Meadowlark Senior Living

    181 S 5th St, Lebanon, OR 97355
    • Independent Living
    • Assisted Living

    Welcoming attentive staff, clean community

    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

    1. 5
    2. 4
    3. 3
    4. 2
    5. 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

    Map showing location of Meadowlark Senior Living

    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.

    License number70A297
    StatusActive
    Facility typeAssisted Living Facility
    Capacity95 residents
    LicenseeLebanon Sl LLC
    EffectiveDecember 9th, 2005
    View the official license record

    Inspection Reports

    218

    Reports

    0

    Type A Citations

    0

    Type B Citations

    6

    Complaints

    16

    Years

    30 Jan 2026Inspection
    Found a deficiency in oversight and monitoring of change of condition.
    • LicensingFailed to provide oversight and monitoring of change of condition
    07 Jan 2026Inspection
    Investigated a records accessibility issue and found a deficiency after the Department requested records were not provided.
    • LicensingFailed to make facility or resident records accessible
    10 Oct 2025Abuse: Neglect
    Found abuse by neglect due to failure to properly plan care, placing a resident at risk.
    • AbuseFailed to properly plan care
    06 Oct 2025Abuse: Neglect
    Concluded that failure to plan care created fall risk and constituted abuse by neglect; assessed a $500 fine.
    • AbuseFailed to properly plan care
    01 Oct 2025License Condition
    Determined not in substantial compliance and that the noncompliance placed residents at risk of serious harm.
    • Regulatory ActionFailed to provide safe environment
    05 Sept 2025Change of Owner
    Identified multiple deficiencies related to acuity-based staffing, ABST updates, and building safety and accessibility.
    • DeficiencyAcuity Based Staffing Tool - ABST Time
    • DeficiencyAcuity Based Staffing Tool - Updates & Staffing Plan
    • DeficiencyGeneral Building Exterior
    • DeficiencyGeneral Building Interior
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    • DeficiencyCommon Use Areas: Social
    • DeficiencyPhysical Setting: Individual Accessible
    16 Aug 2025Inspection
    Found a housekeeping services deficiency substantiated after investigation.
    • LicensingFailed to provide appropriate housekeeping services
    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.
    • LicensingFailed to administer medication as ordered
    11 Aug 2025Inspection
    Investigated allegation of failing to follow the care plan; determined a violation of Oregon Administrative Rules.
    • LicensingFailed to follow care plan
    30 Jun 2025Inspection
    Investigated alleged failure to cooperate by not providing requested records. Found the required documents were not provided.
    • LicensingFailed to cooperate with an investigation
    27 Jun 2025Inspection
    Investigated the allegation and found a violation for failing to provide documentation upon request.
    • LicensingFailed to cooperate with an investigation
    27 Jun 2025Inspection
    Investigated the allegation and found a records documentation deficiency.
    • LicensingFailed to cooperate with an investigation
    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.
    • LicensingFailed to cooperate with an investigation
    27 Jun 2025Inspection
    Investigated the allegation of failing to cooperate with an investigation and determined a violation for not providing documentation upon request.
    • LicensingFailed to cooperate with an investigation
    27 Jun 2025Inspection
    Investigated an allegation of failing to cooperate; found documentation requested was not provided as required and no licensing violation occurred.
    • LicensingFailed to cooperate with an investigation
    02 Jun 2025Kitchen
    Observed extensive kitchen sanitation deficiencies and repair needs, including unclean surfaces and improper food storage.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    21 Jan 2025Inspection
    Investigated the failure to provide scheduled showers; documented missed showers and a 13-day gap without a shower.
    • LicensingFailed to follow care plan
    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.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to administer medication as ordered
    14 Aug 2024Complaint
    Found that scheduled showers were not provided for one resident for multiple dates, indicating failure to implement services.
    • DeficiencyService Plan: General
    19 Jul 2024Inspection
    Investigated the allegation of failing to follow the care plan. Found a violation for failure to implement services.
    • LicensingFailed to follow care plan
    10 Jul 2024Inspection
    Determined that there was a violation of Oregon Administrative Rules due to failure to implement services.
    • LicensingFailed to follow care plan
    26 Jun 2024Inspection
    Investigated an allegation of failing to provide appropriate housekeeping services and found a violation of Oregon Administrative Rules.
    • LicensingFailed to provide appropriate housekeeping services
    30 Jan 2024Licensure
    Identified extensive kitchen sanitation and storage deficiencies; follow-up showed substantial compliance.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    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.
    • AbuseFailed to administer medication as ordered
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • LicensingFailed to use an ABST
    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.
    • AbuseFailed to administer medication as ordered
    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.
    • AbuseFailed to provide service
    07 Sept 2023Inspection
    Found violations related to protecting residents from financial exploitation.
    • LicensingFailed to protect resident from financial exploitation
    08 Aug 2023Complaint
    Investigated the complaint and found no deficiencies.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services Meals, Food Sanitation Rule
    08 Aug 2023Complaint
    Investigated and found deficiencies related to disposal of unused, outdated, or discontinued medications and failure to follow medication and treatment orders.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencySystems: Tracking Control Substances
    • DeficiencySystems: Treatment Orders
    04 Aug 2023Abuse: Neglect
    Found violations for neglect due to inadequate care planning and fall prevention, resulting in multiple falls and related discomfort.
    • AbuseFailed to provide service
    01 Aug 2023Inspection
    Found that three daily nutritious meals with snacks were not provided seven days a week.
    • LicensingFailed to provide proper food/nutrition
    21 Jun 2023Inspection
    Investigated an allegation of failing to administer medication as ordered and found a violation of Oregon Administrative Rules.
    • LicensingFailed to administer medication as ordered
    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.
    • LicensingFailed to provide a safe medication administration system
    01 Jun 2023Abuse: Neglect
    Investigated the complaint and found deficiencies in falls care planning that led to a fall with injuries.
    • AbuseFailed to properly plan care
    26 May 2023Inspection
    Investigated and found a failure to provide a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    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.
    • LicensingFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide service
    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.
    • LicensingFailed to submit timely or adequate staffing documentation
    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.
    • AbuseFailed to administer medication as ordered
    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.
    • LicensingFailed to protect resident from verbal abuse
    13 Mar 2023License Condition
    Found failure to use an Acuity Based Staffing Tool as required.
    • Regulatory ActionFailed to use an ABST
    24 Feb 2023Complaint
    Investigated and found deficiencies in carrying out medications as prescribed and in fully implementing an acuity-based staffing tool.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencySystems: Treatment Orders
    • DeficiencyAcuity-Based Staffing Tool
    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.
    • LicensingFailed to provide a safe medication administration system
    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.
    • AbuseFailed to administer medication as ordered
    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.
    • AbuseFailed to provide service
    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.
    • LicensingFailed to use an ABST
    05 Feb 2023Inspection
    Found a violation for failing to administer medications as ordered.
    • LicensingFailed to administer medication as ordered
    27 Jan 2023Licensure
    Identified extensive sanitation and maintenance deficiencies in the kitchen, with a subsequent visit showing substantial compliance.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    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.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyAcuity-Based Staffing Tool
    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.
    • AbuseFailed to administer medication as ordered
    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.
    • AbuseFailed to administer medication as ordered
    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.
    • AbuseFailed to provide service
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide service
    28 Nov 2022Abuse: Neglect
    Found care planning and services did not meet the resident's needs, leading to multiple unwitnessed falls and an injury.
    • AbuseFailed to provide service
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • LicensingFailed to administer medication as ordered
    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.
    • AbuseFailed to properly plan care
    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.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencySystems: Treatment Orders
    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.
    • AbuseFailed to provide safe environment
    29 Aug 2022Inspection
    Investigated a medication administration allegation and identified noncompliance with prescribed orders.
    • LicensingFailed to administer medication as ordered
    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.
    • LicensingFailed to submit timely or adequate staffing documentation
    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.
    • LicensingFailed to submit timely or adequate staffing documentation
    01 Jun 2022Inspection
    Investigated the staffing documentation allegation and found failure to submit timely or adequate staffing records. A $7,500 fine was assessed.
    • LicensingFailed to submit timely or adequate staffing documentation
    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.
    • AbuseFailed to intervene when resident's condition changed
    16 May 2022Inspection
    Found interior materials and surfaces were not kept clean.
    • LicensingFailed to assure resident rights
    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.
    • LicensingFailed to submit timely or adequate staffing documentation
    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.
    • AbuseFailed to provide service
    28 Mar 2022Abuse: Neglect
    Identified neglect and abuse due to failure to provide necessary services, resulting in hospitalization after a resident’s fall.
    • AbuseFailed to provide service
    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 ActionFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to provide service
    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.
    • AbuseFailed to provide a safe medication administration system
    10 Feb 2022Abuse: Neglect
    Determined that a resident was financially exploited, with medication taken for personal use, constituting abuse and neglect.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to protect resident from financial exploitation
    10 Feb 2022Abuse: Neglect
    Investigated found a staff member exploited a resident by stealing medications; a fine was assessed.
    • AbuseFailed to protect resident from financial exploitation
    10 Feb 2022Abuse: Neglect
    Investigated and determined that a staff member exploited a resident by taking prescribed medication; a $1,000 fine was assessed.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide a safe medication administration system
    10 Feb 2022Abuse: Neglect
    Found that a staff member exploited a resident financially, resulting in abuse and neglect findings and a $1000 fine assessed.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to protect resident from financial exploitation
    10 Feb 2022Abuse: Neglect
    Identified a failure to maintain a safe medication administration system, which led to narcotics theft and neglect/abuse.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to provide a safe medication administration system
    10 Feb 2022Abuse: Neglect
    Found a deficient medication administration system that allowed theft and financial exploitation, with inadequate oversight of the medication process.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    10 Feb 2022Abuse: Neglect
    Investigated and found neglect and abuse due to an unsafe medication administration system, with a $1,000 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    10 Feb 2022Abuse: Neglect
    Found deficiencies in the medication administration system that allowed theft of narcotics and assessed a $1,000 fine.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to provide service
    23 Jan 2022Abuse: Neglect
    Found neglect due to failure to provide timely medical treatment, resulting in hospitalization for a serious infection.
    • AbuseFailed to assure timely medical treatment
    20 Jan 2022Abuse: Neglect
    Identified failures to provide appropriate services and maintain safety, resulting in numerous unwitnessed falls and injuries.
    • AbuseFailed to provide service
    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.
    • AbuseFailed to provide safe environment
    19 Oct 2021Abuse: Neglect
    Found deficiencies in care planning for a resident's behavior, leading to poor hygiene and infections.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to protect resident from verbal abuse
    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.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to provide a safe medication administration system
    19 Jun 2021Inspection
    Determined that retaliation occurred after a resident voiced a grievance.
    • LicensingRetaliated against resident/complainant
    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.
    • AbuseFailed to properly plan care
    01 May 2021Abuse: Neglect
    Found inadequate medical supplies led to discomfort and loss of personal dignity, constituting neglect and abuse.
    • AbuseFailed to assure adequate supply or equipment
    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.
    • AbuseFailed to intervene when resident's condition changed
    28 Jul 2020Abuse: Neglect
    Found neglect and abuse due to failure to assist with toileting, causing chronic wounds from incontinence; a fine was assessed.
    • AbuseFailed to assist with toileting
    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.
    • AbuseFailed to follow care plan
    24 Sept 2019Abuse: Neglect
    Found neglect of a resident resulting in risk of serious harm and assessed a $500 fine.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide safe environment
    13 Jun 2019Abuse: Neglect
    Found neglect for failing to provide basic security, resulting in the theft of a resident's personal items.
    • AbuseFailed to protect resident from financial exploitation
    10 Jun 2019Inspection
    Found that residents could not have visitors of their choosing at any time, violating visitation rights.
    • LicensingFailed to assure resident rights
    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.
    • AbuseFailed to protect resident from financial exploitation
    23 May 2019Abuse: Neglect
    Found neglect that led to financial loss to a resident through theft, with a fine assessed.
    • AbuseFailed to protect resident from financial exploitation
    03 May 2019Inspection
    Found a violation related to medication administration as ordered.
    • LicensingFailed to administer medication as ordered
    22 Apr 2019Inspection
    Found insufficient direct care staffing to meet residents' scheduled and unscheduled needs, resulting in long call light wait times.
    • LicensingFailed to answer call light in a timely manner
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to care plan in accordance with assessment
    24 Feb 2019Inspection
    Investigated the allegation and found a failure to report suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    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.
    • AbuseFailed to follow care plan
    22 Dec 2018Abuse: Financial abuse
    Found that medication records were not kept current and basic care was neglected, risking serious harm.
    • AbuseFailed to keep medication record current or accurate
    28 Nov 2018Abuse: Neglect
    Found neglect related to not administering medication as ordered, resulting in risk of serious harm.
    • AbuseFailed to administer medication as ordered
    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.
    • AbuseFailed to provide safe environment
    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.
    • LicensingFailed to administer medication as ordered
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to assist with toileting
    26 Oct 2018Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    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.
    • AbuseFailed to provide a safe medication administration system
    23 Oct 2018Abuse: Neglect
    Investigated a neglect allegation and found substantiated neglect, resulting in a $500 fine.
    • AbuseFailed to administer ordered medication
    23 Oct 2018Inspection
    Investigated and found a failure to report suspected abuse, resulting in a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    23 Oct 2018Inspection
    Investigated the allegation and found failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    22 Oct 2018Inspection
    Concluded that the call light was not answered in a timely manner.
    • LicensingFailed to answer call light in a timely manner
    22 Oct 2018Abuse: Neglect
    Found neglect by failing to provide basic care and safety, resulting in harm; assessed a $500 fine.
    • AbuseFailed to administer ordered medication
    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.
    • LicensingFailed to administer medication as ordered
    18 Oct 2018Inspection
    Investigated a pest-control allegation and found bed bugs entered and were spreading.
    • LicensingFailed to control pests
    11 Oct 2018Inspection
    Found a deficiency for failing to update or follow the resident service plan after a change in condition.
    • LicensingFailed to provide oversight and monitoring of change of condition
    06 Oct 2018Inspection
    Determined that basic care and safety were not provided, resulting in unreasonable discomfort.
    • LicensingFailed to provide service
    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.
    • AbuseFailed to provide a safe medication administration system
    01 Oct 2018Inspection
    Found the licensee failed to report suspected abuse; a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    15 Sept 2018Abuse: Neglect
    Investigated and found that a staff member failed to prevent a medication administration error, risking serious harm to a resident.
    • AbuseFailed to administer ordered medication
    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.
    • AbuseFailed to administer ordered medication
    01 Sept 2018Inspection
    Determined that there was a failure to report suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    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.
    • AbuseFailed to adequately care plan related to falls
    12 Aug 2018Inspection
    Identified a failure to report suspected abuse. A $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    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.
    • AbuseFailed to administer ordered medication
    17 Jul 2018Inspection
    Investigated and found a failure to report suspected abuse, with a $1,000 fine assessed.
    • LicensingFailed to report potential or suspected abuse
    17 Jul 2018Abuse: Neglect
    Investigated a neglect allegation and found failure to answer a call light promptly and provide appropriate care.
    • AbuseFailed to answer call light in a timely manner
    12 Jul 2018Abuse: Neglect
    Investigated an abuse/neglect allegation; found neglectful care that risked serious harm, and a $2,500 fine was assessed.
    • AbuseFailed to provide appropriate skin care
    09 Jul 2018Inspection
    Investigated and found that suspected abuse was not reported, and a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    01 Jun 2018Inspection
    Investigated an allegation of failing to administer medication as ordered; found deficiencies in the medication system and assessed a $375 fine.
    • LicensingFailed to administer medication as ordered
    10 Mar 2018Inspection
    Found a deficient medication administration system that could cause harm.
    • LicensingFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide medical treatment as ordered
    26 Jan 2018Inspection
    Investigated an allegation of failing to report potential or suspected abuse and assessed a $1,000 civil penalty. Violations cited.
    • LicensingFailed to report potential or suspected abuse
    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.
    • AbuseFailed to provide service
    10 Jan 2018Inspection
    Found a licensing violation for failing to report potential or suspected abuse and assessed a $750 civil penalty.
    • LicensingFailed to report potential or suspected abuse
    09 Dec 2017Abuse: Neglect
    Concluded that the care plan was not followed, resulting in inadequate care and serious risk.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to administer medication as ordered
    23 Oct 2017Abuse: Neglect
    Identified a deficiency for failing to follow the care plan and for not providing a secure environment.
    • AbuseFailed to follow care plan
    17 Oct 2017Inspection
    Found failure to administer medication as ordered and an inadequate medication system.
    • LicensingFailed to administer medication as ordered
    01 Oct 2017Abuse: Neglect
    Found failure to administer medications as ordered and an inadequate medication system; a $500 fine was assessed.
    • AbuseFailed to administer medication as ordered
    27 Sept 2017Inspection
    Investigated the allegation and found a failure to maintain an adequate medication system.
    • LicensingFailed to provide a safe medication administration system
    15 Sept 2017Abuse: Neglect
    Investigated a neglect allegation of not following a care plan; findings showed inadequate care provided to a resident.
    • AbuseFailed to follow care plan
    15 Sept 2017Abuse: Financial abuse
    Investigated the financial abuse allegation and found a failure to maintain an adequate medication system.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    13 Sept 2017Inspection
    Investigated an allegation of abuse reporting failure and found a mandatory reporting violation.
    • LicensingFailed to report potential or suspected abuse
    06 Aug 2017Abuse: Financial abuse
    Investigated a financial abuse allegation and found a resident was not protected from theft.
    • AbuseFailed to provide safe environment
    17 Jul 2017Inspection
    Investigated an allegation of failing to administer medication as ordered and found an inadequate medication system.
    • LicensingFailed to administer medication as ordered
    07 Jul 2017Inspection
    Found insufficient staffing to meet residents needs.
    • LicensingFailed to provide appropriate staffing
    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.
    • LicensingFailed to communicate necessary information
    19 Jun 2017Inspection
    Found failure to evaluate residents for changes in condition, indicating gaps in oversight and monitoring.
    • LicensingFailed to provide oversight and monitoring of change of condition
    07 Jun 2017Abuse: Neglect
    Determined the allegation of an unsafe environment to be substantiated and found that the resident was not protected.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to administer medication as ordered
    25 May 2017Inspection
    Found a violation for failing to provide a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    13 May 2017Abuse: Neglect
    Investigated a complaint and found deficiencies in the medication system. A fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    11 May 2017Inspection
    Investigated and substantiated a medication administration violation.
    • LicensingFailed to administer medication as ordered
    11 May 2017Inspection
    Investigated the allegation and found failure to assure that a qualified caregiver was present.
    • LicensingFailed to assure that a qualified caregiver was present
    11 May 2017Inspection
    Concluded that medication records were not kept current or accurate.
    • LicensingFailed to keep medication record current or accurate
    23 Mar 2017Inspection
    Found a violation for failing to provide a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    10 Mar 2017Abuse: Neglect
    Investigated an allegation of neglect and found that care planning was not properly followed.
    • AbuseFailed to properly plan care
    06 Mar 2017Inspection
    Investigated an allegation of improper medication administration and found deficiencies in medication distribution.
    • LicensingFailed to administer medication as ordered
    02 Mar 2017Inspection
    Investigated the allegation of medication administration in common areas and found it failed to treat residents with dignity and respect.
    • LicensingFailed to administer medication as ordered
    02 Mar 2017Inspection
    Found that staffing was not provided as required by rule.
    • LicensingFailed to provide appropriate staffing
    22 Feb 2017Abuse: Neglect
    Found neglect due to failure to intervene when a resident's condition changed, resulting in regulatory noncompliance.
    • AbuseFailed to intervene when resident's condition changed
    08 Feb 2017Abuse: Neglect
    Found failure to provide timely medical treatment and inadequate care, with a $300 fine assessed.
    • AbuseFailed to assure timely medical treatment
    06 Feb 2017Abuse: Neglect
    Found the neglect allegation substantiated and identified a deficiency in the medication system. A $200 fine was assessed.
    • AbuseFailed to administer medication as ordered
    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.
    • AbuseFailed to intervene when resident's condition changed
    11 May 2016Abuse: Neglect
    Investigated an allegation of neglect related to medication administration and found an inadequate medication system.
    • AbuseFailed to administer medication as ordered
    24 Feb 2016Abuse: Neglect
    Found failure to provide medical treatment as ordered, resulting in inadequate care.
    • AbuseFailed to provide medical treatment as ordered
    21 Jan 2016Abuse: Financial abuse
    Concluded that a safe environment was not provided and theft protection failed.
    • AbuseFailed to provide safe environment
    19 Jan 2015Inspection
    Found that call lights were not answered in a timely manner.
    • LicensingFailed to answer call light in a timely manner
    19 Jan 2015Abuse: Neglect
    Found neglect for failing to intervene when a resident's condition changed, resulting in untimely medical treatment.
    • AbuseFailed to intervene when resident's condition changed
    05 Dec 2014Abuse: Neglect
    Found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    16 Jul 2014Abuse: Neglect
    Found that medication was not administered as ordered. This constitutes a neglect deficiency with minor harm potential.
    • AbuseFailed to administer medication as ordered
    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.
    • AbuseFailed to provide oversight and monitoring of change of condition
    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.
    • LicensingFailed to answer call light in a timely manner
    12 Jun 2012Abuse: Neglect
    Found a failure to monitor and intervene when a resident's condition changed. Violations of several rules were identified.
    • AbuseFailed to provide oversight and monitoring of change of condition
    01 Nov 2011Inspection
    Found that medication was not administered as ordered, indicating a deficiency in medication administration.
    • LicensingFailed to provide a safe medication administration system
    22 Sept 2011Abuse: Neglect
    Concluded that a safe environment was not provided.
    • AbuseFailed to address resident's behavior
    11 Jul 2011Inspection
    Investigated an allegation that medication was not administered as ordered and identified a deficiency for not following the physician's order.
    • LicensingFailed to administer medication as ordered
    08 Jan 2011Inspection
    Found that a safe medication administration system was not provided.
    • LicensingFailed to provide a safe medication administration system
    22 Nov 2010Inspection
    Found that a safe medication administration system was not provided.
    • LicensingFailed to provide a safe medication administration system
    30 Oct 2010Abuse: Neglect
    Found that medication was not administered as ordered, indicating neglect.
    • AbuseFailed to administer medication as ordered
    06 Sept 2010Abuse: Neglect
    Investigated and found a failure to provide a safe medication administration system.
    • AbuseFailed to provide a safe medication administration system
    09 Aug 2010Inspection
    Determined that a safety-related deficiency existed due to failure to prevent theft and loss of cash and property.
    • LicensingFailed to provide safe environment
    24 Jun 2010Inspection
    Investigated allegation and determined that medication records were not kept current and medication was not administered as ordered.
    • LicensingFailed to keep medication record current or accurate
    04 Feb 2010Abuse: Neglect
    Investigated a failure to perform adequate screening or assessment; the allegation was substantiated. A $600 fine was assessed.
    • AbuseFailed to perform adequate screening or assessment

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