Pricing ranges from
    $6,200 – 8,060/month

    Kinsington Oak Grove

    77 Oak Grove Rd, Medford, OR 97501
    • Assisted Living
    • Memory Care

    Caring staff, clean cottages, recommended

    I placed my mom here and I'm very happy with the caring, professional staff and attentive administration - communication via evaluation sheets made the move-in quick and smooth. The brand-new, very clean cottages, spacious common rooms, patio/garden and peaceful country setting are lovely, and the memory-care and hospice teams were compassionate and approachable. Overall a very good, family-friendly community I would recommend.

    Loved one of resident
    Jul 2026

    Pricing

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

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • 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
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    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

    3.56·(36)

    Overall rating

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

      3.7
    • Staff

      3.6
    • Meals

      3.6
    • Amenities

      4.2
    • Value

      1.5

    Pros

    • Compassionate and attentive caregivers
    • Knowledgeable nursing and clinical team
    • Clean, new, and well-maintained facility
    • Nutritious meals and family-friendly dining environment
    • Strong memory-care programming and dementia support
    • Engaging activities (bingo, gardening, social events)
    • Responsive admissions and move-in assistance
    • Spacious resident rooms and accessible outdoor patios
    • Organized infection-control isolation areas
    • Supportive hospice and end-of-life comfort care

    Cons

    • Inconsistent staff training and clinical experience
    • Variable responsiveness to acute clinical needs
    • Inconsistent application and documentation of policies
    • Restrictive or inconsistently enforced visitation practices
    • Communication gaps with families and powers of attorney
    • Inconsistent personal-care and laundry processes
    • Sanitation concerns in specific areas
    • Billing and proration inconsistencies
    • Facility layout that limits cross-wing social interaction
    • Variable management professionalism and tone

    Summary of reviews

    Overall impression: Reviews present a mixed but clear pattern: the facility is frequently praised for its caring front‑line staff, new and clean environment, and structured memory-care programming, while operational and administrative inconsistencies create notable family concerns. Many families describe strong one‑on‑one caregiver relationships, attentive clinical staff members, timely admissions and move‑in assistance, and pleasant communal spaces such as patios and dining areas. The newer building, tidy rooms, and organized isolation areas are repeatedly highlighted as facility strengths.

    Care and clinical staffing: Care quality is described in polarized terms. Numerous accounts commend compassionate caregivers, knowledgeable med‑techs, and an approachable clinical team, particularly in memory‑care and hospice contexts. At the same time, reviewers identify uneven clinical experience across shifts and request more consistent registered nurse coverage and training. Several reviews indicate delays or uneven responses during acute events, which suggests variability in staff skill mix and emergency-response processes.

    Dining and activities: Food and dining receive generally positive comments: meals are described as appealing and dining setup is family‑friendly. Activities such as bingo, gardening, and social events are available and valued by residents. Some families call out occasional inconsistency in menu choices or snack policies, indicating room for standardizing nutrition and snack protocols, especially when dietary restrictions are present.

    Facility and environment: The facility's physical plant is a clear asset—new wings, clean rooms, spacious cottage interiors, and outdoor patios are repeatedly noted. However, the building layout (segmented wings and long hallways) can limit social interaction and make it harder for some residents to integrate across units. A few reviewers raised sanitation concerns in specific areas and inconsistencies in personal‑care processes (laundry, dressing), indicating operational gaps that should be monitored.

    Management, communication, and policies: Administrative themes are the most divided. Positive accounts reference organized management, helpful follow‑up, and clear evaluation sheets for family communication. Conversely, other families report inconsistent policy documentation, abrupt policy changes, and communication lapses with proxies/POAs. Visitation policies emerge as a recurring operational tension: some families experienced supportive, flexible access while others describe restrictive or inconsistently enforced rules during sensitive periods. There are also isolated concerns about billing/proration and the professionalism or tone of front‑office interactions.

    Notable patterns and considerations: The overall pattern is one of strong caregiving capacity tempered by uneven operational consistency. Prospective families should consider clarifying staff‑to‑resident ratios and nurse coverage per shift, asking for current policy documents (visitation, snack/food policies, incident reporting), and confirming billing/proration procedures in writing. Given the divergence in experiences around end‑of‑life access and communication, families with specific expectations about visitation and hospice should discuss those expectations with management and have them documented. The facility's strengths in memory care, cleanliness, and activities are meaningful, but operational consistency—particularly in clinical responsiveness, policy documentation, and family communication—appears to be the primary area for ongoing attention.

    Reviews written on Mirador

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    Location

    Map showing location of Kinsington Oak Grove

    Kinsington Oak Grove is located at 77 Oak Grove Rd, Medford, OR, 97501.

    About Kinsington Oak Grove

    Kinsington Oak Grove sits on the corner of West Main and Oak Grove in Medford, Oregon, where the quiet location helps seniors feel at ease, especially those living with dementia or Alzheimer's. This memory care community serves older adults with a safe, home-like environment, and the place stands out a bit with its three private cottages and 60 memory care beds, all designed with safety and comfort in mind. Staff offer round-the-clock care, so residents always have help when they need it, whether it's for feeding, hygiene, or moving around. You'll notice the rooms and common areas feel spacious and are easy to get around in, which really helps reduce anxiety for people who get confused sometimes. There are outdoor patios and garden areas so people can spend time outside safely, and meals are always cooked at home and served family style, so folks can eat together like a family-sometimes with their own family visiting, too, since visits happen in a peaceful setting.

    Kinsington Oak Grove offers assisted living, independent living, nursing, and continuing care services, but memory care takes the main focus, with everything tailored for seniors with memory problems. The team here gets extensive training in memory care, and you'll find they're known for being compassionate and honest, making sure everyone feels like part of the caregiving family. Staff give personal attention and keep families updated, emphasizing clear communication and support. Activities happen every day to keep residents active and socially engaged, even if someone needs a bit more help or support. The entire community runs under a flat, all-inclusive rate, which means you won't see any complicated point systems, and the place can accommodate residents with Medicaid-there's no limit on the number of Medicaid spots. Everything aims to support a safe, dignified, and comfortable home for people as they age. Being one of the newest memory care places in Medford, the facility uses modern safety features all through these private cottages, and you can always count on a warm atmosphere that puts well-being and independence at the center, even as needs change over time.

    People often ask...

    Kinsington Oak Grove offers competitive pricing, with rates starting at a cost of $6,200 per month.

    Kinsington Oak Grove offers assisted living and memory care.

    There are 96 photos of Kinsington Oak Grove on Mirador.

    The full address for this community is 77 Oak Grove Rd, Medford, OR 97501.

    No, Kinsington Oak Grove 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 number50R486
    StatusActive
    Facility typeResidential Care Facility
    Capacity60 residents
    LicenseeKinsington Oak Grove 2, LLC
    EffectiveMarch 2nd, 2020
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    91

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    6

    Years

    26 Feb 2026Abuse: Neglect
    Identified neglect and abuse due to a rear gate left open, allowing a resident to leave the secure area; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    18 Nov 2025Kitchen
    Found widespread deficiencies in kitchen cleanliness and food sanitation, with several areas needing cleaning and repairs. Administration compliance issues were also noted.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    28 Oct 2025Inspection
    Investigated a complaint and determined that neglect occurred and that the care plan was not followed, with a gait belt used contrary to the plan and causing bruising.
    • LicensingFailed to follow care plan
    28 Oct 2025Inspection
    Investigated a medication administration incident and found that a staff member mixed the resident's medication into a meal and left it unattended, causing the resident not to receive prescribed medications. Deficiencies in the medication administration system and neglect were identified.
    • LicensingFailed to administer medication as ordered
    28 Oct 2025Inspection
    Investigated and found a failure to provide a safe medication administration system. This created risk of harm by mixing medications with food and giving them to another resident.
    • LicensingFailed to provide a safe medication administration system
    24 Sept 2025Abuse: Neglect
    Found violations of safety and care plan requirements, leading to a resident fall and injuries; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    23 Aug 2025Inspection
    Investigated and found failures to follow the care plan, resulting in a resident fall and potential harm.
    • LicensingFailed to follow care plan
    17 Jul 2025Abuse: Neglect
    Investigated and determined neglect due to failure to properly plan care, resulting in multiple unwitnessed falls and inadequate service plans.
    • AbuseFailed to properly plan care
    08 Jul 2025Abuse: Neglect
    Found that a resident did not receive prescribed pain medication as ordered, leading to agitation and a resident-to-resident altercation, and a $188 fine was assessed.
    • AbuseFailed to administer medication as ordered
    06 Jul 2025Abuse: Neglect
    Investigated a safety complaint and found a failure to provide a safe environment. This resulted in neglect and abuse.
    • AbuseFailed to provide safe environment
    11 Jun 2025Abuse: Neglect
    Investigated and determined neglect and abuse due to failure to provide a safe environment, including three resident-to-resident altercations and not administering cognitive impairment medication; a fine of $375 was assessed.
    • AbuseFailed to provide safe environment
    12 May 2025Abuse: Neglect
    Investigated a neglect allegation and found that a bed alarm required to mitigate falls was not in place, resulting in an unwitnessed fall. A fine was assessed.
    • AbuseFailed to follow care plan
    05 May 2025Abuse: Neglect
    Investigated a neglect allegation and found that care plans were not updated with fall interventions and safety measures were not implemented, contributing to a second fall and a bilateral hip fracture.
    • AbuseFailed to properly plan care
    06 Apr 2025Inspection
    Investigated and found a medication administration system failure that risked resident safety due to not administering as ordered.
    • LicensingFailed to administer medication as ordered
    03 Apr 2025Abuse: Neglect
    Concluded neglect from failure to provide a safe environment and to implement progressive fall-prevention interventions, with a $500 fine assessed.
    • AbuseFailed to provide safe environment
    31 Mar 2025Inspection
    Investigated a complaint of emotional abuse and found that staff failed to protect a resident from emotional abuse, constituting abuse.
    • LicensingFailed to protect resident from mental or emotional abuse
    22 Mar 2025Abuse: Neglect
    Investigated a complaint and found neglect and abuse due to failure to follow a care plan, resulting in a bruise; a fine was assessed.
    • AbuseFailed to follow care plan
    04 Mar 2025Abuse: Neglect
    Investigated an abuse/neglect allegation and found there were no temporary service plans to mitigate risk of resident altercations. A $375 fine was assessed.
    • AbuseFailed to properly plan care
    02 Jan 2025Inspection
    Found violations of resident rights and emotional abuse after a staff member recorded a resident on a personal device and mocked them, with failure to protect the resident's rights.
    • LicensingFailed to assure resident rights
    09 Dec 2024Abuse: Neglect
    Investigated safety concerns for a known fall risk and found violations. A fine was assessed.
    • AbuseFailed to properly plan care
    08 Dec 2024Abuse: Neglect
    Investigated and found that interventions to reduce the risk of altercations were inadequate, leading to a resident-on-resident incident.
    • AbuseFailed to properly plan care
    04 Nov 2024Abuse: Neglect
    Investigated a fall involving a known fall risk and found the care plan was not followed, resulting in injuries. A $375 fine was assessed.
    • AbuseFailed to follow care plan
    04 Nov 2024Inspection
    Investigated an incident found failure to follow the care plan during a transfer, resulting in a fall and potential harm; a fine was assessed.
    • LicensingFailed to follow care plan
    17 Oct 2024Abuse: Neglect
    Investigated a complaint about inadequate meals and hydration and failure to follow the care plan; found the resident went without food or fluids for about 23 hours and staff did not monitor or assist as required. A $188 fine was assessed.
    • AbuseFailed to provide proper food/nutrition
    05 Oct 2024Abuse: Neglect
    Found failures to properly plan care and implement interventions to reduce fall risk, resulting in multiple falls and ongoing pain.
    • AbuseFailed to properly plan care
    03 Oct 2024Abuse: Neglect
    Identified a failure to provide a safe environment with multiple unwitnessed falls causing injuries and medical concerns, indicating neglect and abuse.
    • AbuseFailed to provide safe environment
    25 Sept 2024Inspection
    Identified a failure to provide service that placed a resident at risk for harm and found violations of resident rights and Oregon Administrative Rules.
    • LicensingFailed to provide service
    10 Sept 2024Abuse: Neglect
    Investigated and found neglect due to failure to keep a resident's pressure alarm on, which placed the resident at risk after an unwitnessed fall.
    • AbuseFailed to properly plan care
    10 Sept 2024Abuse: Neglect
    Investigated an allegation that falls were not properly planned for; an unwitnessed fall occurred and injuries resulted due to inadequate fall-prevention care.
    • AbuseFailed to properly plan care
    10 Sept 2024Abuse: Neglect
    Investigated a failure to follow the care plan that left a known fall risk without a bed alarm, contributing to a fall and risk of harm; a $500 fine was assessed.
    • AbuseFailed to follow care plan
    09 Sept 2024Inspection
    Investigated and found a staff member took a resident's phone to replace a battery and did not return it, constituting financial abuse and neglect of care.
    • LicensingFailed to protect resident from financial exploitation
    03 Sept 2024Abuse: Neglect
    Found safety failures and failure to follow care plans that constitute neglect and abuse.
    • AbuseFailed to follow care plan
    03 Sept 2024Abuse: Neglect
    Investigated a case of failing to separate residents, resulting in harm; found abuse and neglect and assessed a fine.
    • AbuseFailed to provide safe environment
    09 Aug 2024Inspection
    Investigated a financial exploitation allegation. Found that jewelry was stolen from a resident and the actions violated resident rights and constituted financial abuse.
    • LicensingFailed to protect resident from financial exploitation
    14 Jul 2024Abuse: Neglect
    Investigated a failure to provide a safe environment, resulting in risk of serious harm to a resident after two altercations and monitoring lapses.
    • AbuseFailed to provide safe environment
    26 Jun 2024License Condition
    Found deficiencies in providing a safe environment. This indicates noncompliance with applicable rules.
    • Regulatory ActionFailed to provide safe environment
    03 Jun 2024Validation
    Identified widespread deficiencies across administration, resident rights, health services, staffing, activities, safety, and nutrition during multiple revisits. Violations were found in numerous areas and required corrective actions.
    • DeficiencyComment
    • DeficiencyFacility Administration: Required Postings
    • DeficiencyResident Rights and Protection - General
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services: Activities
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRn Delegation and Teaching
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Treatment Orders
    • DeficiencyAdministrator: Administrator Requirements
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyAcuity Based Staffing Tool - Updates & Plan
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Responsibilities
    • DeficiencyAdministration Compliance
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyActivities
    23 May 2024Abuse: Neglect
    Investigated a complaint and found failure to properly plan care and implement interventions to prevent resident-to-resident altercations, including an incident of inappropriate touching between residents.
    • AbuseFailed to properly plan care
    20 Mar 2024Abuse: Neglect
    Found the care planning failed to prevent physical altercations, resulting in an injury and potential for harm.
    • AbuseFailed to properly plan care
    20 Mar 2024Abuse: Neglect
    Determined that inadequate care planning led to resident-to-resident altercations, resulting in substantiated abuse/neglect and a fine.
    • AbuseFailed to properly plan care
    19 Mar 2024Abuse: Neglect
    Found neglect and abuse due to failure to properly plan care for a resident, leading to multiple resident-to-resident altercations.
    • AbuseFailed to properly plan care
    27 Dec 2023Licensure
    Identified deficiencies in kitchen cleanliness and food handling during the initial visit; a follow-up observation showed substantial compliance with applicable rules.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    30 Nov 2023Abuse: Neglect
    Found violations of resident rights due to failure to implement interventions for wandering behavior, resulting in multiple resident-to-resident altercations.
    • AbuseFailed to properly plan care
    23 Nov 2023Inspection
    Investigated a failure to follow a resident's service plan that led to a fall and skin tear, constituting abuse and a rights violation.
    • LicensingFailed to follow care plan
    19 Oct 2023Abuse: Neglect
    Identified a failure to provide a safe environment that resulted in a resident sustaining a hip fracture after an altercation.
    • AbuseFailed to provide safe environment
    25 Sept 2023Inspection
    Found violations of resident rights due to verbal abuse and failure to provide a safe environment. The resident heard a derogatory remark from staff, causing emotional distress.
    • LicensingFailed to protect resident from verbal abuse
    14 Aug 2023Abuse: Neglect
    Determined neglect and abuse occurred when a required two-person transfer was not performed, resulting in a fractured rib.
    • AbuseFailed to follow care plan
    28 Jul 2023Inspection
    Found that a staff member failed to administer medications as prescribed, creating risk of harm for a resident, and the medication administration system was unsafe.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Investigated the allegation of improper medication administration. Found violations involving failure to administer medications as prescribed and an unsafe medication administration system.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Found that a staff member did not administer medications as prescribed to a resident. Found that there was no safe medication administration system.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Determined a licensing violation occurred for failing to administer medication as prescribed, with potential for minor to moderate harm. Also identified a deficient medication administration system.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Investigated a failure to administer medications as ordered and identified deficiencies in medication administration and safety.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Found violations for failing to administer medications as prescribed and for lacking a safe medication administration system.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Found that a staff member did not administer medications as prescribed, resulting in a violation and a $338 fine.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Investigated an allegation of not administering medications as ordered and found a medication administration failure and an unsafe medication system.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Determined that the allegation of not administering medications as prescribed was substantiated, and a safe medication administration system was not provided.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Abuse: Neglect
    Found a failure to maintain a safe medication administration system, resulting in residents going without several medications for an extended period.
    • AbuseFailed to provide a safe medication administration system
    28 Jul 2023Inspection
    Found that a staff member failed to administer medications as prescribed and that a safe medication administration system was lacking.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Found a medication administration violation and an unsafe medication administration system.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Investigated and found a violation for failing to administer medications as prescribed, indicating abuse and unsafe medication practices.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Found that medication was not administered as prescribed and that the medication administration system was unsafe.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Found that a staff member did not administer medications as prescribed to a resident, and there was an unsafe medication administration system.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Investigated the allegation and found that medication was not administered as prescribed and a safe medication administration system was lacking.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Determined that a staff member failed to administer medications as prescribed and that a safe medication administration system was not provided.
    • LicensingFailed to administer medication as ordered
    28 Jul 2023Inspection
    Found a failure to administer medications as prescribed and an unsafe medication administration system.
    • LicensingFailed to administer medication as ordered
    13 Mar 2023Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in about 10 days of missing medication and hospital treatment. Violations were cited.
    • AbuseFailed to provide a safe medication administration system
    15 Nov 2022Abuse: Neglect
    Found failure to provide peri care leading to neglect and abuse, with the resident left in a urine-soaked bed and marked discomfort and loss of dignity.
    • AbuseFailed to provide peri care
    02 Oct 2022Inspection
    Found that a staff member failed to remove themselves from an altercation, resulting in bruising and emotional discomfort to a resident, constituting abuse and neglect.
    • LicensingFailed to protect resident from physical abuse
    27 Sept 2022Abuse: Neglect
    Found neglect due to failure to assess and plan care for a resident, resulting in multiple falls and discomfort; a fine was assessed.
    • AbuseFailed to care plan in accordance with assessment
    16 Sept 2022Complaint
    Investigated and found deficiencies in carrying out medication orders and MAR entries, resulting in four days of missed medications for a resident.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencySystems: Treatment Orders
    03 Sept 2022Abuse: Neglect
    Found neglect and abuse due to failure to properly plan care, resulting in four falls and related injuries. A $169 fine was assessed.
    • AbuseFailed to properly plan care
    30 Aug 2022Abuse: Neglect
    Found a deficiency in safe medication administration leading to missing four antibiotic doses and assessed a $338 fine.
    • AbuseFailed to provide a safe medication administration system
    28 Aug 2022Inspection
    Investigated the allegation. Concluded that a licensing violation occurred due to failure to carry out medication and treatment orders as prescribed.
    • LicensingFailed to provide a safe medication administration system
    18 Aug 2022Abuse: Neglect
    Investigated a medication administration failure that resulted in double dosing of two medications, causing dizziness and discomfort.
    • AbuseFailed to provide a safe medication administration system
    16 Mar 2022Initial
    Found multiple deficiencies in resident assessments, service plans, monitoring of health changes, medications, safety systems, and resident activities.
    • DeficiencyComment
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencyHeating and Ventilation
    • DeficiencyCall Sys, Exit Dr Alarm, Phones, Tv, Or Cable
    • DeficiencyAdministration Compliance
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyActivities
    • DeficiencyBehavior
    • DeficiencySecure Outdoor Recreation Area
    29 Sept 2021Inspection
    Found a licensing violation involving failure to administer medication as ordered.
    • LicensingFailed to provide a safe medication administration system
    16 Sept 2021Inspection
    Found that a staff member physically abused a resident and failed to protect the resident from abuse.
    • LicensingFailed to protect resident from physical abuse
    26 Jul 2021Abuse: Neglect
    Found a neglect and abuse violation for failing to provide a safe environment. An altercation occurred where one resident punched another, resulting in injury.
    • AbuseFailed to provide safe environment
    16 Jul 2021Inspection
    Found that staff failed to follow the care plan, resulting in an unwitnessed overnight fall that caused a broken nose and risk of harm.
    • LicensingFailed to follow care plan
    09 Jul 2021Abuse: Neglect
    Found a failure to provide a safe environment, resulting in a resident being punched and sustaining an injury.
    • AbuseFailed to provide safe environment
    08 Jul 2021Abuse: Neglect
    Found a failure to provide a safe environment that led to resident injuries. A fine was assessed.
    • AbuseFailed to provide safe environment
    27 Mar 2021Abuse: Neglect
    Determined that planning for falls risk was inadequate, leading to a head injury and hospital care; a fine was assessed.
    • AbuseFailed to properly plan care
    19 Mar 2021Abuse: Neglect
    Identified neglect and abuse from failing to plan care, leading to multiple falls and a hip fracture; a $1,350 fine was assessed.
    • AbuseFailed to properly plan care
    02 Mar 2021Inspection
    Investigated the allegation and found a violation of resident rights involving forced medication. The investigation determined no broader abuse occurred.
    • LicensingFailed to assure resident rights
    17 Feb 2021Abuse: Neglect
    Investigated a failure to plan around a known aggressive behavior, leading to abuse and neglect findings.
    • AbuseFailed to properly plan care
    17 Feb 2021Abuse: Neglect
    Found that a resident with a known history of aggressive behavior was not supervised and lacked a care plan, resulting in neglect and abuse.
    • AbuseFailed to properly plan care
    01 Feb 2021Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in a resident not receiving a prescribed medication. A $225 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    01 Dec 2020Abuse: Neglect
    Concluded there was a failure to provide a safe environment, with an abuse/neglect finding and a $450 fine.
    • AbuseFailed to provide safe environment
    28 Sept 2020Abuse: Neglect
    Found that the facility failed to properly plan care, resulting in a resident fall with head injury. The event was linked to a failure to update care plans and position the resident correctly during transfers.
    • AbuseFailed to properly plan care
    14 Aug 2020Abuse: Neglect
    Found that supervision and staff support for known behaviors were inadequate, placing a resident at risk for serious harm.
    • AbuseFailed to provide safe environment
    14 Aug 2020Abuse: Neglect
    Found a failure to provide a safe environment that resulted in an injury; violations cited.
    • AbuseFailed to provide safe environment

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