Pricing ranges from
    $2,995 – 5,495/month

    Lakeland Senior Living

    261 Loto St, Eagle Point, OR 97524
    • Independent Living
    • Assisted Living

    Exceptionally clean, caring, homey community

    I feel blessed to live here - the community is exceptionally clean, apartments are well laid out and homey, and the location is convenient to shops and services. The staff are caring, responsive and hands-on (Stephanie and Josh deserve special praise); nurses, caregivers and administrators made move-in seamless and supported our family through a difficult time. Activities are lively (exercise classes, outings, movie nights, Sunday worship), it's pet-friendly, meals from the chef are delicious, and virtual tours and rapid COVID testing add extra peace of mind.

    Current/former resident
    Jul 2026

    Pricing

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

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

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

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.03·(34)

    Overall rating

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

      3.8
    • Staff

      4.2
    • Meals

      3.0
    • Amenities

      4.2
    • Value

      1.7

    Pros

    • Compassionate and attentive caregiving staff
    • Welcoming, home-like atmosphere
    • Clean, well-maintained apartments
    • Spacious apartment layouts
    • On-site chef and prepared meal options
    • Transparent and informative admissions process
    • Responsive administrative leadership
    • Engaged activity program (exercise, outings, worship, movie nights)
    • Pet-friendly policy
    • Convenient location near shops and services
    • Acceptance of Medicare and Veterans benefits
    • Housekeeping and facility cleanliness
    • Emotional and bereavement support for families
    • Virtual touring and rapid COVID testing availability
    • Recently refurbished apartment options
    • Friendly resident community and long-term residents

    Cons

    • Inconsistent meal temperature and seasoning
    • Unreliable food delivery to resident rooms
    • Opacity in billing, refunds, and financial transactions
    • Inconsistent communication and follow-through from management
    • Policy limitations on admissions and visitation flexibility
    • Gaps in medication-management and clinical documentation
    • Variability in staff continuity and responsiveness
    • Security and surveillance gaps
    • Limited transportation/bus availability for appointments
    • Sanitation or odor concerns in some units

    Summary of reviews

    Overall impression: Reviews portray a facility with consistently strong front-line caregiving and a welcoming, home-like environment, paired with a well-kept physical plant and an active social program. Many families highlight compassionate, hands-on staff and engaged leadership who participate directly in resident care. Apartment units are described as clean, spacious, and recently refurbished in places; the campus benefits from a convenient location and acceptance of Medicare and Veterans benefits.

    Care and staff: Praise centers on nursing and caregiving staff who are described as kind, attentive, and emotionally supportive to both residents and families. Reviewers frequently note direct involvement by administrators and directors during transitions and difficult events, and examples of personalized attention and bereavement support are given. At the same time, several reviews indicate variability in staff continuity and responsiveness over time; some families cite communication lapses and isolated medication-administration or documentation errors. These comments suggest generally strong relational care but occasional operational inconsistencies that prospective families should clarify during a tour.

    Dining and nutrition: Dining impressions are mixed. The facility has an on-site chef and several reviewers compliment the quality and presentation of meals and special touches such as snack trays. However, a recurring operational concern is inconsistent meal-service logistics: meals delivered to resident rooms are sometimes reported as arriving cold, under-seasoned, or with small portions and limited fresh vegetables. There is also reference to kitchen disruptions during remodeling. Prospective residents should verify current meal-delivery procedures, kitchen hours, and options for dining-room service versus in-room trays.

    Activities and community life: Activity programming is a clear strength. Reviews note an enthusiastic activities director, exercise classes, entertainment, practical outings, regular worship services, movie nights, and a generally social resident community. The community is described as pet-friendly and welcoming, with long-term residents expressing satisfaction with engagement opportunities.

    Facilities and safety: Many reviewers describe the facility as clean and well-maintained, with tasteful, rustic ambiance in certain areas. Some apartments are newly refurbished. Conversely, there are occasional sanitation or odor concerns cited for specific units and mentions of perceived gaps in security or surveillance. Transportation capacity is another operational limitation noted—availability of a facility bus for appointments may be constrained, which could affect residents who rely on organized transport.

    Management and policies: Impressions of management are mixed. Several reviewers praise transparent tours, helpful directors, and responsive admission procedures. Others raise concerns about billing transparency, delayed refunds, and what they perceive as cost-focused administrative behavior. Policy changes have been flagged as impactful for some prospective residents—for example, restrictions affecting insulin-dependent diabetics and limited visitation rules—so policy clarity on clinical admissions and visitor flexibility is important to confirm. Communication follow-through and complaint-resolution processes are areas where reviewers identify inconsistency.

    Notable patterns and guidance for families: Recurrent positive patterns include compassionate, personable caregiving; active social programming; clean, comfortable apartments; and an on-site chef. Recurrent concerns cluster around meal-service consistency (temperature, seasoning, in-room delivery), billing and administrative transparency, occasional clinical or documentation errors, variable staff continuity, and specific policy limitations (admissions, visitation, diabetic care). When evaluating the facility, families should observe mealtime service, ask detailed questions about medication administration and documentation, request current policies on admissions and visitation (including diabetes/insulin policies), review billing and refund procedures, and inquire about security measures and transportation availability. These checks will help balance the facility’s evident strengths in personal care and community life against the operational areas cited for improvement.

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    Location

    Map showing location of Lakeland Senior Living

    Lakeland Senior Living is located at 261 Loto St, Eagle Point, OR, 97524.

    About Lakeland Senior Living

    Lakeland Senior Living sits in Eagle Point, Oregon, and looks after older adults who want either independent living or assisted living, with 62 beds for those needing daily assistance, and you'll find modern touches like lots of sunlight, fresh paint, and cozy fireplaces in common rooms that invite folks to gather. The community is family-owned, has run for over 25 years, and is accredited by the Oregon Department of Human Services, and you notice the attention to making places inviting, from well-kept green courtyards to a cheerful yellow exterior and welcoming lobby, and there's a fireside lounge that feels comfortable and homey. Apartments, which come in different floor plans like studio, one-bedroom, and two-bedroom, offer large windows, private bathrooms, walk-in closets, and kitchenettes, and they've been recently refurbished with stylish but simple decor.

    Staff at Lakeland, including 24-hour on-site nurses, help with medication reminders, mobility, daily self-care, and there are personalized care plans for each resident, whether someone just needs light help or more support such as memory care or respite care, and there are also adult day care and home health services. Residents have meal plans made to keep them healthy, get housekeeping and laundry help, and enjoy complimentary Wi-Fi, with transportation services available for medical appointments or shopping trips, and you'll see there's resident parking for those who still drive. There's safety round the clock, with emergency call systems and security staff always there.

    There's a full activities calendar with games like bingo, pool, and poker, crafts, fitness classes in the wellness center, and programs to encourage socializing and keep the mind sharp, and pretty soon there'll be pingpong and air hockey, and there's plenty of space to gather in lounges, a library, fitness center, beauty and barber salon, and a lovely outside courtyard. Residents who want spiritual support get devotional services right at the facility. The place is also close to medical centers, pharmacies, and places to eat or be entertained in Eagle Point, so family can stop by easily.

    Therapeutic and wellness programs run daily for those who want to join, and folks can join in social and recreational activities, with special planned outings or just casual time in the common areas. The Mosaic Senior Living network runs Lakeland, and the F.A.I.T.H.E. core values encourage a community where people try to live with fun, a good attitude, teamwork, honesty, and effort. Whether someone is looking for active retirement with minimal help or wants to age in place with regular support and care, Lakeland Senior Living aims to meet different needs as they change over time.

    People often ask...

    Lakeland Senior Living offers competitive pricing, with rates starting at a cost of $2,995 per month.

    Lakeland Senior Living offers independent living and assisted living.

    There are 41 photos of Lakeland Senior Living on Mirador.

    The full address for this community is 261 Loto St, Eagle Point, OR 97524.

    No, Lakeland Senior Living 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 number70M234
    StatusActive
    Facility typeAssisted Living Facility
    Capacity70 residents
    LicenseeEagle Point Al LLC
    EffectiveApril 21st, 2000
    View the official license record

    Inspection Reports

    185

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    16

    Years

    02 Jul 2026License Condition
    Identified non-compliance with safety requirements that could harm residents. Cited deficiencies related to maintaining a safe environment.
    • Regulatory ActionFailed to provide safe environment
    04 Jun 2026Licensure
    Inspector found multiple violations across care planning, medication management, infection control, and staff training related to resident safety and care processes.
    • DeficiencyReasonable Precautions
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Treatment Orders
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyTraining Within 30 Days of Hire – Direct Care Staff
    27 Mar 2026Kitchen
    Found deficiencies in kitchen sanitation practices, including damaged cutting boards, debris on a walk-in refrigerator rack, and dishwashing temperatures below minimum standards.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    07 Oct 2025Abuse: Neglect
    Investigated and found a resident's change of condition was not overseen or monitored, resulting in abuse by neglect.
    • AbuseFailed to provide oversight and monitoring of change of condition
    29 Jun 2025Abuse: Neglect
    Investigated and found that a resident's behavioral plan was not followed, leaving the resident fearful and at risk of harm.
    • AbuseFailed to provide safe environment
    17 Jun 2025Inspection
    Identified a housekeeping deficiency related to cleanliness and maintenance of interior materials, surfaces, and equipment. Found minor harm or potential for moderate harm.
    • LicensingFailed to provide appropriate housekeeping services
    14 Jun 2025Inspection
    Investigated the complaint and determined a violation involving a safe medication administration system. The finding cited Oregon Administrative Rules.
    • LicensingFailed to provide a safe medication administration system
    14 Jun 2025Abuse: Neglect
    Found neglect and abuse due to failure to administer prescribed heart medication on time, resulting in hospitalization; a $1,500 fine assessed.
    • AbuseFailed to administer medication as ordered
    10 Jun 2025Inspection
    Investigated found that a staff member directed a resident to take medications using inappropriate and disrespectful language, constituting verbal abuse and neglect and violating resident rights.
    • LicensingFailed to protect resident from verbal abuse
    08 Apr 2025Abuse: Neglect
    Found neglect and abuse due to delayed call-light responses, with repeated long waits for assistance; a $250 fine was assessed.
    • AbuseFailed to answer call light in a timely manner
    08 Nov 2024Change of Owner
    Found multiple deficiencies across abuse reporting, health services coordination, move-in evaluations, service plans, food sanitation, resident rights to refuse, staff training, and facility cleanliness.
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencySystems: Resident Right to Refuse
    • DeficiencyAnnual and Biennial Inservice for All Staff
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    18 Oct 2024Abuse: Neglect
    Investigated a medication-management issue found that a resident missed seven doses due to delays in refilling, resulting in withdrawal and hospitalization; a $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    01 Aug 2024Inspection
    Identified insufficient direct care staffing to meet scheduled and unscheduled resident needs, and noted a 45-minute call-light response time.
    • LicensingFailed to provide appropriate staffing
    30 Nov 2023Inspection
    Investigated a complaint of verbal and emotional abuse and found inadequate protection of a resident from abusive conduct.
    • LicensingFailed to protect resident from verbal abuse
    30 Nov 2023Abuse: Neglect
    Found substantiated neglect and abuse related to rough handling during care and inadequate supervision. The findings showed violations of resident rights.
    • AbuseFailed to provide safe environment
    27 Nov 2023Inspection
    Concluded that an inappropriate verbal comment caused emotional distress and violated resident rights, constituting neglect and physical abuse, and that a safe environment was not provided.
    • LicensingFailed to protect resident from verbal abuse
    16 Nov 2023Inspection
    Found a violation for failing to implement services and for not providing a therapeutic diet.
    • LicensingFailed to provide a therapeutic diet
    20 Apr 2023Inspection
    Investigated an allegation of failing to report vaccination status and found a violation for not notifying authorities promptly about an epidemic.
    • LicensingFailed to report vaccination status
    09 Apr 2023Abuse: Neglect
    Found that a safe environment was not provided, constituting abuse and neglect, with a fine assessed.
    • AbuseFailed to provide safe environment
    09 Apr 2023Abuse: Neglect
    Investigated the complaint and found a failure to provide a safe environment that harmed a resident. A $250 fine was assessed.
    • AbuseFailed to provide safe environment
    08 Apr 2023Abuse: Neglect
    Found violations of resident rights related to monitoring and care planning, constituting abuse and neglect; a $250 fine was assessed.
    • AbuseFailed to provide service
    08 Apr 2023Abuse: Neglect
    Found a failure to provide a safe environment that caused discomfort and loss of dignity, constituting neglect and abuse.
    • AbuseFailed to provide safe environment
    17 Feb 2023Inspection
    Investigated an allegation of financial exploitation and found abuse due to taking medications belonging to a resident, with unsafe medication practices identified.
    • LicensingFailed to protect resident from financial exploitation
    01 Dec 2022Complaint
    Identified deficiencies in staffing requirements and training, fire and life safety, and emergency planning during a complaint investigation.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyEmergency and Disaster Planning
    21 Nov 2022Inspection
    Found that unannounced fire drills were not conducted and recorded every other month.
    • LicensingFailed to assure resident rights
    21 Nov 2022Inspection
    Identified insufficient direct care staffing to meet residents' scheduled and unscheduled needs. The finding constitutes a violation of applicable staffing rules.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    01 May 2022Inspection
    Investigated improper medication administration and an unsafe environment that could expose a resident to harm.
    • LicensingFailed to provide safe environment
    01 May 2022Inspection
    Investigated a medication administration incident and found neglect and abuse, resulting in an unsafe environment and harm to a resident.
    • LicensingFailed to provide safe environment
    01 May 2022Inspection
    Investigated a complaint about verbal abuse during medication administration; found a staff member made inappropriate verbal comments toward a resident, causing emotional distress, and protections against such comments were lacking.
    • LicensingFailed to protect resident from verbal abuse
    16 Mar 2022Abuse: Neglect
    Identified neglect and abuse from failure to provide appropriate services, with about thirteen falls causing discomfort and skin tears; a $500 fine was assessed.
    • AbuseFailed to provide service
    24 Feb 2022Inspection
    Found that a resident was touched inappropriately, causing discomfort and loss of dignity, and that protections against such contact were inadequate.
    • LicensingFailed to protect resident from inappropriate sexual contact
    19 Jan 2022Inspection
    Investigated the allegation and found a deficiency in providing a safe environment.
    • LicensingFailed to provide safe environment
    30 Dec 2021Inspection
    Investigated and determined a violation occurred for failing to provide personal and other laundry services.
    • LicensingFailed to provide service
    30 Dec 2021Inspection
    Investigated and found a deficiency for failing to assist residents with mobility, bathing, personal hygiene, and toileting.
    • LicensingFailed to provide service
    28 Dec 2021Inspection
    Investigated the allegation of not having an approved system for tracking controlled substances and found such a system was lacking.
    • LicensingFailed to provide a safe medication administration system
    23 Dec 2021Inspection
    Investigated an allegation of an unsafe environment and found RN delegation was not provided as required.
    • LicensingFailed to provide safe environment
    23 Dec 2021Inspection
    Found that resident services to assist with activities of daily living were not provided.
    • LicensingFailed to provide service
    21 Dec 2021Inspection
    Found violations related to unsafe medication administration and neglect of care. The violations involved signing out narcotic pain medications without administering them as ordered.
    • LicensingFailed to administer medication as ordered
    21 Dec 2021Inspection
    Found violations involving financial exploitation and neglect due to a narcotics log discrepancy and failure to protect a resident from exploitation. The narcotics count was off and the medication administration record did not reflect administration.
    • LicensingFailed to protect resident from financial exploitation
    21 Dec 2021Inspection
    Found that a safe medication administration system was not provided, placing a resident at risk of harm and constituting neglect and abuse.
    • LicensingFailed to provide a safe medication administration system
    21 Dec 2021Inspection
    Investigated and found that a staff member failed to protect a resident from financial exploitation by taking pain medication, and the resident was not protected from theft.
    • LicensingFailed to protect resident from financial exploitation
    21 Dec 2021Inspection
    Investigated allegations of unsafe medication administration and record falsification, and identified safety and record-keeping violations that placed a resident at risk.
    • LicensingFailed to assure resident was safe
    21 Dec 2021Inspection
    Found that a resident's pain medication was stolen and the provider failed to protect the resident from financial exploitation.
    • LicensingFailed to protect resident from financial exploitation
    06 Oct 2021Abuse: Neglect
    Investigated allegation found a failure to provide a safe medication administration system and to protect a resident from financial exploitation, resulting in a fine.
    • AbuseFailed to protect resident from financial exploitation
    25 Sept 2021Inspection
    Investigated and found a failure to protect a resident from financial exploitation.
    • LicensingFailed to protect resident from financial exploitation
    25 Sept 2021Inspection
    Investigated and found a resident's money missing and the facility failed to protect the resident from financial exploitation.
    • LicensingFailed to protect resident from financial exploitation
    07 Jul 2021Inspection
    Identified a deficiency for equipment not kept in good repair.
    • LicensingFailed to provide service
    21 May 2021Inspection
    Found that household services were not provided as required.
    • LicensingFailed to provide service
    19 Apr 2021Inspection
    Investigated and identified insufficient staffing to meet residents' scheduled and unscheduled needs. A violation of Oregon Administrative Rules was cited.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    10 Feb 2021Inspection
    Investigated allegation and found failure to provide housekeeping services as required.
    • LicensingFailed to provide appropriate housekeeping services
    04 Dec 2020Abuse: Neglect
    Investigated found neglect and abuse due to failure to monitor a resident's change of condition, resulting in weight loss, increased falls, and worsened depression.
    • AbuseFailed to provide oversight and monitoring of change of condition
    05 Nov 2020Inspection
    Found that qualified awake direct care staff were insufficient in number to meet the 24-hour needs of residents.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    26 Sept 2020Inspection
    Investigated the allegation that a resident was not protected from physical abuse and verified that reasonable precautions against threats to residents' health, safety, or welfare were not exercised.
    • LicensingFailed to protect resident from physical abuse
    26 Sept 2020Inspection
    Investigated the complaint and found a violation of mandatory abuse reporting and investigation requirements.
    • LicensingFailed to assure resident rights
    23 Sept 2020Abuse: Neglect
    Found a failure to provide a safe environment that endangered a resident and constituted abuse and neglect.
    • AbuseFailed to provide safe environment
    03 Aug 2020Abuse: Neglect
    Investigated and concluded a failure to properly plan care for falls risk, with a $500 fine assessed.
    • AbuseFailed to properly plan care
    01 May 2020Inspection
    Found insufficient awake qualified direct care staff to meet residents' scheduled and unscheduled needs.
    • LicensingFailed to provide appropriate staffing
    12 Jan 2020Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in missed medications and neglect/abuse. A $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    09 Jan 2020Inspection
    Investigated an allegation of failing to provide service and found a rule violation.
    • LicensingFailed to provide service
    17 Nov 2019Abuse: Neglect
    Investigated found a failure to provide a safe medication administration system. Insulin was not available to administer as ordered on November 17 and 18, 2019.
    • AbuseFailed to provide a safe medication administration system
    30 Oct 2019Abuse: Neglect
    Investigated and found neglect by failing to administer medication as ordered. A $500 fine was assessed.
    • AbuseFailed to administer medication as ordered
    25 Sept 2019Inspection
    Investigated the allegation of failing to provide service and found a violation related to staffing or staff training practices.
    • LicensingFailed to provide service
    09 Sept 2019Inspection
    Investigated and found a licensing violation for failing to provide three daily nutritious meals.
    • LicensingFailed to provide proper food/nutrition
    06 Sept 2019Inspection
    Investigated the allegation of an unsafe physical environment and found that call systems were not provided in resident rooms.
    • LicensingFailed to maintain a safe physical environment
    03 Sept 2019Inspection
    Concluded that a homelike environment was not provided and odors were not kept under control.
    • LicensingFailed to provide a homelike environment
    30 Aug 2019Inspection
    Found a deficiency in safe medication administration; the allegation of failing to administer medication as ordered was substantiated.
    • LicensingFailed to administer medication as ordered
    28 Aug 2019Abuse: Neglect
    Investigated found that a staff member failed to follow a resident's care plan when the resident refused care, including changing a brief, which violated resident rights and amounted to neglect and abuse; a fine was assessed.
    • AbuseFailed to follow care plan
    20 Aug 2019Abuse: Neglect
    Investigated an allegation of neglect for failing to administer ordered medication; found neglect occurred and a fine was assessed.
    • AbuseFailed to administer ordered medication
    07 Aug 2019Abuse: Neglect
    Determined neglect occurred by failing to provide basic care, risking serious harm; a $500 fine was assessed.
    • AbuseFailed to assist with toileting
    07 Aug 2019Inspection
    Identified a failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    26 Jul 2019Abuse: Neglect
    Investigated a neglect allegation and found that basic care was not provided, causing significant emotional harm and loss of personal dignity. A $500 fine was assessed.
    • AbuseFailed to assist with toileting
    26 Jul 2019Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    05 Jul 2019Inspection
    Investigated the allegation that a safe medication administration system was not provided and found non-compliance with safe medication administration practices.
    • LicensingFailed to provide a safe medication administration system
    04 Jun 2019Abuse: Neglect
    Found neglect in care due to failure to monitor/oversee the administration of narcotic medications, resulting in theft of medications.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    04 Jun 2019Abuse: Neglect
    Identified neglect in medication oversight that allowed theft of narcotics due to inadequate monitoring and control.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    04 Jun 2019Abuse: Neglect
    Found neglect of resident care by failing to monitor narcotic medication administration, which allowed theft of medications.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    01 Jun 2019Inspection
    Investigated and found failure to report suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    01 Jun 2019Abuse: Neglect
    Investigated neglect by failing to provide appropriate care and assessed a $500 fine.
    • AbuseFailed to administer medication as ordered
    10 May 2019Abuse: Neglect
    Concluded that neglect occurred due to failure to monitor the administration of narcotic medications, resulting in theft of medications.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    10 May 2019Abuse: Neglect
    Found neglect due to failure to monitor narcotic administration, which allowed theft of medications.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    16 Apr 2019Inspection
    Found a deficiency in providing a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    22 Mar 2019Abuse: Neglect
    Found neglect of care due to failure to monitor the administration of narcotics, which allowed medications to be stolen.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    22 Mar 2019Abuse: Neglect
    Found neglect in care by failing to monitor narcotic administration, resulting in theft of medications.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    22 Mar 2019Abuse: Neglect
    Determined neglect related to monitoring and oversight of narcotics, resulting in theft of medications and inadequate pain relief for a resident.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    11 Feb 2019Abuse: Neglect
    Found neglect of care due to failure to provide appropriate medication administration, with a $375 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2019Abuse: Neglect
    Found neglect related to medication administration that posed a risk of serious harm, and assessed a $500 fine.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2019Inspection
    Determined that a failure to report suspected abuse occurred. A $1000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    03 Jan 2019Inspection
    Found failure to report suspected abuse. A $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    03 Jan 2019Abuse: Neglect
    Found neglect for failing to provide basic care, such as appropriate temperature control and skin care, causing unreasonable discomfort. A fine of $375 was assessed.
    • AbuseFailed to provide service
    21 Sept 2018Abuse: Neglect
    Investigated the allegation of neglect related to medication administration and identified an inadequate medication system.
    • AbuseFailed to provide a safe medication administration system
    21 Sept 2018Inspection
    Found failure to report suspected abuse. A $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    18 Sept 2018Inspection
    Investigated a failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    18 Sept 2018Abuse: Verbal/Mental abuse
    Found a failure to provide necessary services resulting in significant emotional harm due to verbal/mental abuse; a $500 fine was assessed.
    • AbuseFailed to provide service
    14 Sept 2018Abuse: Neglect
    Found that a safe medication administration system was not provided, and a $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    14 Sept 2018Inspection
    Investigated a complaint and found that suspected abuse was not reported; a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    20 Jul 2018Inspection
    Investigated a failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    20 Jul 2018Abuse: Neglect
    Investigated a neglect allegation and identified failure to provide access to food and timely changes to the Alleged Victim, risking serious harm; a $1500 fine assessed.
    • AbuseFailed to provide service
    08 Jun 2018Abuse: Neglect
    Found an inadequate medication administration system and assessed a $1500 fine.
    • AbuseFailed to provide a safe medication administration system
    08 Jun 2018Inspection
    Found failure to selfreport potential abuse and assessed a $750 fine.
    • LicensingFailed to report potential or suspected abuse
    07 Jun 2018Inspection
    Found failure to report suspected abuse, resulting in a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    07 Jun 2018Abuse: Neglect
    Found neglect due to inadequate supervision that placed a resident at risk of serious harm, with a $500 fine assessed.
    • AbuseFailed to adequately care plan related to falls
    18 May 2018Inspection
    Investigated and found that suspected abuse was not reported.
    • LicensingFailed to report potential or suspected abuse
    18 May 2018Abuse: Neglect
    Investigated a failure to administer medications as ordered, which created a serious risk of harm. Violations were cited and a $500 fine was assessed.
    • AbuseFailed to administer ordered medication
    19 Apr 2018Inspection
    Investigated and substantiated a failure to provide a safe environment, creating risk of serious harm to residents.
    • LicensingFailed to provide safe environment
    13 Mar 2018Abuse: Neglect
    Found neglect by failing to administer medications as ordered, creating a serious risk of harm; a $500 fine assessed.
    • AbuseFailed to administer ordered medication
    13 Mar 2018Inspection
    Found failure to report suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    07 Feb 2018Inspection
    Found that residents' records were not made promptly accessible for review. The violation was substantiated.
    • LicensingFailed to make facility or resident records accessible
    08 Sept 2017Inspection
    Determined an inadequate medication system and assessed a $300 fine.
    • LicensingFailed to administer medication as ordered
    22 Aug 2017Inspection
    Investigated a failure to notify a resident's family in service planning and found that the family was not notified or invited to participate.
    • LicensingFailed to notify family
    09 Aug 2017Abuse: Neglect
    Identified deficiencies in the medication system and noted that medication was not administered as ordered.
    • AbuseFailed to administer medication as ordered
    06 Jun 2017Abuse: Neglect
    Found a failure to administer medication as ordered and an inadequate medication system.
    • AbuseFailed to administer medication as ordered
    28 Apr 2017Condition
    Investigated a neglect allegation and found a failure to provide a safe medication administration system.
    • Regulatory ActionFailed to provide a safe medication administration system
    03 Apr 2017Inspection
    Concluded that the allegation of failing to provide medical treatment as ordered was substantiated.
    • LicensingFailed to provide medical treatment as ordered
    16 Mar 2017Abuse: Neglect
    Investigated an allegation of neglect; found medication administration issues and improper supervision, with a $300 fine assessed.
    • AbuseFailed to administer medication as ordered
    13 Mar 2017Abuse: Neglect
    Investigated a medication administration allegation and found failures to administer medication as ordered and to provide an adequate medication system, with a $400 fine assessed.
    • AbuseFailed to administer medication as ordered
    24 Feb 2017Inspection
    Investigated and found failure to respond to call lights promptly, indicating care deficiencies.
    • LicensingFailed to answer call light in a timely manner
    06 Feb 2017Abuse: Neglect
    Found that there was an inadequate medication system.
    • AbuseFailed to administer medication as ordered
    20 Jan 2017Abuse: Neglect
    Investigated an allegation of neglect related to hygiene and found failure to provide appropriate care.
    • AbuseFailed to provide or assist with hygiene
    20 Jan 2017Inspection
    Found an inadequate medication administration system.
    • LicensingFailed to provide a safe medication administration system
    20 Jan 2017Abuse: Involuntary Seclusion
    Investigated the involuntary seclusion allegation and found a failure to keep a resident from being involuntarily secluded.
    • AbuseFailed to protect resident from involuntary seclusion
    15 Dec 2016Inspection
    Found a deficiency in keeping medication records current and in maintaining an adequate medication system.
    • LicensingFailed to keep medication record current or accurate
    15 Dec 2016Abuse: Financial abuse
    Found that residents were not protected from loss of medication due to a financial abuse allegation.
    • AbuseFailed to provide safe environment
    09 Nov 2016Inspection
    Found noncompliance with mandatory abuse reporting and investigation requirements related to an injury investigation.
    • LicensingFailed to investigate injury of unknown origin to rule out abuse
    04 Nov 2016Abuse: Neglect
    Investigated an allegation of neglect related to falls care planning and found a failure to assess and intervene in falls-related care.
    • AbuseFailed to adequately care plan related to falls
    25 Sept 2016Abuse: Neglect
    Found inadequate care related to falls and related care planning. This relates to a neglect allegation.
    • AbuseFailed to adequately care plan related to falls
    07 Sept 2016Inspection
    Investigated an allegation related to medication handling and found an inadequate medication system.
    • LicensingFailed to administer ordered medication
    18 Aug 2016Inspection
    Investigated the allegation that medications were not administered as ordered; identified a violation.
    • LicensingFailed to administer medication as ordered
    18 Aug 2016Inspection
    Found that laundry assistance was not provided to a resident.
    • LicensingFailed to provide service
    11 Jul 2016Abuse: Neglect
    Investigated an allegation of neglect and substantiated that appropriate care was not provided when a resident's condition changed. A $350 fine was assessed.
    • AbuseFailed to intervene when resident's condition changed
    11 Feb 2016Inspection
    Investigated an allegation of failing to provide a safe environment and found that appropriate care was not provided.
    • LicensingFailed to provide safe environment
    11 Feb 2016Abuse: Neglect
    Determined neglect occurred due to failure to assess and intervene after a resident's condition changed; a $200 fine was assessed.
    • AbuseFailed to intervene when resident's condition changed
    26 Jan 2016Inspection
    Found that medication records were not kept current or accurate and the medication system was inadequate.
    • LicensingFailed to keep medication record current or accurate
    26 Jan 2016Abuse: Neglect
    Concluded a neglect allegation and found a deficient medication system.
    • AbuseFailed to administer medication as ordered
    26 Jan 2016Abuse: Neglect
    Investigated an allegation of neglect; found failure to assess and intervene when a resident's condition changed and assessed a $300 fine.
    • AbuseFailed to intervene when resident's condition changed
    28 Dec 2015Abuse: Financial abuse
    Identified a substantiated financial abuse allegation and a failure to provide a safe environment, including not protecting a resident's medication from loss.
    • AbuseFailed to provide safe environment
    07 Dec 2015Abuse: Neglect
    Investigated the neglect allegation and identified a deficient medication system.
    • AbuseFailed to assure timely medical treatment
    16 Nov 2015Inspection
    Found that timely medical treatment was not provided.
    • LicensingFailed to assure timely medical treatment
    17 Sept 2015Inspection
    Investigated a failure to report potential or suspected abuse and found a resident was not protected from inappropriate sexual contact.
    • LicensingFailed to report potential or suspected abuse
    02 Jul 2015Abuse: Neglect
    Investigated the allegation of neglect and found residents were not protected from inappropriate verbal comments.
    • AbuseFailed to provide safe environment
    10 Jun 2015Abuse: Neglect
    Investigated the neglect allegation of failing to intervene when a resident's condition changed; findings showed a failure to assess and intervene.
    • AbuseFailed to intervene when resident's condition changed
    10 Jun 2015Abuse: Neglect
    Investigated a neglect allegation and found failures to assess and intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    08 Jun 2015Abuse: Financial abuse
    Found that a resident was not protected from misappropriation of funds.
    • AbuseFailed to provide safe environment
    28 Mar 2015Inspection
    Found residents were not protected from inappropriate interaction.
    • LicensingFailed to provide safe environment
    25 Mar 2015Abuse: Financial abuse
    Found that a resident's funds were not protected.
    • AbuseFailed to provide safe environment
    24 Feb 2015Abuse: Neglect
    Investigated a neglect allegation and found that a safe environment was not provided.
    • AbuseFailed to provide safe environment
    05 Feb 2015Abuse: Neglect
    Found failures in medication administration and in providing an adequate medication system.
    • AbuseFailed to administer medication as ordered
    04 Feb 2015Inspection
    Investigated and substantiated failure to provide medical treatment as ordered.
    • LicensingFailed to provide medical treatment as ordered
    04 Feb 2015Inspection
    Found a deficiency in the medication administration system.
    • LicensingFailed to provide a safe medication administration system
    12 Jan 2015Abuse: Neglect
    Investigated the medication-related allegation and found an inadequate medication system; a $300 fine was assessed.
    • AbuseFailed to administer medication as ordered
    24 Dec 2014Abuse: Neglect
    Investigated an allegation of failing to administer medication as ordered and found the medication system inadequate.
    • AbuseFailed to administer medication as ordered
    10 Dec 2014Abuse: Neglect
    Determined that a provider failed to protect a resident from inappropriate verbal interactions.
    • AbuseFailed to protect resident from verbal abuse
    25 Nov 2014Abuse: Neglect
    Investigated a complaint alleging neglect and found a failure to protect a resident from inappropriate interaction.
    • AbuseFailed to provide safe environment
    21 Nov 2014Abuse: Neglect
    Determined that failure to administer medication as ordered occurred, resulting in an inadequate medication system and discomfort, with a fine assessed.
    • AbuseFailed to administer medication as ordered
    18 Nov 2014Abuse: Neglect
    Investigated the allegation of neglect and found failure to provide appropriate care.
    • AbuseFailed to follow care plan
    27 Oct 2014Abuse: Neglect
    Found that RV's medications were not administered as ordered, and a $300 fine was assessed.
    • AbuseFailed to administer medication as ordered
    10 Sept 2014Abuse: Neglect
    Investigated allegations of abuse and found that a resident was not protected from physical harm.
    • AbuseFailed to protect resident from rough treatment
    25 Jan 2014Abuse: Neglect
    Found a failure to provide a safe medication administration system, with a $300 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    31 Dec 2013Abuse: Neglect
    Investigated the medication-related neglect allegation and found an inadequate medication system.
    • AbuseFailed to administer medication as ordered
    31 Dec 2013Inspection
    Investigated the allegation and found that a safe medication administration system was not provided.
    • LicensingFailed to provide a safe medication administration system
    03 Dec 2013Inspection
    Found that medication records were not kept current or accurate and an inadequate medication system was maintained.
    • LicensingFailed to keep medication record current or accurate
    09 Jul 2013Abuse: Financial abuse
    Found a deficiency in protecting a resident's resources from financial exploitation.
    • AbuseFailed to protect resident from financial exploitation
    24 Apr 2012Abuse: Financial abuse
    Investigated allegations of financial abuse and concluded there was a failure to protect a resident's assets.
    • AbuseFailed to provide safe environment
    15 Mar 2012Inspection
    Found an inadequate medication system and failure to have medication available.
    • LicensingFailed to have medication available
    19 Jan 2012Inspection
    Found that the provider failed to provide an adequate medication system.
    • LicensingFailed to provide a safe medication administration system
    19 Jan 2012Abuse: Neglect
    Investigated an allegation of neglect and found that timely assistance in responding to call lights was not provided.
    • AbuseFailed to answer call light in a timely manner
    19 Jan 2012Abuse: Neglect
    Found a failure to properly plan care, amounting to neglect with potential for moderate harm.
    • AbuseFailed to properly plan care
    12 Aug 2011Inspection
    Found a deficiency in the medication management system.
    • LicensingFailed to provide a safe medication administration system
    21 Jul 2011Abuse: Neglect
    Found deficiencies in care planning and care provision, and a $300 fine was assessed.
    • AbuseFailed to properly plan care
    18 Jul 2011Inspection
    Found that a resident did not receive prescribed medication, and the issue was substantiated as a licensing violation.
    • LicensingFailed to have medication available
    18 Jul 2011Inspection
    Identified a deficiency for failing to follow the care plan, with potential for minor harm.
    • LicensingFailed to follow care plan
    18 Jul 2011Inspection
    Investigated an allegation of an unsafe medication administration system and found a medication management deficiency.
    • LicensingFailed to provide a safe medication administration system
    18 Jul 2011Inspection
    Found that the care plan wasn't followed and the resident's physician wasn't notified.
    • LicensingFailed to communicate necessary information
    06 Jul 2011Abuse: Neglect
    Investigated an abuse/neglect allegation and found a safety deficiency due to failure to provide a safe environment. A $250 fine was assessed.
    • AbuseFailed to address resident's behavior
    24 Jun 2011Abuse: Neglect
    Investigated a hygiene-related neglect allegation and found a failure to provide or assist with hygiene.
    • AbuseFailed to provide or assist with hygiene
    24 Jun 2011Abuse: Neglect
    Found that a safe living environment was not provided due to inadequate housekeeping services.
    • AbuseFailed to provide appropriate housekeeping services
    24 Jun 2011Abuse: Neglect
    Identified a deficiency in medication management and assessed a $600 fine.
    • AbuseFailed to provide a safe medication administration system
    24 Jun 2011Abuse: Financial abuse
    Investigated an allegation of financial abuse and found a failure to provide a safe medication system.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    20 Jun 2011Abuse: Neglect
    Investigated an allegation of neglect and found deficiencies; a $300 fine was assessed.
    • AbuseFailed to assure resident was safe
    20 Jun 2011Abuse: Neglect
    Investigated and substantiated inadequate care planning related to falls and a lack of a safe environment.
    • AbuseFailed to adequately care plan related to falls
    20 Jun 2011Abuse: Neglect
    Determined neglect occurred due to failure to provide medical treatment as ordered. The finding noted noncompliance with the care plan.
    • AbuseFailed to provide medical treatment as ordered
    20 Jun 2011Abuse: Neglect
    Investigated and found deficiencies in providing or maintaining resident care equipment and in delivering appropriate care.
    • AbuseFailed to provide or maintain resident care equipment
    20 Jun 2011Abuse: Neglect
    Found failure to provide an appropriate medication system.
    • AbuseFailed to provide a safe medication administration system
    09 May 2011Abuse: Neglect
    Concluded that a resident was not protected from verbal abuse.
    • AbuseFailed to protect resident from verbal abuse
    19 Mar 2011Abuse: Financial abuse
    Found an inadequate medication system that could lead to harm due to unsafe medication administration.
    • AbuseFailed to provide a safe medication administration system
    01 Dec 2010Abuse: Neglect
    Determined that inadequate screening or assessment occurred and care was not provided appropriately, with a $300 fine assessed.
    • AbuseFailed to perform adequate screening or assessment

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