
30 Apr 2012Inspection
Found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
08 Apr 2012Inspection
08 Apr 2012Inspection
Found that medication was not administered as ordered, resulting in inadequate care to a resident.
Licensing—Failed to administer medication as ordered
22 Mar 2012Abuse: Neglect
22 Mar 2012Abuse: Neglect
Determined neglect occurred when staff failed to protect a resident from rough handling, resulting in a bruise on the resident's upper left arm.
Abuse—Failed to investigate injury of unknown origin to rule out abuse
16 May 2011Abuse: Neglect
16 May 2011Abuse: Neglect
Found a failure to provide a safe and secure environment for a resident.
Abuse—Failed to provide safe environment
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Jefferson Lodge Memory Care Community. The information above has not been verified or approved by the owner or operator. For exact information, please contact Jefferson Lodge Memory Care Community directly. There is no cost for this service. We are compensated by the community you select.
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