Pacific Living Centers of Klamath Falls

    44 N Homedale Rd, Klamath Falls, OR 97601
    • Assisted Living
    • Memory Care

    Warm safe compassionate home environment

    I placed my mom here and was pleased with the smooth, welcoming transition. The staff are kind, attentive, and truly family-oriented; Director Stacy is responsive and hands-on. The community is clean, safe, and feels like home - with home-cooked meals, therapies, and compassionate, professional care. Mom is calmer and happier; I highly recommend this warm, trustworthy place.

    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
    • Coordination with health care providers
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

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

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    4.75·(12)

    Overall rating

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

      5.0
    • Staff

      4.6
    • Meals

      4.0
    • Amenities

      4.8
    • Value

      4.8

    Pros

    • Compassionate, attentive caregiving
    • Family-like community atmosphere
    • Clean, well-maintained environment
    • Homestyle, home-cooked meals
    • Therapy and rehabilitation services available
    • Knowledgeable and skilled clinical staff
    • Strong staff teamwork and hands-on care
    • Responsive and accessible administration
    • Smooth admission and transition process
    • Respectful staff–resident interactions
    • Personalized attention and companionship
    • High staff engagement and workplace pride

    Cons

    • Staffing shortages and occasional understaffing
    • Inconsistent or insufficient staff training
    • Variability in public-facing professionalism and communication
    • Operational strain related to pandemic recovery
    • Recent leadership transition producing procedural variability

    Summary of reviews

    Overall impression: Pacific Living Centers of Klamath Falls is consistently described as a small, homelike nursing community that emphasizes compassionate, resident-centered care. Multiple accounts highlight a family-like atmosphere in which staff members provide attentive, personalized support; residents are described as calmer and happier after admission. The facility is frequently characterized as clean and well maintained, and families note a welcoming environment that facilitates smooth transitions for new residents.

    Care quality and staff: Review content strongly emphasizes compassionate caregiving, respectful staff–resident interactions, and hands-on attention to health needs. Clinical staff and direct caregivers are frequently described as knowledgeable and caring, and teamwork among staff members is noted as a strength. Several comments single out administrative leaders as responsive and accessible; this is reflected in descriptions of prompt follow-up and an approachable director. At the same time, there are operational concerns: understaffing and uneven training are cited as ongoing issues, and some feedback points to variability in professional conduct in public-facing communications. These items suggest areas for focused improvement in staffing levels, training consistency, and communication protocols.

    Dining, activities, and therapies: Dining is commonly praised as homestyle with good, comforting meals, and families comment favorably on food quality. The facility also offers therapy and rehabilitation services, and reviewers point to activity and companionship as important contributors to residents’ well‑being. The small-community scale is presented as supportive of individualized activities and attention.

    Facilities and safety: The physical environment is described as clean, safe, and homelike. Reviewers express confidence in the day‑to‑day sanitation and upkeep of living areas. The facility’s smaller size appears to support close supervision and meaningful social connections among residents.

    Management and notable patterns: Several reviewers note recent management changes and a new team; many describe this transition as associated with ongoing improvements, while other comments indicate variability in procedures during the changeover. Pandemic-related operational strain is mentioned as a factor affecting staffing and training in the recent past. Taken together, the pattern is one of high marks for compassion, resident respect, and a welcoming atmosphere, with operational weaknesses centered on staffing levels, training consistency, and occasional lapses in public professionalism. Prospective residents and families seeking a small, caring environment may find this facility well suited to those priorities, but should ask directly about current staffing ratios, staff training programs, and how the leadership transition has been stabilized.

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    Location

    Map showing location of Pacific Living Centers of Klamath Falls

    Pacific Living Centers of Klamath Falls is located at 44 N Homedale Rd, Klamath Falls, OR, 97601.

    About Pacific Living Centers of Klamath Falls

    Pacific Living Centers of Klamath Falls has been around since 1997, and it's a place that's focused on supporting people with a range of care needs, from those who enjoy active adult living to those needing memory care, long-term care, skilled nursing, or even hospice care, and what stands out is how the community stays small with boutique memory care homes that have no more than 15 residents, so everyone has a good chance of getting the kind of attention that suits them best. The memory care staff's got training to take care of folks living with Alzheimer's or other forms of dementia, and the homes have short hallways and open, easy access spaces that feel safe and comfortable. The kitchen sits right at the center of the home, and residents often help with cooking, making mealtimes part of the daily routine, while menus are planned to be nutritious and meal service is meant to be both healthy and pleasant. The place has a private, family-like feel, and the outdoor spaces are landscaped nicely for relaxation or walking. They've provided health care and homemaking help for a long time and work with each resident on a personalized care plan-whether that's just help with the basics like bathing and getting around, or more hands-on help with medication management and health issues. There are always health and wellness activities available, and social events are planned so people can stay engaged or make friends. Transportation services cover trips to appointments and local outings, helping everyone stay connected with the wider community, and there's 24/7 emergency response, so help's always at hand. As part of the Oregon Health Care Association, Pacific Living Centers of Klamath Falls has a reputation for compassionate and steady care, and the memory care home makes things as comfortable and familiar as possible for those who need extra help as they age. It's a privately owned and operated facility, and being small means it can offer a personal approach, always focusing on what each person needs to feel at home and cared for. The website, pacificlivingcenters.com, lists all the different services available, from independent and assisted living to adult day services, home health care, and more, making it a place that can fit many different situations as people's needs change over time.

    People often ask...

    Pacific Living Centers of Klamath Falls offers competitive pricing, with rates starting at a cost of $4,181 per month.

    Pacific Living Centers of Klamath Falls offers assisted living, memory care, and board and care.

    There are 9 photos of Pacific Living Centers of Klamath Falls on Mirador.

    The full address for this community is 44 N Homedale Rd, Klamath Falls, OR 97601.

    No, Pacific Living Centers of Klamath Falls 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 number50R306
    StatusActive
    Facility typeResidential Care Facility
    Capacity15 residents
    LicenseePacific Living Centers Southwest, LLC
    EffectiveNovember 27th, 2002
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    109

    Reports

    0

    Type A Citations

    0

    Type B Citations

    0

    Complaints

    12

    Years

    19 Nov 2024Kitchen
    Found violations of food sanitation and administration rules. Improper refrigerator storage, high temperatures, exposed garbage, and noncompliance with licensing rules were observed.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    26 Jun 2024Inspection
    Concluded that a staff member failed to follow the resident’s care plan for transfers, resulting in an injury fall and constituting neglect and abuse.
    • LicensingFailed to follow care plan
    15 May 2024Inspection
    Found that a safe medication administration system was not provided, resulting in about 21 days without a prescribed medication.
    • LicensingFailed to provide a safe medication administration system
    29 Jan 2024Licensure
    Confirmed substantial compliance with meal service and food sanitation standards. No deficiencies cited.
    • DeficiencyComment
    27 Mar 2023Validation
    Identified deficiencies in pre-service orientation and 30-day competency for direct care staff, including missing job descriptions and incomplete onboarding.
    • DeficiencyComment
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    05 Jul 2022Licensure
    Found deficiencies in infection control and kitchen sanitation, including staff not wearing masks during resident care and improper thawing of meat with lack of proper sanitizing practices.
    • DeficiencyComment
    • DeficiencyReasonable Precautions
    • DeficiencyResident Services Meals, Food Sanitation Rule
    01 Jun 2022Inspection
    Found a violation for failing to submit timely weekly vaccination reporting data for residents, staff, and vaccinated individuals, spanning May 1–31, 2022, and assessed a $7,500 fine.
    • LicensingFailed to submit timely or adequate staffing documentation
    01 Jun 2022Abuse: Neglect
    Investigated found that care planning failed to address walker use and fall risk, resulting in neglect and abuse.
    • AbuseFailed to properly plan care
    01 Jun 2022Abuse: Neglect
    Investigated a complaint and found neglect and abuse due to failure to implement fall-prevention interventions and proper care planning for a known fall risk. The failure resulted in a fall with a fracture.
    • AbuseFailed to properly plan care
    02 May 2022Inspection
    Investigated and found that timely weekly reports of vaccinated individuals, residents, and staff were not submitted.
    • LicensingFailed to submit timely or adequate staffing documentation
    11 Apr 2022Abuse: Neglect
    Found that interventions and monitoring for a resident with known aggressive behavior were not adequate, resulting in a physical altercation and unreasonable discomfort; this is considered abuse and neglect, and a fine was assessed.
    • AbuseFailed to address resident's behavior
    24 Mar 2022Abuse: Neglect
    Investigated the allegation and found neglect of care due to a lack of monitoring a change in condition after a medication was discontinued, constituting abuse. A $750 fine was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    02 Mar 2022Abuse: Neglect
    Found failure to properly plan care and train staff on fall-risk interventions, resulting in multiple falls and insufficient evening checks. This conduct constitutes neglect and abuse.
    • AbuseFailed to properly plan care
    01 Mar 2022Inspection
    Investigated the allegation of failing to submit timely or adequate staffing documentation. Found that weekly reporting of vaccinated individuals, residents, and staff to the proper authority was not completed for 27 days.
    • LicensingFailed to submit timely or adequate staffing documentation
    24 Feb 2022Abuse: Neglect
    Found a failure to properly plan care for a resident's fall risk, leading to three falls with injury. A $500 fine was assessed.
    • AbuseFailed to properly plan care
    11 Feb 2022Abuse: Neglect
    Found neglect and abuse due to failure to plan care, leading to another fall and fracture; a $1,000 fine was assessed.
    • AbuseFailed to properly plan care
    11 Feb 2022Abuse: Neglect
    Found neglect and abuse due to failure to plan care for the resident's fall history, leading to another fall and head injury; a $1000 fine assessed.
    • AbuseFailed to properly plan care
    05 Jan 2022Inspection
    Investigated an allegation that medication was not administered as ordered and found orders were not carried out as prescribed.
    • LicensingFailed to administer medication as ordered
    27 Oct 2021Inspection
    Found that medication orders were not carried out as prescribed.
    • LicensingFailed to administer medication as ordered
    03 Sept 2021Abuse: Neglect
    Investigated and found failures to provide a safe environment and monitor residents, resulting in an altercation and discomfort.
    • AbuseFailed to provide safe environment
    03 Sept 2021Abuse: Neglect
    Found that a safe environment was not provided and residents weren't adequately monitored, leading to an altercation and discomfort.
    • AbuseFailed to provide safe environment
    07 Apr 2021Inspection
    Verified the allegation that ordered medication was not administered as prescribed.
    • LicensingFailed to administer ordered medication
    14 Mar 2021Abuse: Neglect
    Investigated a complaint and found neglect and abuse due to failure to provide basic care, services, and staffing, resulting in the resident's discomfort and loss of personal dignity.
    • AbuseFailed to provide service
    16 Jan 2020License Condition
    Found a failure to provide a safe environment that could seriously harm residents.
    • Regulatory ActionFailed to provide safe environment
    11 Nov 2019Abuse: Neglect
    Investigated allegations of verbal abuse and failure to protect a resident from emotional/verbal abuse, resulting in findings of abuse and neglect and a civil penalty.
    • AbuseFailed to protect resident from verbal abuse
    11 Nov 2019Abuse: Neglect
    Investigated the complaint and found neglect and abuse due to failure to protect the resident from skin injury during transfer, resulting in bruising. A $1350 fine was assessed.
    • AbuseFailed to assure resident was safe
    11 Nov 2019Abuse: Neglect
    Investigated allegations of verbal abuse and neglect of care toward a resident; findings showed staff used profanity toward the resident and failed to protect them from abuse, with a fine assessed.
    • AbuseFailed to protect resident from verbal abuse
    21 Oct 2019Abuse: Neglect
    Investigated and found that staff repeatedly slapped a resident with wipes, causing discomfort, and concerns about abuse were not addressed, resulting in violations and a fine.
    • AbuseFailed to protect resident from physical abuse
    21 Oct 2019Abuse: Neglect
    Found neglect of care due to failure to follow the care plan; a fine was assessed.
    • AbuseFailed to follow care plan
    21 Oct 2019Inspection
    Investigated found improper restraints were used on a person, causing discomfort and loss of dignity, constituting abuse. A fine was assessed.
    • LicensingFailed to use restraint properly
    15 Jul 2019Inspection
    Concluded that the allegation of failing to assure resident rights was substantiated.
    • LicensingFailed to assure resident rights
    15 Jul 2019Inspection
    Investigated the allegation of failing to provide service and sustained it.
    • LicensingFailed to provide service
    13 May 2019Abuse: Involuntary Seclusion
    Investigated and found a resident was not protected from involuntary seclusion.
    • AbuseFailed to protect resident from involuntary seclusion
    12 May 2019Abuse: Verbal/Mental abuse
    Investigated an allegation of verbal/mental abuse and concluded that it occurred, causing significant emotional harm. Found neglect related to failing to provide basic care or services to maintain health and safety.
    • AbuseFailed to protect resident from verbal abuse
    12 May 2019Abuse: Physical Abuse
    Concluded that a resident was not protected from rough treatment.
    • AbuseFailed to protect resident from rough treatment
    09 Mar 2019Abuse: Neglect
    Investigated a neglect allegation and determined that basic care and safety were not provided, resulting in the resident's unreasonable discomfort.
    • AbuseFailed to follow care plan
    12 Jan 2019Abuse: Neglect
    Found a failure to provide basic care that maintained safety, which led to physical harm, and a fine was assessed.
    • AbuseFailed to follow care plan
    27 Dec 2018Inspection
    Found that the care planning for falls was inadequate, resulting in physical harm, and a $375 fine was assessed.
    • LicensingFailed to adequately care plan related to falls
    17 Dec 2018Abuse: Neglect
    Investigated a complaint and found neglect by failing to provide basic care, resulting in physical harm to a resident.
    • AbuseFailed to adequately care plan related to falls
    27 Nov 2018Abuse: Neglect
    Investigated and found neglect by not administering medications as ordered, causing physical harm and risk of serious harm.
    • AbuseFailed to administer medication as ordered
    27 Nov 2018Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    17 Jul 2018Abuse: Neglect
    Found neglect of a resident due to rough treatment resulting in injury, with a fine assessed.
    • AbuseFailed to properly plan care
    12 Mar 2018Inspection
    Found that care plans were not followed, resulting in resident-to-resident altercations.
    • LicensingFailed to follow care plan
    15 Feb 2018Abuse: Neglect
    Investigated a complaint alleging failure to follow the care plan and found that appropriate care was not provided; a fine was assessed.
    • AbuseFailed to follow care plan
    14 Feb 2018Inspection
    Investigated an allegation of failure to report potential or suspected abuse; a civil penalty was assessed.
    • LicensingFailed to report potential or suspected abuse
    14 Feb 2018Abuse: Restraints
    Found a failure to protect a resident from involuntary restraint, with a $1500 fine assessed.
    • AbuseFailed to properly use restraint
    04 Feb 2018Inspection
    Investigated a complaint alleging inadequate care related to falls and found an unsafe environment; a $500 fine was assessed.
    • LicensingFailed to adequately care plan related to falls
    30 Jan 2018Condition
    Investigated an allegation of failing to provide a safe environment. Found ongoing noncompliance.
    • Regulatory ActionFailed to provide safe environment
    23 Jan 2018Inspection
    Found insufficient care staff scheduled and available to meet residents' needs, especially during evenings and nights.
    • LicensingFailed to provide appropriate staffing
    23 Jan 2018Abuse: Neglect
    Determined that there was a failure to provide a safe environment, resulting in distress to residents, and assessed a $375 fine.
    • AbuseFailed to provide safe environment
    23 Jan 2018Inspection
    Found fall prevention plans were not implemented after resident incidents.
    • LicensingFailed to assure resident was safe
    16 Jan 2018Abuse: Neglect
    Investigated a report of abuse/neglect and found a failure to assess and intervene, leading to serious injury.
    • AbuseFailed to follow care plan
    28 Dec 2017Abuse: Neglect
    Investigated an allegation of abuse/neglect and found the care plan was not followed and a safe environment was not provided.
    • AbuseFailed to follow care plan
    27 Dec 2017Inspection
    Investigated and found inadequate staffing led to insufficient housekeeping services for residents during a busy period.
    • LicensingFailed to provide appropriate housekeeping services
    27 Dec 2017Inspection
    Investigated the allegation of privacy violation and determined that a resident was filmed without permission, breaching privacy rules.
    • LicensingFailed to provide service
    25 Dec 2017Abuse: Neglect
    Found that the resident's care plan wasn't followed, resulting in a fall and injury. This identified deficiencies related to care planning and implementation.
    • AbuseFailed to follow care plan
    16 Dec 2017Abuse: Neglect
    Found violations related to failing to provide a safe environment that resulted in injury and pain.
    • AbuseFailed to provide service
    12 Dec 2017Inspection
    Found a violation of resident rights.
    • LicensingFailed to assure resident rights
    12 Dec 2017Inspection
    Found a violation for failing to provide a homelike environment.
    • LicensingFailed to provide a homelike environment
    12 Dec 2017Inspection
    Identified a deficiency in maintaining a safe physical environment.
    • LicensingFailed to maintain a safe physical environment
    12 Dec 2017Inspection
    Concluded that a resident rights violation occurred.
    • LicensingFailed to assure resident rights
    10 Dec 2017Abuse: Neglect
    Found a failure to follow the care plan that resulted in an unsafe environment.
    • AbuseFailed to follow care plan
    10 Dec 2017Abuse: Neglect
    Found a failure to follow the care plan, resulting in substantiated findings and a fine.
    • AbuseFailed to follow care plan
    10 Dec 2017Abuse: Neglect
    Investigated and found failure to provide appropriate care to a resident.
    • AbuseFailed to properly plan care
    02 Dec 2017Abuse: Neglect
    Investigated a neglect allegation and identified a failure to assess and intervene that led to an injury.
    • AbuseFailed to provide safe environment
    24 Nov 2017Abuse: Neglect
    Investigated an abuse/neglect allegation and found a safety deficiency that caused pain to a resident.
    • AbuseFailed to address resident's behavior
    19 Nov 2017Abuse: Neglect
    Investigated abuse/neglect allegation and found unsafe environment.
    • AbuseFailed to perform adequate screening or assessment
    14 Nov 2017Inspection
    Found that residents were denied access to the outside because the back door was kept locked without a posted electronic code.
    • LicensingFailed to provide service
    09 Nov 2017Abuse: Neglect
    Found a failure to provide PRN medications and imposed a fine.
    • AbuseFailed to provide a safe medication administration system
    31 Oct 2017Abuse: Neglect
    Investigated an allegation of failing to address resident behavior and found failures to assess and intervene, leading to numerous physical altercations among residents.
    • AbuseFailed to address resident's behavior
    26 Oct 2017Abuse: Neglect
    Concluded there was an allegation of neglect involving failure to provide a safe environment, and findings indicated noncompliance with substantial requirements.
    • AbuseFailed to provide safe environment
    25 Oct 2017Abuse: Neglect
    Identified failures in assessing and intervening on fall risks, resulting in injuries.
    • AbuseFailed to adequately care plan related to falls
    25 Oct 2017Abuse: Neglect
    Investigated the allegation of abuse/neglect tied to failure to properly plan care and found a deficiency that created an unsafe environment resulting in injury.
    • AbuseFailed to properly plan care
    25 Oct 2017Abuse: Neglect
    Investigated an allegation of neglect and identified deficiencies related to inadequate screening or assessment and failure to provide a safe environment.
    • AbuseFailed to perform adequate screening or assessment
    25 Oct 2017Abuse: Neglect
    Investigated an abuse/neglect allegation. Found a failure to adequately assess and intervene around falls, resulting in injury, and a fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    25 Oct 2017Abuse: Neglect
    Found a failure to adequately plan for falls, resulting in multiple falls. A $300 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    25 Oct 2017Abuse: Restraints
    Investigated and found a wrongful restraint used for caregiver convenience.
    • AbuseFailed to properly use restraint
    25 Oct 2017Abuse: Neglect
    Identified a failure to assist with toileting, creating potential for harm to a resident.
    • AbuseFailed to assist with toileting
    25 Oct 2017Abuse: Neglect
    Investigated an allegation of inadequate falls care planning and found an unsafe environment.
    • AbuseFailed to adequately care plan related to falls
    25 Oct 2017Abuse: Neglect
    Found that appropriate care was not provided and a $3,600 fine was assessed.
    • AbuseFailed to provide service
    23 Oct 2017Abuse: Neglect
    Identified a failure to provide a safe environment that led to a resident-to-resident physical altercation.
    • AbuseFailed to address resident's behavior
    17 Oct 2017Inspection
    Investigated a complaint alleging failure to provide or maintain resident care equipment, and found deficiencies related to equipment maintenance and weight measurement accuracy.
    • LicensingFailed to provide or maintain resident care equipment
    17 Oct 2017Inspection
    Identified a deficiency for failing to monitor and document a resident's change of condition, including no progress notes tracking the progression of changes.
    • LicensingFailed to provide oversight and monitoring of change of condition
    17 Oct 2017Inspection
    Found that window alarms were not functioning and window screens had been removed, compromising resident safety.
    • LicensingFailed to maintain a safe physical environment
    29 Aug 2017Inspection
    Found a pest-control deficiency due to snakes.
    • LicensingFailed to control pests
    06 Aug 2017Abuse: Neglect
    Investigated and found that a resident did not receive appropriate care.
    • AbuseFailed to provide service
    12 Jul 2017Inspection
    Identified a deficiency for failing to care plan for appropriate medical equipment per rule.
    • LicensingFailed to care plan in accordance with assessment
    08 Jul 2017Abuse: Neglect
    Investigated an allegation of neglect involving failure to provide services and found a deficiency that created potential harm.
    • AbuseFailed to provide service
    07 May 2017Abuse: Neglect
    Investigated a resident safety issue and found a failure to protect a resident from harm, resulting in injury.
    • AbuseFailed to assure resident was safe
    09 Apr 2017Inspection
    Investigated and found a failure to provide a safe environment, which led to a physical altercation between residents.
    • LicensingFailed to provide safe environment
    07 Apr 2017Inspection
    Found a failure to provide a safe environment resulting in residents being locked in their room at night so another could sleep on the couch.
    • LicensingFailed to provide safe environment
    07 Apr 2017Inspection
    Found that residents were subjected to inappropriate verbal comments by staff, violating resident rights.
    • LicensingFailed to assure resident rights
    07 Oct 2016Abuse: Physical Abuse
    Investigated a physical abuse allegation and found that a safe environment was not provided, leading to a physical altercation.
    • AbuseFailed to assure resident rights
    29 Sept 2016Inspection
    Found that a provider failed to provide a safe environment, resulting in residents getting into a physical altercation.
    • LicensingFailed to provide safe environment
    29 Sept 2016Inspection
    Investigated a failure to provide a safe environment that posed a risk of harm to residents.
    • LicensingFailed to provide safe environment
    28 Jan 2016Abuse: Verbal/Mental abuse
    Investigated and found a violation for failing to protect a resident from verbal abuse.
    • AbuseFailed to protect resident from verbal abuse
    05 Jan 2016Abuse: Neglect
    Found a failure to provide a safe environment that resulted in an injury.
    • AbuseFailed to provide safe environment
    05 Oct 2015Inspection
    Found inadequate staffing levels for residents.
    • LicensingFailed to provide appropriate staffing
    25 Sept 2015Abuse: Neglect
    Found neglect due to failure to provide appropriate care. Assessed a $2,500 fine.
    • AbuseFailed to provide service
    25 Sept 2015Abuse: Neglect
    Determined neglect occurred, causing severe decline in the resident's physical health, and a $2,500 fine was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    23 Sept 2015Abuse: Neglect
    Found deficiencies in care planning related to falls that led to multiple falls with injuries. A fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    18 Sept 2015Inspection
    Determined that the allegation of failing to assure resident rights occurred; found that risk indicators for unexplained weight loss were not reviewed.
    • LicensingFailed to assure resident rights
    23 Jul 2015Abuse: Neglect
    Investigated a neglect allegation; found failure to monitor change of condition resulting in extreme decline in health, and a $400 fine was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    26 Jun 2015Abuse: Neglect
    Identified a failure to provide a safe environment that resulted in physical harm to residents.
    • AbuseFailed to provide safe environment
    25 Jun 2015Abuse: Neglect
    Concluded that there was a failure to assess and intervene when a resident's condition changed, resulting in injury. A $300 fine was assessed.
    • AbuseFailed to intervene when resident's condition changed
    23 May 2015Abuse: Neglect
    Found that a resident was not protected from physical harm.
    • AbuseFailed to provide safe environment
    15 Feb 2015Abuse: Neglect
    Investigated an allegation of neglect and found failure to provide service, resulting in a fall with injury. A $300 fine was assessed.
    • AbuseFailed to provide service
    17 Jan 2015Abuse: Neglect
    Investigated the neglect allegation and found a failure to protect a resident from physical harm by another resident. The allegation involved failing to address resident behavior.
    • AbuseFailed to address resident's behavior
    29 Apr 2014Abuse: Neglect
    Identified a deficiency in safe medication administration and assessed a $600 fine.
    • AbuseFailed to provide a safe medication administration system

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