I've lived here since November 2020 and I'm very pleased. The staff and management are kind, professional, and really go above and beyond - Erica and Director Trina helped make my move smooth. My roomy, spotless apartment, restaurant-style meals, constant activities, memorable events and pet-friendly, family-like community keep me engaged and safe with 24/7 care. I highly recommend this welcoming, well-run place.
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
4.29·(66)
Overall rating
5
4
3
2
1
Care
4.2
Staff
4.4
Meals
3.6
Amenities
4.8
Value
1.5
Pros
Compassionate, responsive caregiving staff
Accessible leadership and proactive family communication
Engaged and varied activity program
Regular special events and community fundraisers
Spacious, well‑lit apartments with large windows
Modern, well‑maintained facility and grounds
Housekeeping and laundry services
Pet‑friendly accommodations
Restaurant‑style dining environment (when well executed)
On‑site amenities (library, game room, garden)
Smooth move‑in and admissions support
Volunteer engagement and social dining atmosphere
Operational improvements under recent ownership
Cons
Inconsistent medication‑administration controls
Short staffing and uneven coverage across shifts
Inconsistent meal quality and untimely meal service
Food‑safety and infection‑control practice gaps
Cleanliness and odor concerns in some common areas
Uneven staff training and high turnover
Inconsistent management transparency and accountability (including alleged documentation issues)
Variable resident experience between daytime and nighttime operations
Billing and ancillary‑fee clarity issues
Summary of reviews
Meadowlark Senior Living elicits strongly mixed but actionable feedback. Many reviewers describe a warm, activity‑rich community with caring frontline staff, strong move‑in support, and a modern, comfortable physical plant. Multiple accounts highlight a lively calendar (arts and crafts, concerts, animal visits, contests, fundraisers), well‑maintained independent‑living apartments, on‑site amenities such as a library and game room, and a generally welcoming, social dining atmosphere when operations are working well. Several families and residents also credited recent ownership and leadership changes with visible improvements to the building, grounds, and day‑to‑day operations.
Care and staffing are central themes. Positive comments emphasize compassionate, responsive caregivers, 24/7 clinical presence, and approachable managers who communicate with families. At the same time, reviewers describe inconsistent staff quality and instances of short staffing, particularly during off shifts, which some say results in longer response times and variability in care delivery. There are repeated concerns about medication management — described as lapses, omissions, or weak controls — and reviewers urge caution and verification of clinical protocols. In addition, a small number of serious governance concerns have been raised, including allegations related to management conduct and documentation; these matters are characterized in some accounts as under investigation.
Dining and housekeeping produce divergent impressions. Several residents praise restaurant‑style meals, healthy options, and an engaging social dining environment. Other accounts cite inconsistent meal quality (frozen or processed items, small or cold portions), late meal service, and a lack of clarity on ancillary charges. A subset of reviewers also noted food‑handling and general infection‑control practice gaps. Housekeeping and apartment cleanliness receive frequent praise, though there are intermittent comments about sanitation issues and odors in some common areas.
Activities and community life are consistent strengths. Reviewers commonly describe a broad, resident‑focused activities program with special events, volunteer involvement, and opportunities for social engagement that contribute to a home‑like daytime atmosphere. Some residents would like more evening programming to extend that engagement beyond daytime hours.
Facility appearance and operations show signs of improvement. Many reviews describe a modern, attractive building with updated finishes, good natural light, and pleasant grounds. Several reviewers singled out specific staff and leaders by name for being helpful and available. However, experiences appear variable across time and shifts: while some report excellent, consistent leadership and communication, others cite opaque decision‑making, abrupt personnel actions, and concerns about management accountability. There are also recurring comments about uneven staff training and turnover that contribute to variability in resident experience.
Overall, Meadowlark offers strong community life, attentive caregivers in many cases, and a well‑appointed facility, but prospective residents and families should be aware of documented variability in clinical controls, staffing levels, dining consistency, and management transparency. The pattern in reviews suggests that individual experiences depend substantially on unit staffing, shift timing, and recent leadership changes; those evaluating Meadowlark may benefit from targeted questions about medication administration protocols, staffing ratios by shift, infection‑control practices, meal service scheduling, and billing for ancillary services, as well as checking recent regulatory or investigative updates.
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Location
Meadowlark Senior Living is located at 181 S 5th St, Lebanon, OR, 97355.
About Meadowlark Senior Living
Meadowlark Senior Living offers an inviting and vibrant community specifically designed for seniors who value both their independence and the opportunity for support when needed. Upon entering Meadowlark Senior Living, visitors are met with a warm and welcoming atmosphere where residents actively engage in conversations, share meals, and participate in thoughtfully planned activities. The community prides itself on cultivating meaningful connections among residents, enabling them to lead active lives filled with new experiences and lasting friendships.
Located in the scenic backdrop of Lebanon, Oregon, Meadowlark Senior Living takes full advantage of the region’s natural beauty. Residents often appreciate the small-town charm and picturesque surroundings, with mountains, rivers, and forests nearby. The community’s design blends comfort and accessibility with the appeal of the outdoors, making it easy for residents to enjoy nature or take part in local events such as the annual Lebanon Strawberry Festival. Well-kept courtyards and garden settings provide tranquil spaces to relax, while the interiors feature elegant amenities like a well-stocked library bathed in natural light, cozy armchairs, and communal spaces that facilitate social interaction and leisure.
Meadowlark Senior Living emphasizes its commitment to excellence through a set of core values known as F.A.I.T.H.E., which shapes every aspect of life within the community. These values foster a positive, can-do spirit and a collaborative environment where honesty and synergy form the foundation of daily life. Staff members are dedicated to enriching the lives of residents, offering 24-hour assistance tailored to individual needs, ensuring both reassurance and the freedom for residents to pursue their hobbies and interests.
A variety of living arrangements are available to suit different lifestyles and preferences, including spacious two-bedroom cottages in independent living, as well as studio and one-bedroom assisted living apartments. Floor plans are thoughtfully designed for comfort and accessibility, with features like plush bedding, cozy sitting areas, and modern bathrooms equipped with safety grab bars and nature-inspired décor. Rooms and apartments are filled with natural light, often adorned with floral artworks and personal touches that create a welcoming, homelike ambiance.
Dining at Meadowlark Senior Living is a refined experience, with communal dining rooms that serve as both culinary and social hubs. Residents enjoy meals in settings flooded with sunlight, surrounded by tasteful decor and attentive service. The community also provides a rich calendar of activities and on-site entertainment to keep residents engaged and fulfilled. Amenities extend to services such as housekeeping, Wi-Fi, cable, utilities, and local transportation, all included in a set monthly fee with no long-term contracts required. This approach offers families and residents flexibility and peace of mind, knowing that their living arrangements can adapt as their needs change.
Meadowlark Senior Living is more than just a residence; it is a thriving and close-knit community where residents are empowered to live extraordinary lives every day. The harmonious combination of amenities, compassionate care, and a values-based philosophy makes Meadowlark Senior Living a distinctive and sought-after choice for seniors in Lebanon, Oregon.
People often ask...
Meadowlark Senior Living offers competitive pricing, with rates starting at a cost of $3,995 per month.
Meadowlark Senior Living offers independent living and assisted living.
There are 40 photos of Meadowlark Senior Living on Mirador.
The full address for this community is 181 S 5th St, Lebanon, OR 97355.
No, Meadowlark 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.
Found a housekeeping services deficiency substantiated after investigation.
Licensing—Failed to provide appropriate housekeeping services
11 Aug 2025Inspection
11 Aug 2025Inspection
Investigated and found that a resident did not receive medications as ordered on 08/11/2025. MARs and staff confirmed no medications were administered on that date.
Licensing—Failed to administer medication as ordered
11 Aug 2025Inspection
11 Aug 2025Inspection
Investigated allegation of failing to follow the care plan; determined a violation of Oregon Administrative Rules.
Licensing—Failed to follow care plan
30 Jun 2025Inspection
30 Jun 2025Inspection
Investigated alleged failure to cooperate by not providing requested records. Found the required documents were not provided.
Licensing—Failed to cooperate with an investigation
27 Jun 2025Inspection
27 Jun 2025Inspection
Investigated the allegation and found a violation for failing to provide documentation upon request.
Licensing—Failed to cooperate with an investigation
27 Jun 2025Inspection
27 Jun 2025Inspection
Investigated the allegation and found a records documentation deficiency.
Licensing—Failed to cooperate with an investigation
27 Jun 2025Inspection
27 Jun 2025Inspection
Investigated and found that records were not provided to the Department upon request. The finding relates to a request for documents tied to an alleged event.
Licensing—Failed to cooperate with an investigation
27 Jun 2025Inspection
27 Jun 2025Inspection
Investigated the allegation of failing to cooperate with an investigation and determined a violation for not providing documentation upon request.
Licensing—Failed to cooperate with an investigation
27 Jun 2025Inspection
27 Jun 2025Inspection
Investigated an allegation of failing to cooperate; found documentation requested was not provided as required and no licensing violation occurred.
Licensing—Failed to cooperate with an investigation
02 Jun 2025Kitchen
02 Jun 2025Kitchen
Observed extensive kitchen sanitation deficiencies and repair needs, including unclean surfaces and improper food storage.
Investigated the failure to provide scheduled showers; documented missed showers and a 13-day gap without a shower.
Licensing—Failed to follow care plan
26 Nov 2024Abuse: Neglect
26 Nov 2024Abuse: Neglect
Investigated and found failure to properly assess and plan for falls risk, leading to injuries and potential abuse and neglect concerns.
Abuse—Failed to properly plan care
15 Oct 2024Abuse: Neglect
15 Oct 2024Abuse: Neglect
Found that prescribed anticonvulsant medication was not administered as ordered, resulting in a seizure and hospital evaluation; a $1,500 fine was assessed.
Abuse—Failed to administer medication as ordered
14 Aug 2024Complaint
14 Aug 2024Complaint
Found that scheduled showers were not provided for one resident for multiple dates, indicating failure to implement services.
Deficiency—Service Plan: General
19 Jul 2024Inspection
19 Jul 2024Inspection
Investigated the allegation of failing to follow the care plan. Found a violation for failure to implement services.
Licensing—Failed to follow care plan
10 Jul 2024Inspection
10 Jul 2024Inspection
Determined that there was a violation of Oregon Administrative Rules due to failure to implement services.
Licensing—Failed to follow care plan
26 Jun 2024Inspection
26 Jun 2024Inspection
Investigated an allegation of failing to provide appropriate housekeeping services and found a violation of Oregon Administrative Rules.
Licensing—Failed to provide appropriate housekeeping services
Deficiency—Inspections and Investigation: Insp Interval
14 Jan 2024Abuse: Neglect
14 Jan 2024Abuse: Neglect
Investigated an allegation of failing to administer medication as ordered and found that a safe medication administration system was not provided and prescribed medication was not administered.
Abuse—Failed to administer medication as ordered
18 Nov 2023Abuse: Neglect
18 Nov 2023Abuse: Neglect
Found a violation of safe medication administration after a PRN pain medication was not provided for over two hours, causing discomfort; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
14 Nov 2023Abuse: Neglect
14 Nov 2023Abuse: Neglect
Investigated an allegation of neglect related to medication safety and identified a deficiency for not providing a safe medication administration system.
Abuse—Failed to provide a safe medication administration system
03 Nov 2023Inspection
03 Nov 2023Inspection
Identified a deficiency for not maintaining an updated ABST that reflects resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
14 Sept 2023Abuse: Neglect
14 Sept 2023Abuse: Neglect
Investigated a medication administration failure that led to a hospital visit for the resident and signs of neglect and abuse. A $1,500 fine was assessed.
Abuse—Failed to administer medication as ordered
12 Sept 2023Abuse: Neglect
12 Sept 2023Abuse: Neglect
Investigated the complaint found neglect and abuse due to failure to provide necessary services for a known fall-risk individual, resulting in multiple unwitnessed falls and injuries.
Abuse—Failed to provide service
07 Sept 2023Inspection
07 Sept 2023Inspection
Found violations related to protecting residents from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
08 Aug 2023Complaint
08 Aug 2023Complaint
Investigated the complaint and found no deficiencies.
Investigated and found deficiencies related to disposal of unused, outdated, or discontinued medications and failure to follow medication and treatment orders.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Tracking Control Substances
Deficiency—Systems: Treatment Orders
04 Aug 2023Abuse: Neglect
04 Aug 2023Abuse: Neglect
Found violations for neglect due to inadequate care planning and fall prevention, resulting in multiple falls and related discomfort.
Abuse—Failed to provide service
01 Aug 2023Inspection
01 Aug 2023Inspection
Found that three daily nutritious meals with snacks were not provided seven days a week.
Licensing—Failed to provide proper food/nutrition
21 Jun 2023Inspection
21 Jun 2023Inspection
Investigated an allegation of failing to administer medication as ordered and found a violation of Oregon Administrative Rules.
Licensing—Failed to administer medication as ordered
13 Jun 2023Inspection
13 Jun 2023Inspection
Investigated the allegation found deficiencies in medication management, including lack of a system to track controlled substances and to dispose of unused medications.
Licensing—Failed to provide a safe medication administration system
01 Jun 2023Abuse: Neglect
01 Jun 2023Abuse: Neglect
Investigated the complaint and found deficiencies in falls care planning that led to a fall with injuries.
Abuse—Failed to properly plan care
26 May 2023Inspection
26 May 2023Inspection
Investigated and found a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
11 May 2023Inspection
11 May 2023Inspection
Investigated a medication management complaint and found a staff member administered the wrong medication, with a deficient safe medication administration system leading to neglect and abuse.
Licensing—Failed to provide a safe medication administration system
04 May 2023Abuse: Neglect
04 May 2023Abuse: Neglect
Investigated found that inadequate care for a high fall-risk resident led to multiple falls and injuries, constituting neglect and abuse.
Abuse—Failed to provide service
01 May 2023Inspection
01 May 2023Inspection
Found a licensing violation for failing to submit timely weekly vaccination reporting for residents and staff, and a $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
02 Apr 2023Abuse: Neglect
02 Apr 2023Abuse: Neglect
Investigated a medication administration failure that placed a resident at risk for serious harm; one related staff allegation was not upheld, and a fine was assessed.
Abuse—Failed to administer medication as ordered
28 Mar 2023Inspection
28 Mar 2023Inspection
Investigated and determined that verbal abuse occurred, causing emotional distress and loss of personal dignity. The care setting failed to protect the resident from verbal abuse.
Licensing—Failed to protect resident from verbal abuse
13 Mar 2023License Condition
13 Mar 2023License Condition
Found failure to use an Acuity Based Staffing Tool as required.
Regulatory Action—Failed to use an ABST
24 Feb 2023Complaint
24 Feb 2023Complaint
Investigated and found deficiencies in carrying out medications as prescribed and in fully implementing an acuity-based staffing tool.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
20 Feb 2023Inspection
20 Feb 2023Inspection
Investigated and found that a medication not prescribed to the resident was administered, causing adverse effects, and that a safe medication management system was not provided.
Licensing—Failed to provide a safe medication administration system
20 Feb 2023Abuse: Neglect
20 Feb 2023Abuse: Neglect
Found an unsafe medication administration system and inadequate training, resulting in a resident not receiving prescribed narcotic pain medication and experiencing pain.
Abuse—Failed to administer medication as ordered
16 Feb 2023Abuse: Neglect
16 Feb 2023Abuse: Neglect
Identified violations of resident rights for neglect and abuse after investigation, including failure to provide needed services and resulting in unwitnessed falls and discomfort.
Abuse—Failed to provide service
10 Feb 2023Inspection
10 Feb 2023Inspection
Investigated an ABST-related allegation and found a deficiency for not fully implementing an acuity-based staffing tool, but no licensing violation or abuse occurred.
Licensing—Failed to use an ABST
05 Feb 2023Inspection
05 Feb 2023Inspection
Found a violation for failing to administer medications as ordered.
Licensing—Failed to administer medication as ordered
27 Jan 2023Licensure
27 Jan 2023Licensure
Identified extensive sanitation and maintenance deficiencies in the kitchen, with a subsequent visit showing substantial compliance.
Deficiency—Inspections and Investigation: Insp Interval
25 Jan 2023Complaint
25 Jan 2023Complaint
Investigated a staffing complaint and found that the acuity-based staffing tool was not fully implemented or updated. The inaccuracies in the tool's data led to incorrect hours and staff assignments.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
13 Jan 2023Abuse: Neglect
13 Jan 2023Abuse: Neglect
Investigated the medication administration allegation and determined neglect due to failure to administer medication as ordered; a fine of $375 was assessed.
Abuse—Failed to administer medication as ordered
11 Jan 2023Abuse: Neglect
11 Jan 2023Abuse: Neglect
Investigated an allegation of neglect in medication administration and concluded the medication was not administered as ordered, resulting in high blood pressure and headaches for the resident.
Abuse—Failed to administer medication as ordered
23 Dec 2022Abuse: Neglect
23 Dec 2022Abuse: Neglect
Investigated found neglect and abuse due to failure to provide appropriate services per the care plan, resulting in a resident fall and injuries; a $500 fine was assessed.
Abuse—Failed to provide service
28 Nov 2022Abuse: Neglect
28 Nov 2022Abuse: Neglect
Found an unsafe medication administration system and an incorrect dosage of diabetes medication that left the resident at risk for serious harm.
Abuse—Failed to provide a safe medication administration system
28 Nov 2022Abuse: Neglect
28 Nov 2022Abuse: Neglect
Found neglect and abuse due to inadequate falls prevention and care planning, resulting in two unwitnessed falls and back pain; a $750 fine assessed.
Abuse—Failed to provide service
28 Nov 2022Abuse: Neglect
28 Nov 2022Abuse: Neglect
Found care planning and services did not meet the resident's needs, leading to multiple unwitnessed falls and an injury.
Abuse—Failed to provide service
22 Nov 2022Abuse: Neglect
22 Nov 2022Abuse: Neglect
Investigated a complaint and found a deficient safe medication administration system, resulting in an unprescribed medication being given and hospital observation; identified abuse and neglect.
Abuse—Failed to provide a safe medication administration system
20 Oct 2022Inspection
20 Oct 2022Inspection
Found that medication procedures were not followed, resulting in an additional dose of narcotic pain medication and risk of serious harm to a resident. The actions indicated a failure to provide a safe medication administration system.
Licensing—Failed to administer medication as ordered
16 Oct 2022Abuse: Neglect
16 Oct 2022Abuse: Neglect
Found violations of neglect and abuse due to inadequate planning and supervision that led to an unwitnessed fall with head injury, and assessed a $2,000 fine.
Abuse—Failed to properly plan care
15 Sept 2022Complaint
15 Sept 2022Complaint
Found a failure to carry out medications as prescribed, with a resident given two doses of the same medication on 8/29/2022.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Treatment Orders
11 Sept 2022Abuse: Neglect
11 Sept 2022Abuse: Neglect
Investigated and found safety and care planning deficiencies that allowed repeated falls and an injury; care plans were not aligned with the resident’s needs and safety measures were not effectively implemented.
Abuse—Failed to provide safe environment
29 Aug 2022Inspection
29 Aug 2022Inspection
Investigated a medication administration allegation and identified noncompliance with prescribed orders.
Licensing—Failed to administer medication as ordered
01 Aug 2022Inspection
01 Aug 2022Inspection
Cited a violation for failing to submit timely weekly vaccination reporting for vaccinated individuals, residents, and staff; assessed a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
01 Jul 2022Inspection
01 Jul 2022Inspection
Identified a licensing violation for failing to submit timely or adequate staffing documentation and to report weekly vaccination data; a $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
01 Jun 2022Inspection
01 Jun 2022Inspection
Investigated the staffing documentation allegation and found failure to submit timely or adequate staffing records. A $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
26 May 2022Abuse: Neglect
26 May 2022Abuse: Neglect
Determined neglect and abuse due to failure to assess, intervene, and monitor a resident after a change in condition, which placed the resident at serious risk of harm.
Abuse—Failed to intervene when resident's condition changed
16 May 2022Inspection
16 May 2022Inspection
Found interior materials and surfaces were not kept clean.
Licensing—Failed to assure resident rights
02 May 2022Inspection
02 May 2022Inspection
Found a failure to submit timely weekly vaccination reporting for vaccinated individuals, residents, and staff for 30 days, resulting in a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
26 Apr 2022Abuse: Neglect
26 Apr 2022Abuse: Neglect
Found neglect and abuse due to failure to provide appropriate services and care planning, resulting in a finger fracture when a door pinched the resident's hand.
Abuse—Failed to provide service
28 Mar 2022Abuse: Neglect
28 Mar 2022Abuse: Neglect
Identified neglect and abuse due to failure to provide necessary services, resulting in hospitalization after a resident’s fall.
Abuse—Failed to provide service
23 Feb 2022License Condition
23 Feb 2022License Condition
Found failures to protect residents from financial exploitation and to prevent theft or misuse of medication, including delayed or inappropriate response to repeated exploitation.
Regulatory Action—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated an allegation of financial exploitation and found that a staff member signed out medications not requested for the resident and used them personally, constituting abuse and neglect; a $1,000 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated found that a resident did not receive appropriate services, contributing to a fall and pain, constituting neglect and abuse. A $1,500 fine was assessed.
Abuse—Failed to provide service
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated and found neglect and abuse due to failure to provide a safe medication administration system, leading to theft of a resident's narcotic medication. A $1,000 fine was assessed.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Determined that a resident was financially exploited, with medication taken for personal use, constituting abuse and neglect.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated found a deficient medication administration system that allowed narcotics to be stolen due to lack of audits and oversight by staff.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Found that a resident's medications were stolen by staff and that the provider failed to protect the resident, constituting abuse and neglect.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated found a staff member exploited a resident by stealing medications; a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated and determined that a staff member exploited a resident by taking prescribed medication; a $1,000 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Determined that a staff member exploited a resident by stealing their medication for personal use, leading to abuse and neglect findings and a $1,000 fine.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated a report of abuse and neglect; found that a staff member used sedating medications to restrain a resident, placing the resident at risk for serious harm, and the environment was not safe.
Abuse—Failed to provide safe environment
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated found a failure to maintain a safe medication administration system, resulting in theft of narcotics. Neglect and abuse by staff were identified.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Found that a staff member exploited a resident financially, resulting in abuse and neglect findings and a $1000 fine assessed.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated and found that the medication administration system wasn't properly monitored, leading to theft of a resident's narcotics. Neglect and abuse were identified for staff who failed to oversee the system, and a fine was assessed.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Found violations for abuse and neglect after a staff member misappropriated a resident's medications and failed to protect them from theft.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Identified a failure to maintain a safe medication administration system, which led to narcotics theft and neglect/abuse.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated the allegation of financial exploitation and found a failure to protect a resident, resulting in medication theft by another person.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated a complaint and found a staff member stole a resident's medications, constituting abuse and neglect, with a fine assessed.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Found a failure to provide a safe medication administration system, which allowed theft of narcotic medication and involved supervisory lapses leading to abuse.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Identified abuse and neglect where an employee diverted a resident’s narcotics for personal use and exploited the resident financially; a $1,000 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated and found that a resident was exposed to theft by a staff member and financial exploitation, leading to a monetary sanction.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Found that the medication administration system was not safe and allowed theft due to inadequate monitoring and oversight of narcotics. Investigative findings identified neglect and abuse by responsible individuals, with a fine assessed.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Found a deficient medication administration system that allowed theft and financial exploitation, with inadequate oversight of the medication process.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Identified violations in medication oversight that led to theft of narcotic medication and involved abuse and neglect; a fine was assessed.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated and found neglect and abuse due to an unsafe medication administration system, with a $1,000 fine assessed.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated an abuse/neglect allegation related to medication management and found a failure to provide a safe medication administration system that allowed theft of narcotics. Oversight deficiencies by staff contributed to the risk.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Found deficiencies in the medication administration system that allowed theft of narcotics and assessed a $1,000 fine.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated a complaint and found a deficient medication management system that allowed narcotics to be stolen, with oversight failures by staff contributing to abuse.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated and found a failure to provide a safe medication administration system, resulting in theft of a resident's narcotic medication and abuse/neglect findings; a $1000 fine was assessed.
Abuse—Failed to provide a safe medication administration system
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Investigated and found a person signed out and took a resident's medication for personal use, constituting abuse and neglect. A fine was assessed.
Abuse—Failed to protect resident from financial exploitation
10 Feb 2022Abuse: Neglect
10 Feb 2022Abuse: Neglect
Found that a staff member exploited a resident financially by signing out and taking the resident’s medication without authorization; a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
06 Feb 2022Abuse: Neglect
06 Feb 2022Abuse: Neglect
Found neglect and abuse due to failure to provide needed services, resulting in multiple falls and injuries, with a $1500 fine assessed.
Abuse—Failed to provide service
23 Jan 2022Abuse: Neglect
23 Jan 2022Abuse: Neglect
Found neglect due to failure to provide timely medical treatment, resulting in hospitalization for a serious infection.
Abuse—Failed to assure timely medical treatment
20 Jan 2022Abuse: Neglect
20 Jan 2022Abuse: Neglect
Identified failures to provide appropriate services and maintain safety, resulting in numerous unwitnessed falls and injuries.
Abuse—Failed to provide service
29 Oct 2021Abuse: Neglect
29 Oct 2021Abuse: Neglect
Found a failure to provide a safe environment that led to a door falling off its hinges and striking a person, causing headaches and shoulder pain.
Abuse—Failed to provide safe environment
19 Oct 2021Abuse: Neglect
19 Oct 2021Abuse: Neglect
Found deficiencies in care planning for a resident's behavior, leading to poor hygiene and infections.
Abuse—Failed to properly plan care
21 Sept 2021Abuse: Neglect
21 Sept 2021Abuse: Neglect
Found neglect and abuse due to inadequate interventions and supervision for a known fall-risk resident, resulting in a fall and bruising; a $2,000 fine was assessed.
Abuse—Failed to properly plan care
15 Sept 2021Abuse: Neglect
15 Sept 2021Abuse: Neglect
Investigated and found that staff failed to follow the care plan, resulting in neglect and abuse; a $250 fine was assessed.
Abuse—Failed to follow care plan
30 Aug 2021Abuse: Neglect
30 Aug 2021Abuse: Neglect
Investigated a resident verbal abuse incident and found the resident was harassed and verbally attacked, with failure to protect from verbal abuse resulting in abuse and neglect. A $250 fine was assessed.
Abuse—Failed to protect resident from verbal abuse
26 Aug 2021Abuse: Neglect
26 Aug 2021Abuse: Neglect
Found failures to properly plan care to mitigate fall risk, resulting in multiple falls and injuries; a $500 fine was assessed.
Abuse—Failed to properly plan care
23 Jul 2021Abuse: Neglect
23 Jul 2021Abuse: Neglect
Investigated a medication administration complaint and found a failure to provide a safe medication administration system, resulting in missed doses and discomfort, with a $500 fine assessed.
Abuse—Failed to provide a safe medication administration system
19 Jun 2021Inspection
19 Jun 2021Inspection
Determined that retaliation occurred after a resident voiced a grievance.
Licensing—Retaliated against resident/complainant
01 Jun 2021Abuse: Neglect
01 Jun 2021Abuse: Neglect
Investigated allegations of neglect and abuse; found that a resident did not receive prescribed medications when not located and that care planning to ensure medication access was lacking, with a fine assessed.
Abuse—Failed to properly plan care
01 May 2021Abuse: Neglect
01 May 2021Abuse: Neglect
Found inadequate medical supplies led to discomfort and loss of personal dignity, constituting neglect and abuse.
Abuse—Failed to assure adequate supply or equipment
01 Sept 2020Abuse: Neglect
01 Sept 2020Abuse: Neglect
Investigated and found that staff failed to intervene when a resident's condition changed, leading to abuse/neglect and a fine was assessed.
Abuse—Failed to intervene when resident's condition changed
28 Jul 2020Abuse: Neglect
28 Jul 2020Abuse: Neglect
Found neglect and abuse due to failure to assist with toileting, causing chronic wounds from incontinence; a fine was assessed.
Abuse—Failed to assist with toileting
20 Jul 2020Abuse: Neglect
20 Jul 2020Abuse: Neglect
Found neglect and abuse for failing to follow the care plan and assist with ambulation, resulting in an unwitnessed fall and injury.
Abuse—Failed to follow care plan
24 Sept 2019Abuse: Neglect
24 Sept 2019Abuse: Neglect
Found neglect of a resident resulting in risk of serious harm and assessed a $500 fine.
Abuse—Failed to provide a safe medication administration system
29 Jul 2019Abuse: Neglect
29 Jul 2019Abuse: Neglect
Investigated a neglect allegation and found that basic care and safety were not provided, resulting in physical harm. A fine of $375 was assessed.
Abuse—Failed to provide safe environment
13 Jun 2019Abuse: Neglect
13 Jun 2019Abuse: Neglect
Found neglect for failing to provide basic security, resulting in the theft of a resident's personal items.
Abuse—Failed to protect resident from financial exploitation
10 Jun 2019Inspection
10 Jun 2019Inspection
Found that residents could not have visitors of their choosing at any time, violating visitation rights.
Licensing—Failed to assure resident rights
10 Jun 2019Abuse: Financial abuse
10 Jun 2019Abuse: Financial abuse
Investigated and found failure to protect a resident from financial exploitation, resulting in financial loss due to theft caused by neglect of basic care and safety.
Abuse—Failed to protect resident from financial exploitation
23 May 2019Abuse: Neglect
23 May 2019Abuse: Neglect
Found neglect that led to financial loss to a resident through theft, with a fine assessed.
Abuse—Failed to protect resident from financial exploitation
03 May 2019Inspection
03 May 2019Inspection
Found a violation related to medication administration as ordered.
Licensing—Failed to administer medication as ordered
22 Apr 2019Inspection
22 Apr 2019Inspection
Found insufficient direct care staffing to meet residents' scheduled and unscheduled needs, resulting in long call light wait times.
Licensing—Failed to answer call light in a timely manner
20 Apr 2019Abuse: Neglect
20 Apr 2019Abuse: Neglect
Investigated a complaint and found neglect by failing to provide basic care and safety, risking serious harm. A fine was assessed.
Abuse—Failed to provide a safe medication administration system
12 Mar 2019Abuse: Financial abuse
12 Mar 2019Abuse: Financial abuse
Investigated a financial abuse allegation and found neglect of safety related to medication management, causing harm or risk of harm. The finding notes failure to provide a safe medication administration system.
Abuse—Failed to provide a safe medication administration system
24 Feb 2019Abuse: Neglect
24 Feb 2019Abuse: Neglect
Investigated a neglect allegation and found failure to provide basic care and safety, creating risk of serious harm. A $1,500 fine was assessed.
Abuse—Failed to care plan in accordance with assessment
24 Feb 2019Inspection
24 Feb 2019Inspection
Investigated the allegation and found a failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
22 Feb 2019Abuse: Neglect
22 Feb 2019Abuse: Neglect
Investigated and found neglect of care and abuse due to failing to arrange transportation, resulting in missed medical appointments, worsened health, and hospitalization; a $1500 fine was assessed.
Abuse—Failed to follow care plan
22 Dec 2018Abuse: Financial abuse
22 Dec 2018Abuse: Financial abuse
Found that medication records were not kept current and basic care was neglected, risking serious harm.
Abuse—Failed to keep medication record current or accurate
28 Nov 2018Abuse: Neglect
28 Nov 2018Abuse: Neglect
Found neglect related to not administering medication as ordered, resulting in risk of serious harm.
Abuse—Failed to administer medication as ordered
08 Nov 2018Abuse: Neglect
08 Nov 2018Abuse: Neglect
Found neglect due to failing to provide a safe environment, resulting in physical and emotional harm. A $250 fine was assessed.
Abuse—Failed to provide safe environment
07 Nov 2018Inspection
07 Nov 2018Inspection
Found violations for failure to administer medication as ordered and neglect of basic care, risking serious harm. A $500 fine was assessed.
Licensing—Failed to administer medication as ordered
07 Nov 2018Abuse: Neglect
07 Nov 2018Abuse: Neglect
Found neglect by failing to provide a safe medication administration system and basic care, creating risk of serious harm; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
02 Nov 2018Abuse: Neglect
02 Nov 2018Abuse: Neglect
Found neglect in providing basic care and services, resulting in emotional harm and loss of personal dignity. A $1,500 fine was assessed.
Abuse—Failed to assist with toileting
26 Oct 2018Inspection
26 Oct 2018Inspection
Found failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
26 Oct 2018Abuse: Neglect
26 Oct 2018Abuse: Neglect
Found neglect by failing to provide a safe medication administration system, resulting in risk of serious harm, and assessed a $500 fine.
Abuse—Failed to provide a safe medication administration system
23 Oct 2018Abuse: Neglect
23 Oct 2018Abuse: Neglect
Investigated a neglect allegation and found substantiated neglect, resulting in a $500 fine.
Abuse—Failed to administer ordered medication
23 Oct 2018Inspection
23 Oct 2018Inspection
Investigated and found a failure to report suspected abuse, resulting in a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
23 Oct 2018Inspection
23 Oct 2018Inspection
Investigated the allegation and found failure to provide a safe environment.
Licensing—Failed to provide safe environment
22 Oct 2018Inspection
22 Oct 2018Inspection
Concluded that the call light was not answered in a timely manner.
Licensing—Failed to answer call light in a timely manner
22 Oct 2018Abuse: Neglect
22 Oct 2018Abuse: Neglect
Found neglect by failing to provide basic care and safety, resulting in harm; assessed a $500 fine.
Abuse—Failed to administer ordered medication
19 Oct 2018Inspection
19 Oct 2018Inspection
Investigated an allegation of failing to administer medications as ordered and determined that medications were not administered in accordance with doctor's orders.
Licensing—Failed to administer medication as ordered
18 Oct 2018Inspection
18 Oct 2018Inspection
Investigated a pest-control allegation and found bed bugs entered and were spreading.
Licensing—Failed to control pests
11 Oct 2018Inspection
11 Oct 2018Inspection
Found a deficiency for failing to update or follow the resident service plan after a change in condition.
Licensing—Failed to provide oversight and monitoring of change of condition
06 Oct 2018Inspection
06 Oct 2018Inspection
Determined that basic care and safety were not provided, resulting in unreasonable discomfort.
Licensing—Failed to provide service
01 Oct 2018Abuse: Neglect
01 Oct 2018Abuse: Neglect
Found neglect resulting in harm due to failing to provide a safe medication administration system and basic care. A $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
01 Oct 2018Inspection
01 Oct 2018Inspection
Found the licensee failed to report suspected abuse; a $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
15 Sept 2018Abuse: Neglect
15 Sept 2018Abuse: Neglect
Investigated and found that a staff member failed to prevent a medication administration error, risking serious harm to a resident.
Abuse—Failed to administer ordered medication
01 Sept 2018Abuse: Neglect
01 Sept 2018Abuse: Neglect
Investigated an allegation of neglect related to medication administration and found failure to administer ordered medication, causing unreasonable discomfort; a $1,500 fine was assessed.
Abuse—Failed to administer ordered medication
01 Sept 2018Inspection
01 Sept 2018Inspection
Determined that there was a failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
28 Aug 2018Abuse: Neglect
28 Aug 2018Abuse: Neglect
Found neglect that resulted in physical harm and discomfort due to failure to provide basic care and services related to falls. A $2,500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
12 Aug 2018Inspection
12 Aug 2018Inspection
Identified a failure to report suspected abuse. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
01 Aug 2018Abuse: Neglect
01 Aug 2018Abuse: Neglect
Investigated an allegation of neglect involving medication administration. Found that required medication was not entered on the MAR at admission and therefore not administered, creating risk of serious harm, and a $375 fine was assessed.
Abuse—Failed to administer ordered medication
17 Jul 2018Inspection
17 Jul 2018Inspection
Investigated and found a failure to report suspected abuse, with a $1,000 fine assessed.
Licensing—Failed to report potential or suspected abuse
17 Jul 2018Abuse: Neglect
17 Jul 2018Abuse: Neglect
Investigated a neglect allegation and found failure to answer a call light promptly and provide appropriate care.
Abuse—Failed to answer call light in a timely manner
12 Jul 2018Abuse: Neglect
12 Jul 2018Abuse: Neglect
Investigated an abuse/neglect allegation; found neglectful care that risked serious harm, and a $2,500 fine was assessed.
Abuse—Failed to provide appropriate skin care
09 Jul 2018Inspection
09 Jul 2018Inspection
Investigated and found that suspected abuse was not reported, and a $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
01 Jun 2018Inspection
01 Jun 2018Inspection
Investigated an allegation of failing to administer medication as ordered; found deficiencies in the medication system and assessed a $375 fine.
Licensing—Failed to administer medication as ordered
10 Mar 2018Inspection
10 Mar 2018Inspection
Found a deficient medication administration system that could cause harm.
Licensing—Failed to provide a safe medication administration system
26 Jan 2018Abuse: Neglect
26 Jan 2018Abuse: Neglect
Investigated and found failure to provide medical treatment as ordered, a substantiated violation with a $375 fine. The issue involved potential minor harm.
Abuse—Failed to provide medical treatment as ordered
26 Jan 2018Inspection
26 Jan 2018Inspection
Investigated an allegation of failing to report potential or suspected abuse and assessed a $1,000 civil penalty. Violations cited.
Licensing—Failed to report potential or suspected abuse
10 Jan 2018Abuse: Neglect
10 Jan 2018Abuse: Neglect
Identified failure to provide basic care or services necessary to maintain an adult's health and safety, with an allegation of neglect and a $1,000 fine assessed.
Abuse—Failed to provide service
10 Jan 2018Inspection
10 Jan 2018Inspection
Found a licensing violation for failing to report potential or suspected abuse and assessed a $750 civil penalty.
Licensing—Failed to report potential or suspected abuse
09 Dec 2017Abuse: Neglect
09 Dec 2017Abuse: Neglect
Concluded that the care plan was not followed, resulting in inadequate care and serious risk.
Abuse—Failed to follow care plan
30 Oct 2017Abuse: Neglect
30 Oct 2017Abuse: Neglect
Investigated an allegation of failing to administer medication as ordered and found a deficient medication system. A $300 fine was assessed.
Abuse—Failed to administer medication as ordered
23 Oct 2017Abuse: Neglect
23 Oct 2017Abuse: Neglect
Identified a deficiency for failing to follow the care plan and for not providing a secure environment.
Abuse—Failed to follow care plan
17 Oct 2017Inspection
17 Oct 2017Inspection
Found failure to administer medication as ordered and an inadequate medication system.
Licensing—Failed to administer medication as ordered
01 Oct 2017Abuse: Neglect
01 Oct 2017Abuse: Neglect
Found failure to administer medications as ordered and an inadequate medication system; a $500 fine was assessed.
Abuse—Failed to administer medication as ordered
27 Sept 2017Inspection
27 Sept 2017Inspection
Investigated the allegation and found a failure to maintain an adequate medication system.
Licensing—Failed to provide a safe medication administration system
15 Sept 2017Abuse: Neglect
15 Sept 2017Abuse: Neglect
Investigated a neglect allegation of not following a care plan; findings showed inadequate care provided to a resident.
Abuse—Failed to follow care plan
15 Sept 2017Abuse: Financial abuse
15 Sept 2017Abuse: Financial abuse
Investigated the financial abuse allegation and found a failure to maintain an adequate medication system.
Abuse—Failure to provide a system that prevents theft or misuse of medication
13 Sept 2017Inspection
13 Sept 2017Inspection
Investigated an allegation of abuse reporting failure and found a mandatory reporting violation.
Licensing—Failed to report potential or suspected abuse
06 Aug 2017Abuse: Financial abuse
06 Aug 2017Abuse: Financial abuse
Investigated a financial abuse allegation and found a resident was not protected from theft.
Abuse—Failed to provide safe environment
17 Jul 2017Inspection
17 Jul 2017Inspection
Investigated an allegation of failing to administer medication as ordered and found an inadequate medication system.
Licensing—Failed to administer medication as ordered
07 Jul 2017Inspection
07 Jul 2017Inspection
Found insufficient staffing to meet residents needs.
Licensing—Failed to provide appropriate staffing
19 Jun 2017Inspection
19 Jun 2017Inspection
Investigated an allegation of failing to communicate necessary resident medical information to offsite providers and found a deficiency in communicating resident medical information.
Licensing—Failed to communicate necessary information
19 Jun 2017Inspection
19 Jun 2017Inspection
Found failure to evaluate residents for changes in condition, indicating gaps in oversight and monitoring.
Licensing—Failed to provide oversight and monitoring of change of condition
07 Jun 2017Abuse: Neglect
07 Jun 2017Abuse: Neglect
Determined the allegation of an unsafe environment to be substantiated and found that the resident was not protected.
Abuse—Failed to provide safe environment
01 Jun 2017Abuse: Neglect
01 Jun 2017Abuse: Neglect
Investigated and found a deficiency in maintaining an adequate medication system and administering medication as ordered. A $500 fine was assessed.
Abuse—Failed to administer medication as ordered
25 May 2017Inspection
25 May 2017Inspection
Found a violation for failing to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
13 May 2017Abuse: Neglect
13 May 2017Abuse: Neglect
Investigated a complaint and found deficiencies in the medication system. A fine was assessed.
Abuse—Failed to provide a safe medication administration system
11 May 2017Inspection
11 May 2017Inspection
Investigated and substantiated a medication administration violation.
Licensing—Failed to administer medication as ordered
11 May 2017Inspection
11 May 2017Inspection
Investigated the allegation and found failure to assure that a qualified caregiver was present.
Licensing—Failed to assure that a qualified caregiver was present
11 May 2017Inspection
11 May 2017Inspection
Concluded that medication records were not kept current or accurate.
Licensing—Failed to keep medication record current or accurate
23 Mar 2017Inspection
23 Mar 2017Inspection
Found a violation for failing to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
10 Mar 2017Abuse: Neglect
10 Mar 2017Abuse: Neglect
Investigated an allegation of neglect and found that care planning was not properly followed.
Abuse—Failed to properly plan care
06 Mar 2017Inspection
06 Mar 2017Inspection
Investigated an allegation of improper medication administration and found deficiencies in medication distribution.
Licensing—Failed to administer medication as ordered
02 Mar 2017Inspection
02 Mar 2017Inspection
Investigated the allegation of medication administration in common areas and found it failed to treat residents with dignity and respect.
Licensing—Failed to administer medication as ordered
02 Mar 2017Inspection
02 Mar 2017Inspection
Found that staffing was not provided as required by rule.
Licensing—Failed to provide appropriate staffing
22 Feb 2017Abuse: Neglect
22 Feb 2017Abuse: Neglect
Found neglect due to failure to intervene when a resident's condition changed, resulting in regulatory noncompliance.
Abuse—Failed to intervene when resident's condition changed
08 Feb 2017Abuse: Neglect
08 Feb 2017Abuse: Neglect
Found failure to provide timely medical treatment and inadequate care, with a $300 fine assessed.
Abuse—Failed to assure timely medical treatment
06 Feb 2017Abuse: Neglect
06 Feb 2017Abuse: Neglect
Found the neglect allegation substantiated and identified a deficiency in the medication system. A $200 fine was assessed.
Abuse—Failed to administer medication as ordered
11 May 2016Abuse: Neglect
11 May 2016Abuse: Neglect
Determined that there was a failure to assess and intervene when a resident's condition changed; the allegation was substantiated and a $300 fine assessed.
Abuse—Failed to intervene when resident's condition changed
11 May 2016Abuse: Neglect
11 May 2016Abuse: Neglect
Investigated an allegation of neglect related to medication administration and found an inadequate medication system.
Abuse—Failed to administer medication as ordered
24 Feb 2016Abuse: Neglect
24 Feb 2016Abuse: Neglect
Found failure to provide medical treatment as ordered, resulting in inadequate care.
Abuse—Failed to provide medical treatment as ordered
21 Jan 2016Abuse: Financial abuse
21 Jan 2016Abuse: Financial abuse
Concluded that a safe environment was not provided and theft protection failed.
Abuse—Failed to provide safe environment
19 Jan 2015Inspection
19 Jan 2015Inspection
Found that call lights were not answered in a timely manner.
Licensing—Failed to answer call light in a timely manner
19 Jan 2015Abuse: Neglect
19 Jan 2015Abuse: Neglect
Found neglect for failing to intervene when a resident's condition changed, resulting in untimely medical treatment.
Abuse—Failed to intervene when resident's condition changed
05 Dec 2014Abuse: Neglect
05 Dec 2014Abuse: Neglect
Found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
16 Jul 2014Abuse: Neglect
16 Jul 2014Abuse: Neglect
Found that medication was not administered as ordered. This constitutes a neglect deficiency with minor harm potential.
Abuse—Failed to administer medication as ordered
09 Jul 2012Abuse: Neglect
09 Jul 2012Abuse: Neglect
Investigated an allegation of insufficient oversight of residents' change of condition and found multiple deficiencies affecting health and safety, with a $900 fine assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
25 Jun 2012Inspection
25 Jun 2012Inspection
Investigated an allegation that a call light was not answered promptly. Found a failure to respond to the call light in a timely manner.
Licensing—Failed to answer call light in a timely manner
12 Jun 2012Abuse: Neglect
12 Jun 2012Abuse: Neglect
Found a failure to monitor and intervene when a resident's condition changed. Violations of several rules were identified.
Abuse—Failed to provide oversight and monitoring of change of condition
01 Nov 2011Inspection
01 Nov 2011Inspection
Found that medication was not administered as ordered, indicating a deficiency in medication administration.
Licensing—Failed to provide a safe medication administration system
22 Sept 2011Abuse: Neglect
22 Sept 2011Abuse: Neglect
Concluded that a safe environment was not provided.
Abuse—Failed to address resident's behavior
11 Jul 2011Inspection
11 Jul 2011Inspection
Investigated an allegation that medication was not administered as ordered and identified a deficiency for not following the physician's order.
Licensing—Failed to administer medication as ordered
08 Jan 2011Inspection
08 Jan 2011Inspection
Found that a safe medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
22 Nov 2010Inspection
22 Nov 2010Inspection
Found that a safe medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
30 Oct 2010Abuse: Neglect
30 Oct 2010Abuse: Neglect
Found that medication was not administered as ordered, indicating neglect.
Abuse—Failed to administer medication as ordered
06 Sept 2010Abuse: Neglect
06 Sept 2010Abuse: Neglect
Investigated and found a failure to provide a safe medication administration system.
Abuse—Failed to provide a safe medication administration system
09 Aug 2010Inspection
09 Aug 2010Inspection
Determined that a safety-related deficiency existed due to failure to prevent theft and loss of cash and property.
Licensing—Failed to provide safe environment
24 Jun 2010Inspection
24 Jun 2010Inspection
Investigated allegation and determined that medication records were not kept current and medication was not administered as ordered.
Licensing—Failed to keep medication record current or accurate
04 Feb 2010Abuse: Neglect
04 Feb 2010Abuse: Neglect
Investigated a failure to perform adequate screening or assessment; the allegation was substantiated. A $600 fine was assessed.
Abuse—Failed to perform adequate screening or assessment
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