Pricing ranges from
    $3,995 – 5,995/month

    Meadowlark Senior Living

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

    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

    4.33·(70)

    Overall rating

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

      4.1
    • Staff

      4.4
    • Meals

      3.4
    • Amenities

      4.5
    • Value

      1.3

    Pros

    • Compassionate, attentive caregivers and nursing staff
    • Helpful move-in coordination and personalized family support
    • Timely family updates and accessible staff
    • Residents’ friendships and welcoming community atmosphere
    • Engaging events, classes, games, and visiting animals
    • Spacious apartments and independent-living cottages
    • Laundry and housekeeping services
    • Pet-friendly options and resident independence
    • Clean, attractive interiors and inviting common areas
    • Reported improvements in leadership, staffing, and meal service

    Cons

    • Inconsistent meal quality, temperature, portions, and menu flexibility
    • Staffing shortages and delayed assistance at times
    • Medication-administration training and reliability concerns
    • Uneven housekeeping and property-maintenance follow-through
    • Activity-calendar reliability and limited evening programming
    • Inconsistent management communication and employee-treatment practices

    Summary of reviews

    Experiences at Meadowlark vary considerably, with many residents and families describing warm, attentive care and others raising concerns about service consistency. Positive accounts emphasize kind caregivers, helpful nurses, and staff who notice residents’ needs. Families also value practical support during move-in, assistance with care transitions, and regular updates. However, some accounts describe staffing shortages, delayed help, and concerns about medication-administration training and reliability. These differing experiences suggest that care and responsiveness may not be consistent across shifts or periods.

    Dining is a notably mixed area. Some residents enjoy the meals, variety, and restaurant-like setting, and several describe improvement over time. Other accounts cite cold or late meals, small portions, limited alternatives, and food that does not meet their expectations for freshness or dietary suitability. One reviewer also raised a concern about food-handling practices; the available accounts do not establish how widespread that concern is.

    Residents and visitors often praise the activity program, including games, exercise, classes, seasonal events, and visits from animals. The events appear to contribute to social connection and a lively community atmosphere. At the same time, some residents describe limited evening options or a gap between the published activity calendar and what takes place, so programming may be more satisfying at certain times than others.

    The physical environment is frequently described as attractive, spacious, and welcoming, with large apartments, cottages, and useful services such as laundry and housekeeping. Other accounts describe inconsistent housekeeping, delayed repairs, and grounds that need attention. Residents’ impressions of cleanliness also differ, making an in-person visit useful for assessing current conditions in the areas most relevant to a prospective resident.

    Management is a recurring theme, with multiple accounts describing positive changes following new ownership or leadership, including improvements to the building, staffing, and dining. Families also praise approachable staff who guide them through admissions and placement. By contrast, some accounts raise concerns about management communication and employee treatment, and older negative reviews describe operational problems. Overall, the reviews present a community with strong interpersonal and social strengths and reported improvement, alongside continuing questions about consistency in staffing, meals, maintenance, and daily operations.

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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 46 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

    231

    Reports

    0

    Type A Citations

    0

    Type B Citations

    6

    Complaints

    16

    Years

    28 May 2026Inspection
    Found a housekeeping deficiency related to interior cleanliness and odors after investigating the allegation.
    • Licensing—Failed to provide appropriate housekeeping services
    08 Apr 2026Inspection
    Found a deficiency for not maintaining cleanliness and sanitation and for unpleasant odors.
    • Licensing—Failed to provide appropriate housekeeping services
    30 Jan 2026Inspection
    Found a deficiency in oversight and monitoring of change of condition.
    • Licensing—Failed to provide oversight and monitoring of change of condition
    25 Jan 2026Abuse: Neglect
    Found abuse by neglect due to failure to properly plan care and safety interventions. A $500 fine was assessed.
    • Abuse—Failed to properly plan care
    25 Jan 2026Abuse: Neglect
    Investigated a resident care incident and found that suitable interventions were not developed or implemented, resulting in a head injury; a $500 fine was assessed for abuse by neglect.
    • Abuse—Failed to properly plan care
    25 Jan 2026Abuse: Neglect
    Determined that abuse by neglect occurred due to failure to develop and implement suitable interventions to protect a resident with a history of falls. A $500 fine was assessed.
    • Abuse—Failed to properly plan care
    25 Jan 2026Abuse: Neglect
    Found abuse by neglect due to failure to develop and implement suitable fall interventions for a resident, which led to a fall and EMS transport; a $500 fine was assessed.
    • Abuse—Failed to properly plan care
    21 Jan 2026Abuse: Neglect
    Found abuse by neglect due to unsafe medication administration and medication unavailability, causing pain to the resident; a fine was assessed.
    • Abuse—Failed to administer medication as ordered
    07 Jan 2026Inspection
    Investigated a records accessibility issue and found a deficiency after the Department requested records were not provided.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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 Action—Failed to provide safe environment
    05 Sept 2025Change of Owner
    Identified multiple deficiencies related to acuity-based staffing, ABST updates, and building safety and accessibility.
    • Deficiency—Acuity Based Staffing Tool - ABST Time
    • Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
    • Deficiency—General Building Exterior
    • Deficiency—General Building Interior
    • Deficiency—General Building: Doors-Walls, Cleanable
    • Deficiency—Common Use Areas: Social
    • Deficiency—Physical Setting: Individual Accessible
    16 Aug 2025Inspection
    Found a housekeeping services deficiency substantiated after investigation.
    • Licensing—Failed 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.
    • Licensing—Failed to administer medication as ordered
    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
    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
    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
    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
    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
    Investigated the allegation and found a records documentation deficiency.
    • Licensing—Failed 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.
    • Licensing—Failed to cooperate with an investigation
    02 Jun 2025Kitchen
    Observed extensive kitchen sanitation deficiencies and repair needs, including unclean surfaces and improper food storage.
    • Deficiency—Resident 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.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Deficiency—Service Plan: General
    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
    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
    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
    30 Jan 2024Licensure
    Identified extensive kitchen sanitation and storage deficiencies; follow-up showed substantial compliance.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Inspections 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed to provide service
    07 Sept 2023Inspection
    Found violations related to protecting residents from financial exploitation.
    • Licensing—Failed to protect resident from financial exploitation
    08 Aug 2023Complaint
    Investigated the complaint and found no deficiencies.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Resident 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.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Systems: Tracking Control Substances
    • Deficiency—Systems: 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.
    • Abuse—Failed to provide service
    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
    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
    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
    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
    Investigated and found a failure to provide a safe medication administration system.
    • Licensing—Failed 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.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Licensing—Failed to protect resident from verbal abuse
    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
    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 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
    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
    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
    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
    Found a violation for failing to administer medications as ordered.
    • Licensing—Failed to administer medication as ordered
    27 Jan 2023Licensure
    Identified extensive sanitation and maintenance deficiencies in the kitchen, with a subsequent visit showing substantial compliance.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Inspections 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.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Acuity-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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Systems: 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.
    • Abuse—Failed to provide safe environment
    29 Aug 2022Inspection
    Investigated a medication administration allegation and identified noncompliance with prescribed orders.
    • Licensing—Failed 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.
    • Licensing—Failed 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.
    • Licensing—Failed 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.
    • Licensing—Failed 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.
    • Abuse—Failed to intervene when resident's condition changed
    16 May 2022Inspection
    Found interior materials and surfaces were not kept clean.
    • Licensing—Failed 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.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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 Action—Failed 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.
    • Abuse—Failed to provide safe environment
    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
    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
    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
    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
    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
    Investigated found a failure to provide a safe medication administration system and inadequate oversight that led to theft of narcotics. Staff actions were identified as neglect and abuse.
    • Abuse—Failed to provide a safe medication administration system
    10 Feb 2022Abuse: Neglect
    Determined that a staff member exploited a resident financially and took the resident's medication, resulting in findings of abuse and neglect and a $1,000 fine.
    • Abuse—Failed to protect resident from financial exploitation
    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
    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
    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
    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
    Investigated and found violations in the medication administration system that allowed theft; assessed a $1,000 fine.
    • Abuse—Failed to provide a safe medication administration system
    10 Feb 2022Abuse: Neglect
    Investigated findings showed a deficient medication administration system that allowed theft and neglect by staff. A $1,000 fine was assessed.
    • Abuse—Failed to provide a safe medication administration system
    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
    Investigated a financial exploitation allegation and found that a staff member signed out and took a resident’s medication for personal use, violating multiple rules and resulting in a fine.
    • Abuse—Failed to protect resident from financial exploitation
    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
    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
    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
    Found that a staff member exploited a resident by taking medication, resulting in abuse and neglect; a $1,000 fine was assessed.
    • Abuse—Failed to protect resident from financial exploitation
    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
    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
    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
    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
    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
    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
    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
    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
    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
    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
    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
    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
    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
    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
    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
    Investigated found a staff member exploited a resident by stealing medications; a fine was assessed.
    • Abuse—Failed 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.
    • Abuse—Failed to provide service
    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
    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
    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
    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
    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
    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
    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
    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
    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
    Determined that retaliation occurred after a resident voiced a grievance.
    • Licensing—Retaliated 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.
    • Abuse—Failed to properly plan care
    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
    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
    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
    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
    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
    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
    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
    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
    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
    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
    Found a violation related to medication administration as ordered.
    • Licensing—Failed 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.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed to provide a safe medication administration system
    24 Feb 2019Inspection
    Investigated the allegation and found a failure to report suspected abuse.
    • Licensing—Failed to report potential or suspected abuse
    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
    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
    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
    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
    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 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
    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
    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
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • Licensing—Failed 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.
    • Abuse—Failed to provide a safe medication administration system
    23 Oct 2018Inspection
    Investigated the allegation and found failure to provide a safe environment.
    • Licensing—Failed to provide safe environment
    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
    Investigated and found a failure to report suspected abuse, resulting in a $1,000 fine.
    • Licensing—Failed to report potential or suspected abuse
    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
    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
    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
    Investigated a pest-control allegation and found bed bugs entered and were spreading.
    • Licensing—Failed to control pests
    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
    Determined that basic care and safety were not provided, resulting in unreasonable discomfort.
    • Licensing—Failed 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.
    • Abuse—Failed to provide a safe medication administration system
    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
    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 2018Inspection
    Determined that there was a failure to report suspected abuse.
    • Licensing—Failed to report potential or suspected abuse
    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
    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
    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
    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 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
    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
    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
    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
    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
    Found a deficient medication administration system that could cause harm.
    • Licensing—Failed to provide a safe medication administration system
    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
    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
    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
    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
    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
    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
    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
    Found failure to administer medication as ordered and an inadequate medication system.
    • Licensing—Failed 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.
    • Abuse—Failed to administer medication as ordered
    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
    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
    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
    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
    Investigated a financial abuse allegation and found a resident was not protected from theft.
    • Abuse—Failed to provide safe environment
    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
    Found insufficient staffing to meet residents needs.
    • Licensing—Failed 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.
    • Licensing—Failed to communicate necessary information
    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
    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
    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
    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
    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
    Concluded that medication records were not kept current or accurate.
    • Licensing—Failed to keep medication record current or accurate
    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
    Investigated and substantiated a medication administration violation.
    • Licensing—Failed to administer medication as ordered
    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
    Investigated an allegation of neglect and found that care planning was not properly followed.
    • Abuse—Failed to properly plan care
    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
    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
    Found that staffing was not provided as required by rule.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed to administer medication as ordered
    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
    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
    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
    Concluded that a safe environment was not provided and theft protection failed.
    • Abuse—Failed to provide safe environment
    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
    19 Jan 2015Inspection
    Found that call lights were not answered in a timely manner.
    • Licensing—Failed to answer call light in a timely manner
    05 Dec 2014Abuse: Neglect
    Found a failure to provide a safe environment.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Abuse—Failed 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.
    • Licensing—Failed 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.
    • Abuse—Failed 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.
    • Licensing—Failed to provide a safe medication administration system
    22 Sept 2011Abuse: Neglect
    Concluded that a safe environment was not provided.
    • Abuse—Failed 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.
    • Licensing—Failed to administer medication as ordered
    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
    Found that a safe medication administration system was not provided.
    • Licensing—Failed to provide a safe medication administration system
    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
    Investigated and found a failure to provide a safe medication administration system.
    • Abuse—Failed 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.
    • Licensing—Failed 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.
    • Licensing—Failed 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.
    • Abuse—Failed to perform adequate screening or assessment

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