New Friends of Florence

    3321 Oak St, Florence, OR 97439
    • Assisted Living
    • Memory Care

    Attentive staff eased our transition

    I was very pleased with the helpful, friendly staff and outstanding caregivers who were responsive to our needs and made a trying time much easier. The small, well-maintained community felt personal - a smooth transfer into a studio-like room with an attentive team meant we were well taken care of. I recommend this wonderful facility.

    Loved one of resident
    Jul 2026

    Pricing

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

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    Amenities

    Healthcare services

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

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

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

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Common areas

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

    Community services

    • Move-in coordination

    Activities

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

    Reviews

    3.38·(8)

    Overall rating

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

      2.8
    • Staff

      2.8
    • Meals

      2.0
    • Amenities

      3.0
    • Value

      3.4

    Pros

    • Clean and well-maintained interior
    • Well-maintained exterior grounds
    • Private studio-style rooms
    • Small community with individualized attention
    • Friendly and attentive caregiving staff
    • Responsive admissions and transfer process
    • Supportive team during transitions

    Cons

    • Staff conduct and resident dignity
    • Insufficient privacy safeguards during personal care
    • Weak controls over residents' personal belongings
    • Medication management
    • Limited dining variety and restrictive meal timing
    • Institutional, minimally decorated physical environment
    • Variable care experience across multiple buildings
    • Gaps in management and regulatory responsiveness

    Summary of reviews

    New Friends Memory and Residential Care of Florence elicits a mixed set of impressions. Positive commentary centers on the physical upkeep and small-community aspects of the campus: reviewers describe clean interiors, well-maintained grounds, and studio-style rooms that support private living. Multiple accounts highlight helpful, friendly caregivers and a responsive admissions/transfer experience that eased transitions for families.

    Care and staff present a divided picture. Many families praised attentive, compassionate caregivers and a team that responds to needs; these accounts emphasize individualized attention in a smaller setting. Conversely, other reviewers raised serious concerns about staff conduct and communication tone, including characterizations of interactions that compromise resident dignity and overly infantilizing approaches. There are also noted concerns about medication management practices. A subset of reviewers raised allegations involving personal-property loss and privacy breaches during personal-care activities; these describe operational failures that, if accurate, would indicate important gaps in dignity protections and secure handling of belongings.

    Dining and activity-related comments suggest operational limitations. Several reviewers pointed to a limited menu and restrictive meal timing, with examples indicating constrained choices at certain hours. The facility’s interior aesthetic is described by some as institutional or warehouse-like with minimal decorations, which may affect perceptions of homeliness and the availability of engaging communal spaces. Explicit descriptions of organized activities are limited in the feedback provided, so activity programming could require direct inquiry.

    Facility layout and management patterns merit attention. The campus includes multiple buildings, and reviewers indicate variable experiences depending on unit; this suggests potential inconsistency in staffing, training, or oversight across locations. While cleanliness and grounds maintenance are frequently cited as strengths, other operational gaps are reported—particularly around privacy procedures, property controls, and two-way communication with families and external authorities. A few reviewers referenced interactions that led to regulatory or licensing complaints; these comments suggest prospective families should review the facility’s compliance and complaint history and ask management for documentation of investigations and outcomes.

    For prospective residents and families: balance the facility’s strengths (clean environment, private rooms, attentive caregivers in some units) against the operational concerns noted above. Recommended steps before placement include an in-person visit during a mealtime and an activity period, direct questions about privacy policies and staff training for personal care, review of medication-administration protocols, clarification of property-handling procedures, and inquiry into any regulatory or licensing actions and their resolutions. These targeted checks can help determine whether New Friends’ positive aspects align with your priorities and whether management has addressed the identified operational weaknesses.

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    Location

    Map showing location of New Friends of Florence

    New Friends of Florence is located at 3321 Oak St, Florence, OR, 97439.

    About New Friends of Florence

    New Friends Memory and Residential Care of Florence sits on a quiet and scenic 2.5-acre campus in Florence, Oregon, just off Highway 101, with tall trees and lots of space around. This community has 48 private rooms, each one that residents can decorate and make feel like home, with options for both memory care and assisted living. The facility has 32 memory care beds, designed for adults who have memory loss like Alzheimer's or other types of dementia, and a staff that stays on-site around the clock with training in dementia care. There's an enclosed courtyard where folks can enjoy fresh air in safety, and pets are allowed too, with small dogs or cats welcome. Meals come from a chef-inspired menu adjusted to people's dietary needs and are served three times a day. They even have devotional services and religious activities right there if that's something residents want to join.

    Residents can join in a structured schedule of social, educational, and recreational activities, with a full-time activity director who organizes field trips and programs, and there are brain exercise activities for keeping minds active. There are support groups for caregivers, which can be helpful for families, and the staff also help with things like bathing, dressing, medication, incontinence care, diabetic management, and non-ambulatory care. Utilities are included, so there's not extra worry about bills, and the team takes care of housekeeping, laundry, and linen changes. There's scheduled transportation to take residents to appointments or events, and regular safety checks. You'll find comfortable living areas inside, plus indoor spaces where people can relax or gather together.

    The community focuses on treating each person with respect and responding to their individual needs, with residential care plans that can be changed around as needs change. Staff encourage independence but are always nearby to help and to promote dignity. Every resident can take part in activities, outings, and meals together, with attention given to mental well-being and unique preferences. If you want to be near hospitals and rehab centers, the location makes it easy to get to outside medical care too. The staff aims to keep things warm and homelike, and families can visit, knowing their loved one's in a secure space with a focus on both safety and happiness.

    People often ask...

    New Friends of Florence offers competitive pricing, with rates starting at a cost of $5,956 per month.

    New Friends of Florence offers assisted living and memory care.

    There are 1 photos of New Friends of Florence on Mirador.

    The full address for this community is 3321 Oak St, Florence, OR 97439.

    No, New Friends of Florence 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 number50R280
    StatusActive
    Facility typeResidential Care Facility
    Capacity48 residents
    LicenseeElderberry Square Community, LLC
    EffectiveJune 28th, 2001
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    171

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    16

    Years

    05 Jan 2026Abuse: Neglect
    Investigated an allegation of neglect in care planning and found inadequate fall interventions leading to a hip fracture; a $1500 fine was assessed.
    • AbuseFailed to properly plan care
    09 Dec 2025Inspection
    Found a deficiency for failing to develop, maintain, and implement an Acuity Based Staffing Tool. This finding violated Oregon Administrative Rules.
    • LicensingFailed to use an ABST
    09 Nov 2025Abuse: Neglect
    Investigated a complaint and found failures to provide a safe environment, including an inoperative pressure alarm and inadequate fall interventions that led to a resident's fall with injury.
    • AbuseFailed to provide safe environment
    07 Nov 2025Abuse: Neglect
    Investigated and found a failure to provide a safe medication administration system that caused risk of harm.
    • AbuseFailed to provide a safe medication administration system
    05 Nov 2025Abuse: Neglect
    Investigated and found neglect and abuse for failing to protect a memory-care resident from potential harm by another resident with a history of sexualized behaviors; a fine was assessed.
    • AbuseFailed to provide safe environment
    15 Oct 2025Abuse: Neglect
    Found neglect of care and abuse due to failure to provide a safe environment, creating risk to a resident. A $500 fine was assessed.
    • AbuseFailed to provide safe environment
    16 Sept 2025License Condition
    Found failures to staff as indicated by ABST and to implement/update an acuity-based staffing tool.
    • Regulatory ActionFailed to staff as indicated by ABST
    12 Sept 2025Inspection
    Found a deficiency for failing to develop, maintain, and implement an Acuity Based Staffing Tool.
    • LicensingFailed to use an ABST
    18 Aug 2025Kitchen
    Identified multiple deficiencies in meals and sanitation, including improper food handling, unsafe cold holding, incomplete diet texture practices, and administration compliance gaps.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    09 Mar 2025Inspection
    Found a failure to have a fully implemented and updated Acuity-Based Staffing Tool, substantiating a licensing violation.
    • LicensingFailed to staff as indicated by ABST
    20 Feb 2025Inspection
    Found that a fully implemented and updated Acuity-Based Staffing Tool was not in place.
    • LicensingFailed to staff as indicated by ABST
    25 Jan 2024Licensure
    Identified multiple deficiencies in kitchen oversight and sanitation, with ongoing repair and labeling issues, though substantial compliance was reported on a later follow-up.
    • DeficiencyComment
    • DeficiencyFacility Administration: Operation
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Compliance
    23 Jan 2023Validation
    Identified multiple deficiencies across abuse reporting, meals sanitation, monitoring of changes in condition, fire safety, interior maintenance, call systems, staff training, and health care.
    • DeficiencyComment
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyCall Sys, Exit Dr Alarm, Phones, Tv, Or Cable
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    13 Oct 2022Complaint
    Found no deficiencies.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Services: Adls
    • DeficiencyService Plan: General
    23 Sept 2022Inspection
    Identified a deficiency in food preparation and serving that did not meet state requirements.
    • LicensingFailed to provide service
    23 Jul 2022Abuse: Neglect
    Found failure to properly plan care for a known fall risk, resulting in an unwitnessed fall.
    • AbuseFailed to properly plan care
    18 Jul 2022Abuse: Neglect
    Investigated found a failure to provide a safe medication administration system, resulting in medications not being ordered or given on time. This contributed to agitation and other symptoms.
    • AbuseFailed to provide a safe medication administration system
    05 Dec 2021Abuse: Neglect
    Investigated a complaint that the medication administration system was not safe; medications were discontinued in error, risking a resident's health.
    • AbuseFailed to provide a safe medication administration system
    24 Nov 2021Inspection
    Investigated a complaint and found that medication orders were not carried out as prescribed and the wrong medication was administered.
    • LicensingFailed to administer medication as ordered
    21 Jul 2021Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in abuse/neglect, and assessed a $500 fine.
    • AbuseFailed to provide a safe medication administration system
    01 Jul 2021Abuse: Neglect
    Investigated a failure to provide a safe environment, leading to abuse/neglect findings and a $2,500 fine.
    • AbuseFailed to provide safe environment
    29 Jan 2021Abuse: Neglect
    Found that failure to properly plan care and mitigate fall risk led to multiple falls and an injury.
    • AbuseFailed to properly plan care
    20 Nov 2020Abuse: Neglect
    Investigated and concluded a safe medication administration system was not provided, causing seven missed doses of pain medication and resulting in a $500 fine for abuse/neglect findings.
    • AbuseFailed to provide a safe medication administration system
    21 Jun 2020Abuse: Neglect
    Investigated and found neglect and abuse due to an unsafe environment and insufficient staffing to redirect an aggressive resident.
    • AbuseFailed to provide safe environment
    14 Jun 2020Inspection
    Found failure to take reasonable precautions to protect residents' health and safety; staff did not wear PPE as required.
    • LicensingFailed to assure resident was safe
    20 Mar 2020Abuse: Neglect
    Investigated and determined that failure to update the care plan after a change of condition led to neglect and abuse, with a $1125 fine assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    30 Sept 2019Abuse: Neglect
    Identified inadequate supervision of a resident with escalating aggression, resulting in an altercation. Found neglect and abuse involved.
    • AbuseFailed to provide safe environment
    06 Aug 2019Abuse: Neglect
    Found neglect due to inadequate supervision, creating risk of serious harm; a $375.00 fine was assessed.
    • AbuseFailed to properly plan care
    10 Jul 2019Abuse: Neglect
    Found violations involving neglect and abuse due to failing to care plan for a resident with known aggressive behavior. The altercation left a resident upset.
    • AbuseFailed to provide safe environment
    13 Jun 2019Inspection
    Investigated an allegation of failing to provide a safe environment and identified a licensing violation.
    • LicensingFailed to provide safe environment
    04 Apr 2019Inspection
    Investigated and found failure to report suspected abuse, resulting in a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    01 Apr 2019Abuse: Neglect
    Investigated and found that a staff member financially exploited a resident by misappropriating narcotics and that there were significant lapses in the safe medication administration system, with a $500 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    01 Apr 2019Abuse: Neglect
    Identified violations involving improper documentation of pain medication and related neglect/abuse, resulting in financial loss and resident rights concerns.
    • AbuseFailed to keep medication record current or accurate
    01 Apr 2019Abuse: Neglect
    Investigated a complaint about medication documentation and found neglect and financial abuse due to improper documentation of pain medications, with oversight failures that placed a resident at risk and caused property loss.
    • AbuseFailed to keep medication record current or accurate
    08 Jan 2019Inspection
    Identified a missing posted staffing plan and records accessibility issues.
    • LicensingFailed to make facility or resident records accessible
    08 Jan 2019Inspection
    Investigated a failure to have medication available and identified a deficiency in safe medication administration practices.
    • LicensingFailed to have medication available
    02 Jan 2019Abuse: Restraints
    Found that bed rails were used to restrain a resident without a physician's prescription, and a $500 fine was assessed.
    • AbuseFailed to assure resident rights
    02 Jan 2019Abuse: Neglect
    Found neglect of basic care as alleged, resulting in actual harm and discomfort; assessed a $500 fine.
    • AbuseFailed to properly plan care
    21 Dec 2018Abuse: Neglect
    Identified a deficiency in administering medications as ordered, creating risk of serious harm. A $500 fine was assessed.
    • AbuseFailed to administer medication as ordered
    21 Dec 2018Inspection
    Found failure to report suspected abuse; a fine of $1,000 was assessed.
    • LicensingFailed to report potential or suspected abuse
    20 Dec 2018Abuse: Neglect
    Found violations for failing to provide a safe medication administration system at admission, creating potential for harm, and assessed a $250 fine.
    • AbuseFailed to provide a safe medication administration system
    16 Oct 2018Abuse: Neglect
    Determined neglect in care related to falls occurred, risking serious harm; a $500 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    16 Oct 2018Inspection
    Determined that there was a failure to report suspected abuse, resulting in a $1,000 fine assessed.
    • LicensingFailed to report potential or suspected abuse
    09 Oct 2018Abuse: Neglect
    Found neglect due to inadequate assessment and medical intervention, which caused a thermal burn that later became infected.
    • AbuseFailed to provide service
    08 Sept 2018Abuse: Neglect
    Found neglect due to inadequate supervision that caused actual physical harm; a $375 fine was assessed.
    • AbuseFailed to follow care plan
    06 Sept 2018Abuse: Neglect
    Found neglect due to inadequate supervision during falls which caused actual harm. A $375 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    05 Sept 2018Abuse: Neglect
    Found neglect of basic care that created risk of serious harm and actual physical harm or unreasonable discomfort; a $250 fine was assessed.
    • AbuseFailed to assure food safety
    27 Aug 2018Abuse: Neglect
    Determined that neglect occurred, causing harm and discomfort, and a fine was assessed.
    • AbuseFailed to provide safe environment
    22 Aug 2018Abuse: Neglect
    Found neglect due to inadequate supervision that led to elopement twice in one day with emotional harm and injury; a fine was assessed.
    • AbuseFailed to properly plan care
    21 Aug 2018Abuse: Neglect
    Investigated an allegation of neglect related to falls and identified failures in assessing and intervening on fall risks, with a fine assessed.
    • AbuseFailed to adequately care plan related to falls
    16 Aug 2018Abuse: Neglect
    Concluded neglect for failing to administer ordered medications, risking serious harm; a $1,500 fine was assessed.
    • AbuseFailed to administer ordered medication
    16 Aug 2018Inspection
    Investigated an allegation of failing to report suspected abuse; found deficiencies and assessed a $750 fine.
    • LicensingFailed to report potential or suspected abuse
    15 Aug 2018Abuse: Neglect
    Investigated a fall-related neglect allegation and found inadequate supervision that caused actual harm. A fine of $1125.00 was assessed.
    • AbuseFailed to adequately care plan related to falls
    14 Jul 2018Inspection
    Found neglect of a resident due to failure to provide basic care, which created risk of serious harm.
    • LicensingFailed to provide safe environment
    01 Jun 2018Abuse: Neglect
    Investigated a complaint about falls care planning and identified deficiencies in assessing and intervening. A fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    27 May 2018Abuse: Neglect
    Identified a failure to adequately plan care for falls with minor harm potential.
    • AbuseFailed to adequately care plan related to falls
    07 May 2018Abuse: Neglect
    Investigated an allegation of neglect; found that a resident fell, was hospitalized, and a fine was assessed.
    • AbuseFailed to follow care plan
    16 Apr 2018Abuse: Neglect
    Investigated a complaint about falls care; found deficiencies in assessment and intervention, with a $1125 fine assessed.
    • AbuseFailed to adequately care plan related to falls
    30 Mar 2018Abuse: Neglect
    Investigated falls-related care planning allegation and found a failure to assess and intervene.
    • AbuseFailed to adequately care plan related to falls
    09 Mar 2018Inspection
    Investigated a complaint and found deficiencies in care planning related to falls.
    • LicensingFailed to adequately care plan related to falls
    12 Dec 2017Inspection
    Determined that the allegation of failing to provide a safe environment was supported and that substantial compliance was not maintained.
    • LicensingFailed to provide safe environment
    08 Dec 2017Inspection
    Determined that a safe medication administration system was not provided. Identified a deficiency related to medication safety.
    • LicensingFailed to provide a safe medication administration system
    06 Dec 2017Abuse: Neglect
    Determined neglect occurred by failing to administer medications as ordered, which caused unreasonable discomfort.
    • AbuseFailed to provide a safe medication administration system
    25 Nov 2017Inspection
    Investigated the allegation that medications were not administered as ordered. Findings showed medications were not administered as directed.
    • LicensingFailed to administer medication as ordered
    10 Nov 2017Abuse: Neglect
    Investigated an allegation of neglect related to falls and found the care planning inadequate, leading to a $400 fine.
    • AbuseFailed to adequately care plan related to falls
    26 Oct 2017Abuse: Financial abuse
    Investigated the allegation and found that residents were not protected from theft.
    • AbuseFailed to provide safe environment
    25 Oct 2017Abuse: Neglect
    Investigated a medication administration allegation and found failure to administer medications as directed, with a $300 fine assessed.
    • AbuseFailed to administer medication as ordered
    25 Sept 2017Abuse: Physical Abuse
    Investigated a complaint of physical abuse and found that basic services to prevent injury were not provided.
    • AbuseFailed to follow care plan
    21 Sept 2017Inspection
    Investigated failure to report suspected abuse and cited a violation with a $750 fine.
    • LicensingFailed to report potential or suspected abuse
    21 Sept 2017Abuse: Neglect
    Found violations for neglect due to failing to provide basic care, causing discomfort to residents. A $500 fine was assessed.
    • AbuseFailed to provide service
    19 Sept 2017Abuse: Financial abuse
    Concluded that a resident faced financial exploitation and that protections against asset theft were inadequate.
    • AbuseFailed to protect resident from financial exploitation
    04 Sept 2017Abuse: Neglect
    Investigated an allegation of neglect related to falls. Found that care planning and care provided in response to falls were inadequate for a resident.
    • AbuseFailed to adequately care plan related to falls
    17 Aug 2017Inspection
    Investigated allegation of improper care planning and found failure to provide appropriate feeding care.
    • LicensingFailed to properly plan care
    21 Jul 2017Abuse: Financial abuse
    Investigated a financial exploitation allegation and found funds were wrongfully taken from residents' personal funds, resulting in a monetary penalty. The finding involved funds from multiple accounts.
    • AbuseFailed to protect resident from financial exploitation
    02 Jun 2017Abuse: Neglect
    Determined neglect led to a resident's fall and leg fracture; a fine was assessed.
    • AbuseFailed to follow care plan
    22 May 2017Abuse: Neglect
    Investigated the allegation of failing to properly plan care and concluded it was sustained.
    • AbuseFailed to properly plan care
    17 May 2017Inspection
    Investigated the allegation and identified a deficiency in medication recordkeeping and the medication system.
    • LicensingFailed to keep medication record current or accurate
    02 May 2017Abuse: Neglect
    Found a deficiency for failing to provide a safe environment by preventing a resident-to-resident altercation; a $300 fine was assessed.
    • AbuseFailed to provide safe environment
    01 Feb 2017Abuse: Neglect
    Found a failure to provide a secure environment.
    • AbuseFailed to provide safe environment
    28 Jan 2017Abuse: Neglect
    Found deficiencies in following care plans and in protecting residents from an altercation.
    • AbuseFailed to follow care plan
    16 Jan 2017Abuse: Neglect
    Investigated an allegation of neglect where staff failed to intervene when a resident's condition changed; findings showed a failure to assess and intervene, with violations substantiated and a fine assessed.
    • AbuseFailed to intervene when resident's condition changed
    10 Jan 2017Inspection
    Identified a staffing deficiency for transfers because at least two caregivers were not available to assist residents needing two staff members.
    • LicensingFailed to provide appropriate staffing
    10 Jan 2017Inspection
    Found a violation related to odor control. The environment was not free of unpleasant odors, with a complaint describing overwhelming urine odor.
    • LicensingFailed to provide a homelike environment
    22 Dec 2016Inspection
    Investigated a complaint and found a deficient medication administration system.
    • LicensingFailed to provide a safe medication administration system
    20 Dec 2016Inspection
    Investigated an allegation of failing to provide service; found that a caregiver was not sent with a resident on a trip, resulting in incontinence and wet clothes.
    • LicensingFailed to provide service
    20 Dec 2016Abuse: Neglect
    Investigated a neglect allegation and found that cleaning and powder application for a severe yeast infection were not provided.
    • AbuseFailed to provide service
    06 Dec 2016Abuse: Financial abuse
    Investigated an allegation of financial abuse and failure to provide a safe environment; found money orders missing.
    • AbuseFailed to provide safe environment
    02 Dec 2016Abuse: Neglect
    Investigated a complaint alleging neglect related to medication administration. Found that a resident did not receive care and medication.
    • AbuseFailed to provide a safe medication administration system
    29 Nov 2016Inspection
    Found a violation of Oregon Administrative Rules and assessed a $200 fine.
    • LicensingFailed to address resident's behavior
    09 Nov 2016Abuse: Financial abuse
    Investigated and confirmed a failure to protect a resident from financial exploitation, involving not using income for ongoing benefits.
    • AbuseFailed to protect resident from financial exploitation
    03 Nov 2016Abuse: Neglect
    Investigated the allegation and found neglect substantiated; a safe environment was not provided.
    • AbuseFailed to follow care plan
    20 Sept 2016Inspection
    Found that RV1 and RV2 were not protected from a resident-to-resident altercation, indicating a safety lapse.
    • LicensingFailed to provide safe environment
    17 Sept 2016Abuse: Neglect
    Investigated an allegation of unsafe environment and substantiated that a resident-to-resident altercation was not prevented.
    • AbuseFailed to provide safe environment
    17 Sept 2016Abuse: Neglect
    Identified a failure to prevent a resident-to-resident altercation, exposing residents to potential harm.
    • AbuseFailed to provide safe environment
    13 Sept 2016Abuse: Neglect
    Determined that neglect occurred due to failure to provide appropriate care, and a fine was assessed.
    • AbuseFailed to provide service
    10 Sept 2016Inspection
    Found a failure to provide a secure environment, resulting in a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    23 Aug 2016Abuse: Verbal/Mental abuse
    Concluded that a staff member verbally abused a resident and threw the resident's baby doll in the garbage, causing distress and indicating an unsafe environment.
    • AbuseFailed to provide safe environment
    03 Aug 2016Condition
    Concluded that an allegation of neglect involving failure to provide a safe environment and identified noncompliance.
    • Regulatory ActionFailed to provide safe environment
    18 Jul 2016Abuse: Verbal/Mental abuse
    Investigated and concluded that verbal abuse occurred, causing significant emotional distress to residents.
    • AbuseFailed to protect resident from verbal abuse
    04 Jul 2016Inspection
    Found a deficiency in providing a safe environment.
    • LicensingFailed to provide safe environment
    24 Jun 2016Abuse: Neglect
    Found a failure to provide a secure environment that led to a resident-to-resident altercation, with a $300 fine assessed.
    • AbuseFailed to provide safe environment
    15 Jun 2016Inspection
    Found a deficiency in providing a safe environment.
    • LicensingFailed to provide safe environment
    12 Jun 2016Abuse: Neglect
    Found failure to monitor changes in condition after a fall, leading to a second fall later the same day.
    • AbuseFailed to provide oversight and monitoring of change of condition
    10 Jun 2016Abuse: Neglect
    Investigated the complaint and found a failure to maintain a safe medication administration system, resulting in multiple medication errors.
    • AbuseFailed to provide a safe medication administration system
    10 Jun 2016Abuse: Neglect
    Investigated a complaint and found a failure to maintain a safe medication administration system.
    • AbuseFailed to provide a safe medication administration system
    05 Jun 2016Inspection
    Found a failure to provide a safe medication administration system and to maintain an adequate medication regimen.
    • LicensingFailed to provide a safe medication administration system
    04 Jun 2016Abuse: Neglect
    Investigated a complaint and found a failure to maintain an adequate medication regimen.
    • AbuseFailed to provide a safe medication administration system
    24 May 2016Inspection
    Found a deficiency for failing to provide a safe and homelike environment when caregivers held their children during paid hours.
    • LicensingFailed to provide a homelike environment
    14 May 2016Inspection
    Investigated and found a failure to provide a safe environment that led to a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    22 Apr 2016Abuse: Neglect
    Investigated a neglect allegation and found inadequate care planning that posed potential harm to a resident.
    • AbuseFailed to properly plan care
    16 Apr 2016Inspection
    Found a failure to provide a safe environment that allowed a resident to fall.
    • LicensingFailed to provide safe environment
    01 Apr 2016Abuse: Sexual abuse
    Concluded that a sexual abuse allegation occurred and care planning failure occurred, with a fine assessed.
    • AbuseFailed to properly plan care
    12 Nov 2015Inspection
    Found that the facility failed to provide appropriate care, with potential for minor to moderate harm.
    • LicensingFailed to provide safe environment
    15 Oct 2015Inspection
    Found a failure to provide a safe environment and to properly plan care.
    • LicensingFailed to properly plan care
    14 Oct 2015Abuse: Physical Abuse
    Concluded that a resident was not protected from physical assault.
    • AbuseFailed to protect resident from rough treatment
    14 Oct 2015Inspection
    Identified a deficiency in care planning that failed to meet a resident's needs.
    • LicensingFailed to properly plan care
    13 Oct 2015Abuse: Neglect
    Investigated an allegation of failing to administer ordered medication and found that basic care was not provided.
    • AbuseFailed to administer ordered medication
    13 Oct 2015Abuse: Neglect
    Investigated a neglect allegation and found that basic care was not provided.
    • AbuseFailed to provide service
    03 Oct 2015Abuse: Neglect
    Found neglect due to failure to assess and intervene, and assessed a $300 fine.
    • AbuseFailed to perform adequate screening or assessment
    26 Aug 2015Abuse: Neglect
    Investigated the allegation of an unsafe environment and found a failure to protect residents from harm.
    • AbuseFailed to provide safe environment
    14 Aug 2015Abuse: Neglect
    Determined that a safe environment was not provided, indicating neglect with moderate harm potential.
    • AbuseFailed to provide safe environment
    10 Aug 2015Abuse: Neglect
    Found violations related to caregiver presence and medication management.
    • AbuseFailed to assure that a qualified caregiver was present
    01 Aug 2015Abuse: Neglect
    Found failures to provide basic care and services to a resident, causing unreasonable discomfort and risk of serious harm. The neglect allegation was determined to be true.
    • AbuseFailed to intervene when resident's condition changed
    31 Jul 2015Abuse: Neglect
    Investigated the allegation and found failure to follow a care plan.
    • AbuseFailed to follow care plan
    17 Jul 2015Abuse: Neglect
    Investigated and identified a failure to provide a secure environment.
    • AbuseFailed to provide safe environment
    13 Jul 2015Abuse: Neglect
    Investigated an allegation of neglect; found that a resident was not protected from unwanted sexual behavior by another resident, and a $300 fine was assessed.
    • AbuseFailed to address resident's behavior
    09 Jul 2015Abuse: Neglect
    Investigated an abuse/neglect allegation and found that basic care was not provided, risking serious harm; a $300 fine was assessed.
    • AbuseFailed to provide safe environment
    03 Jul 2015Abuse: Neglect
    Concluded that a safe medication administration system was not provided, putting a resident at risk of serious harm.
    • AbuseFailed to provide a safe medication administration system
    30 May 2015Abuse: Neglect
    Found deficiencies related to hygiene care. The finding indicated failure to provide appropriate care.
    • AbuseFailed to provide or assist with hygiene
    28 May 2015Abuse: Financial abuse
    Found a failure to protect RV from theft.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    27 May 2015Abuse: Neglect
    Investigated a neglect allegation about medication safety and found the medication system inadequate.
    • AbuseFailed to provide a safe medication administration system
    02 May 2015Abuse: Involuntary Seclusion
    Determined there was a violation involving involuntary seclusion, with a $300 fine assessed.
    • AbuseFailed to protect resident from involuntary seclusion
    05 Apr 2015Abuse: Neglect
    Found a failure to provide a safe environment; a $300 fine was assessed.
    • AbuseFailed to provide safe environment
    03 Apr 2015Inspection
    Investigated a complaint about verbal abuse and found a failure to protect a resident from inappropriate verbal comments.
    • LicensingFailed to protect resident from verbal abuse
    22 Jan 2015Abuse: Neglect
    Identified a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    14 Jan 2015Abuse: Neglect
    Investigated the neglect allegation and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    13 Jan 2015Abuse: Neglect
    Found a failure to provide a safe environment. The finding was substantiated.
    • AbuseFailed to provide safe environment
    12 Dec 2014Inspection
    Investigated the allegation and concluded that the medication system was deficient. The finding identified a lack of adequate safeguards for safe medication administration.
    • LicensingFailed to provide a safe medication administration system
    11 Dec 2014Abuse: Neglect
    Concluded that the medication administration system was not adequate.
    • AbuseFailed to provide a safe medication administration system
    25 Nov 2014Inspection
    Found deficiencies in medication administration, including failing to administer ordered medication and maintaining an inadequate medication administration system.
    • LicensingFailed to administer ordered medication
    23 Nov 2014Inspection
    Investigated an allegation of unsafe medication administration and found an inadequate medication administration system.
    • LicensingFailed to provide a safe medication administration system
    05 Oct 2014Inspection
    Investigated the allegation that ordered medications were not administered; found failure to administer medications as directed.
    • LicensingFailed to administer ordered medication
    24 Sept 2014Abuse: Financial abuse
    Investigated the alleged financial abuse and found cash missing from a resident's room.
    • AbuseFailed to provide safe environment
    09 Sept 2014Abuse: Neglect
    Investigated an abuse/neglect allegation and found that a qualified caregiver was not present as required and that the medication system was not safe.
    • AbuseFailed to assure that a qualified caregiver was present
    10 Aug 2014Abuse: Neglect
    Investigated the allegation of unsafe medication administration and found an inadequate treatment administration system.
    • AbuseFailed to provide a safe medication administration system
    17 Jun 2014Abuse: Neglect
    Investigated the allegation of failing to provide a safe environment and found continued noncompliance.
    • AbuseFailed to provide safe environment
    01 Mar 2014Inspection
    Found that residents' personal incidental funds were not properly managed, creating risk of financial exploitation.
    • LicensingFailed to protect resident from financial exploitation
    18 Dec 2013Abuse: Neglect
    Investigated and found a failure to maintain an adequate medication system.
    • AbuseFailed to provide a safe medication administration system
    13 Dec 2013Inspection
    Found deficiencies in safe medication administration and in maintaining an adequate medication regimen.
    • LicensingFailed to provide a safe medication administration system
    05 Nov 2013Abuse: Financial abuse
    Found a failure to protect a resident from theft.
    • AbuseFailed to provide safe environment
    11 Sept 2013Abuse: Neglect
    Investigated the allegation and found a failure to provide a safe environment. The finding was substantiated.
    • AbuseFailed to maintain a safe physical environment
    04 Aug 2013Abuse: Neglect
    Investigated a neglect allegation and found a failure to assess and intervene promptly after a resident fell and broke his/her hip. A $300 fine was assessed.
    • AbuseFailed to assure timely medical treatment
    14 Apr 2013Inspection
    Identified a licensing violation related to administering medications as ordered and maintaining an inadequate medication system with potential for harm.
    • LicensingFailed to administer medication as ordered
    14 Apr 2013Abuse: Financial abuse
    Investigated a financial exploitation allegation and found a resident was not protected from theft of a medication.
    • AbuseFailed to protect resident from financial exploitation
    20 Sept 2012Abuse: Neglect
    Investigated an allegation of neglect and found that care planning was not performed appropriately.
    • AbuseFailed to properly plan care
    19 Sept 2012Abuse: Neglect
    Investigated and identified deficiencies in falls-related care planning and care provision.
    • AbuseFailed to adequately care plan related to falls
    04 Sept 2012Inspection
    Investigated the allegation of failing to assure resident rights; found that appropriate care was not provided to a resident.
    • LicensingFailed to assure resident rights
    02 Jul 2012Abuse: Financial abuse
    Investigated the allegation of financial abuse and found a failure to protect a resident from wrongful taking.
    • AbuseFailed to provide safe environment
    30 May 2012Abuse: Physical Abuse
    Investigated the allegation of physical abuse and found that a resident was not protected from rough treatment.
    • AbuseFailed to protect resident from rough treatment
    10 May 2012Inspection
    Determined that care planning did not meet assessment requirements.
    • LicensingFailed to care plan in accordance with assessment
    29 Mar 2012Abuse: Neglect
    Investigated a neglect allegation related to medication administration and found an inadequate medication system.
    • AbuseFailed to administer ordered medication
    26 Dec 2011Abuse: Sexual abuse
    Investigated and substantiated a failure to provide a safe environment in relation to sexual abuse.
    • AbuseFailed to provide safe environment
    07 Dec 2011Abuse: Neglect
    Found a deficiency for failing to provide oversight and monitoring of change of condition, with substantiated findings and a $300 fine assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    13 Oct 2011Inspection
    Investigated and found a failure to maintain an adequate medication system.
    • LicensingFailed to provide a safe medication administration system
    30 Aug 2011Abuse: Financial abuse
    Determined the licensee failed to protect a resident from theft.
    • AbuseFailed to provide safe environment
    10 Aug 2011Abuse: Neglect
    Found a deficiency in the medication administration system that could lead to minor harm due to inadequacy.
    • AbuseFailed to provide a safe medication administration system
    17 Jun 2011Inspection
    Investigated an allegation of unsafe medication administration and found an inadequate medication administration system.
    • LicensingFailed to provide a safe medication administration system
    02 May 2011Inspection
    Investigated the allegation and found that a secure environment was not provided.
    • LicensingFailed to provide safe environment
    21 Jul 2010Inspection
    Investigated a complaint and found a deficiency in the medication system.
    • LicensingFailed to administer ordered medication
    22 Apr 2010Abuse: Neglect
    Concluded that a safe environment was not provided for residents.
    • AbuseFailed to provide safe environment
    31 Mar 2010Inspection
    Determined that residents did not receive appropriate care.
    • LicensingFailed to provide service

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