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
5
4
3
2
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
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.
Identified non-compliance with safety requirements that could harm residents. Cited deficiencies related to maintaining a safe environment.
Regulatory Action—Failed to provide safe environment
04 Jun 2026Licensure
04 Jun 2026Licensure
Inspector found multiple violations across care planning, medication management, infection control, and staff training related to resident safety and care processes.
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Infection Prevention & Control
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
Deficiency—Restraints and Supportive Devices
Deficiency—Training Within 30 Days of Hire – Direct Care Staff
27 Mar 2026Kitchen
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.
Investigated and found a resident's change of condition was not overseen or monitored, resulting in abuse by neglect.
Abuse—Failed to provide oversight and monitoring of change of condition
29 Jun 2025Abuse: Neglect
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.
Abuse—Failed to provide safe environment
17 Jun 2025Inspection
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.
Licensing—Failed to provide appropriate housekeeping services
14 Jun 2025Inspection
14 Jun 2025Inspection
Investigated the complaint and determined a violation involving a safe medication administration system. The finding cited Oregon Administrative Rules.
Licensing—Failed to provide a safe medication administration system
14 Jun 2025Abuse: Neglect
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.
Abuse—Failed to administer medication as ordered
10 Jun 2025Inspection
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.
Licensing—Failed to protect resident from verbal abuse
08 Apr 2025Abuse: Neglect
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.
Abuse—Failed to answer call light in a timely manner
08 Nov 2024Change of Owner
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.
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.
Abuse—Failed to provide a safe medication administration system
01 Aug 2024Inspection
01 Aug 2024Inspection
Identified insufficient direct care staffing to meet scheduled and unscheduled resident needs, and noted a 45-minute call-light response time.
Licensing—Failed to provide appropriate staffing
30 Nov 2023Inspection
30 Nov 2023Inspection
Investigated a complaint of verbal and emotional abuse and found inadequate protection of a resident from abusive conduct.
Licensing—Failed to protect resident from verbal abuse
30 Nov 2023Abuse: Neglect
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.
Abuse—Failed to provide safe environment
27 Nov 2023Inspection
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.
Licensing—Failed to protect resident from verbal abuse
16 Nov 2023Inspection
16 Nov 2023Inspection
Found a violation for failing to implement services and for not providing a therapeutic diet.
Licensing—Failed to provide a therapeutic diet
20 Apr 2023Inspection
20 Apr 2023Inspection
Investigated an allegation of failing to report vaccination status and found a violation for not notifying authorities promptly about an epidemic.
Licensing—Failed to report vaccination status
09 Apr 2023Abuse: Neglect
09 Apr 2023Abuse: Neglect
Found that a safe environment was not provided, constituting abuse and neglect, with a fine assessed.
Abuse—Failed to provide safe environment
09 Apr 2023Abuse: Neglect
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.
Abuse—Failed to provide safe environment
08 Apr 2023Abuse: Neglect
08 Apr 2023Abuse: Neglect
Found violations of resident rights related to monitoring and care planning, constituting abuse and neglect; a $250 fine was assessed.
Abuse—Failed to provide service
08 Apr 2023Abuse: Neglect
08 Apr 2023Abuse: Neglect
Found a failure to provide a safe environment that caused discomfort and loss of dignity, constituting neglect and abuse.
Abuse—Failed to provide safe environment
17 Feb 2023Inspection
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.
Licensing—Failed to protect resident from financial exploitation
01 Dec 2022Complaint
01 Dec 2022Complaint
Identified deficiencies in staffing requirements and training, fire and life safety, and emergency planning during a complaint investigation.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Fire and Life Safety: Safety
Deficiency—Emergency and Disaster Planning
21 Nov 2022Inspection
21 Nov 2022Inspection
Found that unannounced fire drills were not conducted and recorded every other month.
Licensing—Failed to assure resident rights
21 Nov 2022Inspection
21 Nov 2022Inspection
Identified insufficient direct care staffing to meet residents' scheduled and unscheduled needs. The finding constitutes a violation of applicable staffing rules.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
01 May 2022Inspection
01 May 2022Inspection
Investigated improper medication administration and an unsafe environment that could expose a resident to harm.
Licensing—Failed to provide safe environment
01 May 2022Inspection
01 May 2022Inspection
Investigated a medication administration incident and found neglect and abuse, resulting in an unsafe environment and harm to a resident.
Licensing—Failed to provide safe environment
01 May 2022Inspection
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.
Licensing—Failed to protect resident from verbal abuse
16 Mar 2022Abuse: Neglect
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.
Abuse—Failed to provide service
24 Feb 2022Inspection
24 Feb 2022Inspection
Found that a resident was touched inappropriately, causing discomfort and loss of dignity, and that protections against such contact were inadequate.
Licensing—Failed to protect resident from inappropriate sexual contact
19 Jan 2022Inspection
19 Jan 2022Inspection
Investigated the allegation and found a deficiency in providing a safe environment.
Licensing—Failed to provide safe environment
30 Dec 2021Inspection
30 Dec 2021Inspection
Investigated and determined a violation occurred for failing to provide personal and other laundry services.
Licensing—Failed to provide service
30 Dec 2021Inspection
30 Dec 2021Inspection
Investigated and found a deficiency for failing to assist residents with mobility, bathing, personal hygiene, and toileting.
Licensing—Failed to provide service
28 Dec 2021Inspection
28 Dec 2021Inspection
Investigated the allegation of not having an approved system for tracking controlled substances and found such a system was lacking.
Licensing—Failed to provide a safe medication administration system
23 Dec 2021Inspection
23 Dec 2021Inspection
Investigated an allegation of an unsafe environment and found RN delegation was not provided as required.
Licensing—Failed to provide safe environment
23 Dec 2021Inspection
23 Dec 2021Inspection
Found that resident services to assist with activities of daily living were not provided.
Licensing—Failed to provide service
21 Dec 2021Inspection
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.
Licensing—Failed to administer medication as ordered
21 Dec 2021Inspection
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.
Licensing—Failed to protect resident from financial exploitation
21 Dec 2021Inspection
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.
Licensing—Failed to provide a safe medication administration system
21 Dec 2021Inspection
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.
Licensing—Failed to protect resident from financial exploitation
21 Dec 2021Inspection
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.
Licensing—Failed to assure resident was safe
21 Dec 2021Inspection
21 Dec 2021Inspection
Found that a resident's pain medication was stolen and the provider failed to protect the resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
06 Oct 2021Abuse: Neglect
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.
Abuse—Failed to protect resident from financial exploitation
25 Sept 2021Inspection
25 Sept 2021Inspection
Investigated and found a failure to protect a resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
25 Sept 2021Inspection
25 Sept 2021Inspection
Investigated and found a resident's money missing and the facility failed to protect the resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
07 Jul 2021Inspection
07 Jul 2021Inspection
Identified a deficiency for equipment not kept in good repair.
Licensing—Failed to provide service
21 May 2021Inspection
21 May 2021Inspection
Found that household services were not provided as required.
Licensing—Failed to provide service
19 Apr 2021Inspection
19 Apr 2021Inspection
Investigated and identified insufficient staffing to meet residents' scheduled and unscheduled needs. A violation of Oregon Administrative Rules was cited.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
10 Feb 2021Inspection
10 Feb 2021Inspection
Investigated allegation and found failure to provide housekeeping services as required.
Licensing—Failed to provide appropriate housekeeping services
04 Dec 2020Abuse: Neglect
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.
Abuse—Failed to provide oversight and monitoring of change of condition
05 Nov 2020Inspection
05 Nov 2020Inspection
Found that qualified awake direct care staff were insufficient in number to meet the 24-hour needs of residents.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
26 Sept 2020Inspection
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.
Licensing—Failed to protect resident from physical abuse
26 Sept 2020Inspection
26 Sept 2020Inspection
Investigated the complaint and found a violation of mandatory abuse reporting and investigation requirements.
Licensing—Failed to assure resident rights
23 Sept 2020Abuse: Neglect
23 Sept 2020Abuse: Neglect
Found a failure to provide a safe environment that endangered a resident and constituted abuse and neglect.
Abuse—Failed to provide safe environment
03 Aug 2020Abuse: Neglect
03 Aug 2020Abuse: Neglect
Investigated and concluded a failure to properly plan care for falls risk, with a $500 fine assessed.
Abuse—Failed to properly plan care
01 May 2020Inspection
01 May 2020Inspection
Found insufficient awake qualified direct care staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
12 Jan 2020Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
09 Jan 2020Inspection
09 Jan 2020Inspection
Investigated an allegation of failing to provide service and found a rule violation.
Licensing—Failed to provide service
17 Nov 2019Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
30 Oct 2019Abuse: Neglect
30 Oct 2019Abuse: Neglect
Investigated and found neglect by failing to administer medication as ordered. A $500 fine was assessed.
Abuse—Failed to administer medication as ordered
25 Sept 2019Inspection
25 Sept 2019Inspection
Investigated the allegation of failing to provide service and found a violation related to staffing or staff training practices.
Licensing—Failed to provide service
09 Sept 2019Inspection
09 Sept 2019Inspection
Investigated and found a licensing violation for failing to provide three daily nutritious meals.
Licensing—Failed to provide proper food/nutrition
06 Sept 2019Inspection
06 Sept 2019Inspection
Investigated the allegation of an unsafe physical environment and found that call systems were not provided in resident rooms.
Licensing—Failed to maintain a safe physical environment
03 Sept 2019Inspection
03 Sept 2019Inspection
Concluded that a homelike environment was not provided and odors were not kept under control.
Licensing—Failed to provide a homelike environment
30 Aug 2019Inspection
30 Aug 2019Inspection
Found a deficiency in safe medication administration; the allegation of failing to administer medication as ordered was substantiated.
Licensing—Failed to administer medication as ordered
28 Aug 2019Abuse: Neglect
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.
Abuse—Failed to follow care plan
20 Aug 2019Abuse: Neglect
20 Aug 2019Abuse: Neglect
Investigated an allegation of neglect for failing to administer ordered medication; found neglect occurred and a fine was assessed.
Abuse—Failed to administer ordered medication
07 Aug 2019Abuse: Neglect
07 Aug 2019Abuse: Neglect
Determined neglect occurred by failing to provide basic care, risking serious harm; a $500 fine was assessed.
Abuse—Failed to assist with toileting
07 Aug 2019Inspection
07 Aug 2019Inspection
Identified a failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
26 Jul 2019Abuse: Neglect
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.
Abuse—Failed to assist with toileting
26 Jul 2019Inspection
26 Jul 2019Inspection
Found failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
05 Jul 2019Inspection
05 Jul 2019Inspection
Investigated the allegation that a safe medication administration system was not provided and found non-compliance with safe medication administration practices.
Licensing—Failed to provide a safe medication administration system
04 Jun 2019Abuse: Neglect
04 Jun 2019Abuse: Neglect
Found neglect in care due to failure to monitor/oversee the administration of narcotic medications, resulting in theft of medications.
Abuse—Failure to provide a system that prevents theft or misuse of medication
04 Jun 2019Abuse: Neglect
04 Jun 2019Abuse: Neglect
Identified neglect in medication oversight that allowed theft of narcotics due to inadequate monitoring and control.
Abuse—Failure to provide a system that prevents theft or misuse of medication
04 Jun 2019Abuse: Neglect
04 Jun 2019Abuse: Neglect
Found neglect of resident care by failing to monitor narcotic medication administration, which allowed theft of medications.
Abuse—Failure to provide a system that prevents theft or misuse of medication
01 Jun 2019Inspection
01 Jun 2019Inspection
Investigated and found failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
01 Jun 2019Abuse: Neglect
01 Jun 2019Abuse: Neglect
Investigated neglect by failing to provide appropriate care and assessed a $500 fine.
Abuse—Failed to administer medication as ordered
10 May 2019Abuse: Neglect
10 May 2019Abuse: Neglect
Concluded that neglect occurred due to failure to monitor the administration of narcotic medications, resulting in theft of medications.
Abuse—Failure to provide a system that prevents theft or misuse of medication
10 May 2019Abuse: Neglect
10 May 2019Abuse: Neglect
Found neglect due to failure to monitor narcotic administration, which allowed theft of medications.
Abuse—Failure to provide a system that prevents theft or misuse of medication
16 Apr 2019Inspection
16 Apr 2019Inspection
Found a deficiency in providing a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
22 Mar 2019Abuse: Neglect
22 Mar 2019Abuse: Neglect
Found neglect of care due to failure to monitor the administration of narcotics, which allowed medications to be stolen.
Abuse—Failure to provide a system that prevents theft or misuse of medication
22 Mar 2019Abuse: Neglect
22 Mar 2019Abuse: Neglect
Found neglect in care by failing to monitor narcotic administration, resulting in theft of medications.
Abuse—Failure to provide a system that prevents theft or misuse of medication
22 Mar 2019Abuse: Neglect
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.
Abuse—Failure to provide a system that prevents theft or misuse of medication
11 Feb 2019Abuse: Neglect
11 Feb 2019Abuse: Neglect
Found neglect of care due to failure to provide appropriate medication administration, with a $375 fine assessed.
Abuse—Failed to provide a safe medication administration system
12 Jan 2019Abuse: Neglect
12 Jan 2019Abuse: Neglect
Found neglect related to medication administration that posed a risk of serious harm, and assessed a $500 fine.
Abuse—Failed to provide a safe medication administration system
12 Jan 2019Inspection
12 Jan 2019Inspection
Determined that a failure to report suspected abuse occurred. A $1000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
03 Jan 2019Inspection
03 Jan 2019Inspection
Found failure to report suspected abuse. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
03 Jan 2019Abuse: Neglect
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.
Abuse—Failed to provide service
21 Sept 2018Abuse: Neglect
21 Sept 2018Abuse: Neglect
Investigated the allegation of neglect related to medication administration and identified an inadequate medication system.
Abuse—Failed to provide a safe medication administration system
21 Sept 2018Inspection
21 Sept 2018Inspection
Found failure to report suspected abuse. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
18 Sept 2018Inspection
18 Sept 2018Inspection
Investigated a failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
18 Sept 2018Abuse: Verbal/Mental 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.
Abuse—Failed to provide service
14 Sept 2018Abuse: Neglect
14 Sept 2018Abuse: Neglect
Found that a safe medication administration system was not provided, and a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
14 Sept 2018Inspection
14 Sept 2018Inspection
Investigated a complaint and found that suspected abuse was not reported; a $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
20 Jul 2018Inspection
20 Jul 2018Inspection
Investigated a failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
20 Jul 2018Abuse: Neglect
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.
Abuse—Failed to provide service
08 Jun 2018Abuse: Neglect
08 Jun 2018Abuse: Neglect
Found an inadequate medication administration system and assessed a $1500 fine.
Abuse—Failed to provide a safe medication administration system
08 Jun 2018Inspection
08 Jun 2018Inspection
Found failure to selfreport potential abuse and assessed a $750 fine.
Licensing—Failed to report potential or suspected abuse
07 Jun 2018Inspection
07 Jun 2018Inspection
Found failure to report suspected abuse, resulting in a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
07 Jun 2018Abuse: Neglect
07 Jun 2018Abuse: Neglect
Found neglect due to inadequate supervision that placed a resident at risk of serious harm, with a $500 fine assessed.
Abuse—Failed to adequately care plan related to falls
18 May 2018Inspection
18 May 2018Inspection
Investigated and found that suspected abuse was not reported.
Licensing—Failed to report potential or suspected abuse
18 May 2018Abuse: Neglect
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.
Abuse—Failed to administer ordered medication
19 Apr 2018Inspection
19 Apr 2018Inspection
Investigated and substantiated a failure to provide a safe environment, creating risk of serious harm to residents.
Licensing—Failed to provide safe environment
13 Mar 2018Abuse: Neglect
13 Mar 2018Abuse: Neglect
Found neglect by failing to administer medications as ordered, creating a serious risk of harm; a $500 fine assessed.
Abuse—Failed to administer ordered medication
13 Mar 2018Inspection
13 Mar 2018Inspection
Found failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
07 Feb 2018Inspection
07 Feb 2018Inspection
Found that residents' records were not made promptly accessible for review. The violation was substantiated.
Licensing—Failed to make facility or resident records accessible
08 Sept 2017Inspection
08 Sept 2017Inspection
Determined an inadequate medication system and assessed a $300 fine.
Licensing—Failed to administer medication as ordered
22 Aug 2017Inspection
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.
Licensing—Failed to notify family
09 Aug 2017Abuse: Neglect
09 Aug 2017Abuse: Neglect
Identified deficiencies in the medication system and noted that medication was not administered as ordered.
Abuse—Failed to administer medication as ordered
06 Jun 2017Abuse: Neglect
06 Jun 2017Abuse: Neglect
Found a failure to administer medication as ordered and an inadequate medication system.
Abuse—Failed to administer medication as ordered
28 Apr 2017Condition
28 Apr 2017Condition
Investigated a neglect allegation and found a failure to provide a safe medication administration system.
Regulatory Action—Failed to provide a safe medication administration system
03 Apr 2017Inspection
03 Apr 2017Inspection
Concluded that the allegation of failing to provide medical treatment as ordered was substantiated.
Licensing—Failed to provide medical treatment as ordered
16 Mar 2017Abuse: Neglect
16 Mar 2017Abuse: Neglect
Investigated an allegation of neglect; found medication administration issues and improper supervision, with a $300 fine assessed.
Abuse—Failed to administer medication as ordered
13 Mar 2017Abuse: Neglect
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.
Abuse—Failed to administer medication as ordered
24 Feb 2017Inspection
24 Feb 2017Inspection
Investigated and found failure to respond to call lights promptly, indicating care deficiencies.
Licensing—Failed to answer call light in a timely manner
06 Feb 2017Abuse: Neglect
06 Feb 2017Abuse: Neglect
Found that there was an inadequate medication system.
Abuse—Failed to administer medication as ordered
20 Jan 2017Abuse: Neglect
20 Jan 2017Abuse: Neglect
Investigated an allegation of neglect related to hygiene and found failure to provide appropriate care.
Abuse—Failed to provide or assist with hygiene
20 Jan 2017Inspection
20 Jan 2017Inspection
Found an inadequate medication administration system.
Licensing—Failed to provide a safe medication administration system
20 Jan 2017Abuse: Involuntary Seclusion
20 Jan 2017Abuse: Involuntary Seclusion
Investigated the involuntary seclusion allegation and found a failure to keep a resident from being involuntarily secluded.
Abuse—Failed to protect resident from involuntary seclusion
15 Dec 2016Inspection
15 Dec 2016Inspection
Found a deficiency in keeping medication records current and in maintaining an adequate medication system.
Licensing—Failed to keep medication record current or accurate
15 Dec 2016Abuse: Financial abuse
15 Dec 2016Abuse: Financial abuse
Found that residents were not protected from loss of medication due to a financial abuse allegation.
Abuse—Failed to provide safe environment
09 Nov 2016Inspection
09 Nov 2016Inspection
Found noncompliance with mandatory abuse reporting and investigation requirements related to an injury investigation.
Licensing—Failed to investigate injury of unknown origin to rule out abuse
04 Nov 2016Abuse: Neglect
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.
Abuse—Failed to adequately care plan related to falls
25 Sept 2016Abuse: Neglect
25 Sept 2016Abuse: Neglect
Found inadequate care related to falls and related care planning. This relates to a neglect allegation.
Abuse—Failed to adequately care plan related to falls
07 Sept 2016Inspection
07 Sept 2016Inspection
Investigated an allegation related to medication handling and found an inadequate medication system.
Licensing—Failed to administer ordered medication
18 Aug 2016Inspection
18 Aug 2016Inspection
Investigated the allegation that medications were not administered as ordered; identified a violation.
Licensing—Failed to administer medication as ordered
18 Aug 2016Inspection
18 Aug 2016Inspection
Found that laundry assistance was not provided to a resident.
Licensing—Failed to provide service
11 Jul 2016Abuse: Neglect
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.
Abuse—Failed to intervene when resident's condition changed
11 Feb 2016Inspection
11 Feb 2016Inspection
Investigated an allegation of failing to provide a safe environment and found that appropriate care was not provided.
Licensing—Failed to provide safe environment
11 Feb 2016Abuse: Neglect
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.
Abuse—Failed to intervene when resident's condition changed
26 Jan 2016Inspection
26 Jan 2016Inspection
Found that medication records were not kept current or accurate and the medication system was inadequate.
Licensing—Failed to keep medication record current or accurate
26 Jan 2016Abuse: Neglect
26 Jan 2016Abuse: Neglect
Concluded a neglect allegation and found a deficient medication system.
Abuse—Failed to administer medication as ordered
26 Jan 2016Abuse: Neglect
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.
Abuse—Failed to intervene when resident's condition changed
28 Dec 2015Abuse: Financial abuse
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.
Abuse—Failed to provide safe environment
07 Dec 2015Abuse: Neglect
07 Dec 2015Abuse: Neglect
Investigated the neglect allegation and identified a deficient medication system.
Abuse—Failed to assure timely medical treatment
16 Nov 2015Inspection
16 Nov 2015Inspection
Found that timely medical treatment was not provided.
Licensing—Failed to assure timely medical treatment
17 Sept 2015Inspection
17 Sept 2015Inspection
Investigated a failure to report potential or suspected abuse and found a resident was not protected from inappropriate sexual contact.
Licensing—Failed to report potential or suspected abuse
02 Jul 2015Abuse: Neglect
02 Jul 2015Abuse: Neglect
Investigated the allegation of neglect and found residents were not protected from inappropriate verbal comments.
Abuse—Failed to provide safe environment
10 Jun 2015Abuse: Neglect
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.
Abuse—Failed to intervene when resident's condition changed
10 Jun 2015Abuse: Neglect
10 Jun 2015Abuse: Neglect
Investigated a neglect allegation and found failures to assess and intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
08 Jun 2015Abuse: Financial abuse
08 Jun 2015Abuse: Financial abuse
Found that a resident was not protected from misappropriation of funds.
Abuse—Failed to provide safe environment
28 Mar 2015Inspection
28 Mar 2015Inspection
Found residents were not protected from inappropriate interaction.
Licensing—Failed to provide safe environment
25 Mar 2015Abuse: Financial abuse
25 Mar 2015Abuse: Financial abuse
Found that a resident's funds were not protected.
Abuse—Failed to provide safe environment
24 Feb 2015Abuse: Neglect
24 Feb 2015Abuse: Neglect
Investigated a neglect allegation and found that a safe environment was not provided.
Abuse—Failed to provide safe environment
05 Feb 2015Abuse: Neglect
05 Feb 2015Abuse: Neglect
Found failures in medication administration and in providing an adequate medication system.
Abuse—Failed to administer medication as ordered
04 Feb 2015Inspection
04 Feb 2015Inspection
Investigated and substantiated failure to provide medical treatment as ordered.
Licensing—Failed to provide medical treatment as ordered
04 Feb 2015Inspection
04 Feb 2015Inspection
Found a deficiency in the medication administration system.
Licensing—Failed to provide a safe medication administration system
12 Jan 2015Abuse: Neglect
12 Jan 2015Abuse: Neglect
Investigated the medication-related allegation and found an inadequate medication system; a $300 fine was assessed.
Abuse—Failed to administer medication as ordered
24 Dec 2014Abuse: Neglect
24 Dec 2014Abuse: Neglect
Investigated an allegation of failing to administer medication as ordered and found the medication system inadequate.
Abuse—Failed to administer medication as ordered
10 Dec 2014Abuse: Neglect
10 Dec 2014Abuse: Neglect
Determined that a provider failed to protect a resident from inappropriate verbal interactions.
Abuse—Failed to protect resident from verbal abuse
25 Nov 2014Abuse: Neglect
25 Nov 2014Abuse: Neglect
Investigated a complaint alleging neglect and found a failure to protect a resident from inappropriate interaction.
Abuse—Failed to provide safe environment
21 Nov 2014Abuse: Neglect
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.
Abuse—Failed to administer medication as ordered
18 Nov 2014Abuse: Neglect
18 Nov 2014Abuse: Neglect
Investigated the allegation of neglect and found failure to provide appropriate care.
Abuse—Failed to follow care plan
27 Oct 2014Abuse: Neglect
27 Oct 2014Abuse: Neglect
Found that RV's medications were not administered as ordered, and a $300 fine was assessed.
Abuse—Failed to administer medication as ordered
10 Sept 2014Abuse: Neglect
10 Sept 2014Abuse: Neglect
Investigated allegations of abuse and found that a resident was not protected from physical harm.
Abuse—Failed to protect resident from rough treatment
25 Jan 2014Abuse: Neglect
25 Jan 2014Abuse: Neglect
Found a failure to provide a safe medication administration system, with a $300 fine assessed.
Abuse—Failed to provide a safe medication administration system
31 Dec 2013Abuse: Neglect
31 Dec 2013Abuse: Neglect
Investigated the medication-related neglect allegation and found an inadequate medication system.
Abuse—Failed to administer medication as ordered
31 Dec 2013Inspection
31 Dec 2013Inspection
Investigated the allegation and found that a safe medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
03 Dec 2013Inspection
03 Dec 2013Inspection
Found that medication records were not kept current or accurate and an inadequate medication system was maintained.
Licensing—Failed to keep medication record current or accurate
09 Jul 2013Abuse: Financial abuse
09 Jul 2013Abuse: Financial abuse
Found a deficiency in protecting a resident's resources from financial exploitation.
Abuse—Failed to protect resident from financial exploitation
24 Apr 2012Abuse: Financial abuse
24 Apr 2012Abuse: Financial abuse
Investigated allegations of financial abuse and concluded there was a failure to protect a resident's assets.
Abuse—Failed to provide safe environment
15 Mar 2012Inspection
15 Mar 2012Inspection
Found an inadequate medication system and failure to have medication available.
Licensing—Failed to have medication available
19 Jan 2012Inspection
19 Jan 2012Inspection
Found that the provider failed to provide an adequate medication system.
Licensing—Failed to provide a safe medication administration system
19 Jan 2012Abuse: Neglect
19 Jan 2012Abuse: Neglect
Investigated an allegation of neglect and found that timely assistance in responding to call lights was not provided.
Abuse—Failed to answer call light in a timely manner
19 Jan 2012Abuse: Neglect
19 Jan 2012Abuse: Neglect
Found a failure to properly plan care, amounting to neglect with potential for moderate harm.
Abuse—Failed to properly plan care
12 Aug 2011Inspection
12 Aug 2011Inspection
Found a deficiency in the medication management system.
Licensing—Failed to provide a safe medication administration system
21 Jul 2011Abuse: Neglect
21 Jul 2011Abuse: Neglect
Found deficiencies in care planning and care provision, and a $300 fine was assessed.
Abuse—Failed to properly plan care
18 Jul 2011Inspection
18 Jul 2011Inspection
Found that a resident did not receive prescribed medication, and the issue was substantiated as a licensing violation.
Licensing—Failed to have medication available
18 Jul 2011Inspection
18 Jul 2011Inspection
Identified a deficiency for failing to follow the care plan, with potential for minor harm.
Licensing—Failed to follow care plan
18 Jul 2011Inspection
18 Jul 2011Inspection
Investigated an allegation of an unsafe medication administration system and found a medication management deficiency.
Licensing—Failed to provide a safe medication administration system
18 Jul 2011Inspection
18 Jul 2011Inspection
Found that the care plan wasn't followed and the resident's physician wasn't notified.
Licensing—Failed to communicate necessary information
06 Jul 2011Abuse: Neglect
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.
Abuse—Failed to address resident's behavior
24 Jun 2011Abuse: Neglect
24 Jun 2011Abuse: Neglect
Investigated a hygiene-related neglect allegation and found a failure to provide or assist with hygiene.
Abuse—Failed to provide or assist with hygiene
24 Jun 2011Abuse: Neglect
24 Jun 2011Abuse: Neglect
Found that a safe living environment was not provided due to inadequate housekeeping services.
Abuse—Failed to provide appropriate housekeeping services
24 Jun 2011Abuse: Neglect
24 Jun 2011Abuse: Neglect
Identified a deficiency in medication management and assessed a $600 fine.
Abuse—Failed to provide a safe medication administration system
24 Jun 2011Abuse: Financial abuse
24 Jun 2011Abuse: Financial abuse
Investigated an allegation of financial abuse and found a failure to provide a safe medication system.
Abuse—Failure to provide a system that prevents theft or misuse of medication
20 Jun 2011Abuse: Neglect
20 Jun 2011Abuse: Neglect
Investigated an allegation of neglect and found deficiencies; a $300 fine was assessed.
Abuse—Failed to assure resident was safe
20 Jun 2011Abuse: Neglect
20 Jun 2011Abuse: Neglect
Investigated and substantiated inadequate care planning related to falls and a lack of a safe environment.
Abuse—Failed to adequately care plan related to falls
20 Jun 2011Abuse: Neglect
20 Jun 2011Abuse: Neglect
Determined neglect occurred due to failure to provide medical treatment as ordered. The finding noted noncompliance with the care plan.
Abuse—Failed to provide medical treatment as ordered
20 Jun 2011Abuse: Neglect
20 Jun 2011Abuse: Neglect
Investigated and found deficiencies in providing or maintaining resident care equipment and in delivering appropriate care.
Abuse—Failed to provide or maintain resident care equipment
20 Jun 2011Abuse: Neglect
20 Jun 2011Abuse: Neglect
Found failure to provide an appropriate medication system.
Abuse—Failed to provide a safe medication administration system
09 May 2011Abuse: Neglect
09 May 2011Abuse: Neglect
Concluded that a resident was not protected from verbal abuse.
Abuse—Failed to protect resident from verbal abuse
19 Mar 2011Abuse: Financial abuse
19 Mar 2011Abuse: Financial abuse
Found an inadequate medication system that could lead to harm due to unsafe medication administration.
Abuse—Failed to provide a safe medication administration system
01 Dec 2010Abuse: Neglect
01 Dec 2010Abuse: Neglect
Determined that inadequate screening or assessment occurred and care was not provided appropriately, with a $300 fine assessed.
Abuse—Failed to perform adequate screening or assessment
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