Inconsistent housekeeping and sanitation standards
Staffing instability and high turnover
Understaffing causing delayed resident assistance
Inconsistent medication-management and transfer processes
Communication gaps between management and families
Management tone and responsiveness concerns
Pricing opacity and additional/unexpected fees
Pest-control concerns
Care-level limitations for high-acuity needs (IV, tube feeding, tracheostomy)
Gaps in physical-security practices (door-locking/front-desk consistency)
Allegations of theft and financial misconduct
Summary of reviews
Royalton Place receives consistently strong praise for its caregiving staff and the community atmosphere. Many families describe staff as compassionate, attentive, and familiar with residents’ names and individual needs; reviewers commonly characterize the environment as home-like rather than institutional. The community’s smaller scale and active engagement from activities staff contribute to individualized attention and a family-style culture, and several accounts highlight strong memory-care staffing and a secure, dedicated wing.
Dining and activities are prominent strengths. The dining program is frequently described as restaurant-like with a capable chef and varied menus; meals are included and dietary accommodations are available. The activity calendar includes a wide range of options — chair exercise, music, live entertainment, off-site outings, religious programming, and creative groups — and reviewers note an engaged activities director who organizes well-curated events. Transportation for appointments and hospice-friendly policies are also available, which supports continuity of care for residents with advancing needs.
Facility maintenance and cleanliness elicit mixed feedback. Common areas and the dining room are often described as clean and well maintained, but there are recurring comments about inconsistent housekeeping in some apartments, sanitation concerns, and occasional maintenance or pest-control problems. Families should verify housekeeping schedules and pest-control protocols during tours if these are priorities. The physical layout and décor are generally well regarded, with many reviewers noting pleasant common spaces, private memory-care areas, and pet-friendly outdoor courtyard space.
Operational and administrative patterns warrant close attention. Multiple reviews indicate staffing instability, periods of understaffing, and high turnover that have produced delays in assistance or uneven service on weekends. Medication-management and transfer processes have at times been inconsistent; while the facility reports RN oversight and med-tech support, families described isolated delays or communication lapses around medications that were resolved in some cases after staffing changes. Several accounts raise concerns about management responsiveness and communication style, including instances where family interactions with leadership were perceived as dismissive. There are also notes about pricing opacity, extra fees for certain services, and an annual price increase policy that families should clarify before placement.
There are serious operational concerns reflected in a subset of reviews that should not be overlooked. These include pest-control issues, sanitation inconsistencies, and a small number of allegations of financial misconduct; prospective families should inquire about any regulatory actions, complaint histories, and safeguards for resident finances. Clinical limitations are clear: the community is not set up for some high-acuity interventions (for example, ongoing IV therapy, tube feeding, or tracheostomy care), so confirming clinical capabilities relative to expected needs is essential.
Overall, Royalton Place presents a strong model for families prioritizing compassionate caregiving, social engagement, and restaurant-style dining within a smaller, home-like community. At the same time, prospective residents and families should perform targeted due diligence on housekeeping and pest-control practices, staffing levels (particularly on weekends), medication-transfer procedures, financial safeguards, and fee structures to ensure the community’s operational practices align with the resident’s clinical and safety needs.
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Location
Royalton Place is located at 5555 SE King Rd, Milwaukie, OR, 97222.
About Royalton Place
Royalton Place offers a calm and comfortable environment for older adults who want a safe place to live with the support they need. The community has several care options, including independent living, assisted living, memory care in a secured, separate building, and short-term respite stays. Residents can get help with daily tasks like bathing, dressing, and managing medicines. Those with conditions like Alzheimer's or dementia have special programs, trained staff, and technology such as alarm bracelets to help prevent wandering and manage confusion, with care plans tailored for each person.
The facility itself has cozy lounges with fireplaces, a beauty salon and barber shop, patios with shaded tables, a library, and a fitness center. Royalton Place also has dining rooms where residents have restaurant-style meals or room service, and the kitchen can handle special diets for diabetes or sodium needs. The private units often have bathrooms, kitchenettes, and Wi-Fi, plus call systems for emergencies. Residents can bring their cats or dogs.
There's a full calendar of activities like gardening, art classes, brain exercises, wine tastings, yoga, tai chi, and outings into the community. People can attend devotional services, join intergenerational events, and take part in pet programs or group games. Exercise areas, lush gardens, shaded courtyards, indoor and outdoor social spaces, and a comfortable reception area all make the place feel open and welcoming.
Royalton Place provides transportation, laundry, housekeeping, and plenty of parking for residents and guests. The building is wheelchair accessible, with staff available at all hours. Health support includes diabetic care, medication injections, help with transfers from beds or wheelchairs using lifts, behavioral care, and support for those with mild incontinence. They offer aging-in-place so people can stay as their needs change, and there's hospice and respite care for short-term needs or recovery.
The staff focuses on kindness and helps residents build friendships, with a culture that values independence and well-being. Memory care is research based and uses proven ways to support residents, while assisted living helps people manage daily life while aiming for a high quality of life. Room pricing for a semi-private memory care unit averages about $5,755 per month. Overall, Royalton Place is for seniors who want a balance of support, safety, activities, and personal attention, with a peaceful and homelike setting.
Founded by four experienced partners, Cascade Living Group is a privately-owned senior living provider headquartered in Bothell, Washington. Operating 31 communities across Oregon, Nevada, California, Washington, and Arizona, they offer assisted living, independent living, and memory care services.
People often ask...
Royalton Place offers competitive pricing, with rates starting at a cost of $6,865 per month.
Royalton Place offers assisted living and memory care.
There are 55 photos of Royalton Place on Mirador.
The full address for this community is 5555 SE King Rd, Milwaukie, OR 97222.
No, Royalton Place 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.
Determined that a resident's money disappeared from their room and the facility failed to protect the resident from theft, constituting financial abuse and neglect.
Licensing—Failed to protect resident from financial exploitation
23 Dec 2025Inspection
23 Dec 2025Inspection
Investigated a medication administration incident and found a staff member gave a narcotic belonging to another resident, causing discomfort due to an allergy. This was identified as a violation of safe medication practices.
Licensing—Failed to provide a safe medication administration system
24 Aug 2025License Condition
24 Aug 2025License Condition
Found that acuity-based staffing requirements were not met because an acuity-based staffing tool was not developed, maintained, or implemented.
Regulatory Action—Failed to staff as indicated by ABST
08 Aug 2025License Condition
08 Aug 2025License Condition
Found that staffing did not align with an acuity-based staffing tool as required.
Regulatory Action—Failed to staff as indicated by ABST
25 Jun 2025Kitchen
25 Jun 2025Kitchen
Found deficiencies in food sanitation practices and administration compliance.
Identified failures to maintain and implement an acuity-based staffing tool and to follow the posted staffing plan, with ABST profiles not updated in the last quarter.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity Based Staffing Tool - Updates & Plan
22 Mar 2025Abuse: Neglect
22 Mar 2025Abuse: Neglect
Found a failure to oversee a change in condition for a resident with a suspected urinary tract infection, resulting in extended discomfort before follow-up; a fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
14 Dec 2024Inspection
14 Dec 2024Inspection
Found that a staff member forced a shirt on a resident, grabbed the resident by the arms, and pushed them against a door, resulting in a bruise and constituting physical abuse and neglect; the entity failed to protect the resident from physical abuse.
Licensing—Failed to protect resident from physical abuse
12 Dec 2024License Condition
12 Dec 2024License Condition
Found deficiencies in the medication administration system, including training gaps and improper dosing that caused harm.
Regulatory Action—Failed to provide a safe medication administration system
04 Dec 2024License Condition
04 Dec 2024License Condition
Found that a safe environment was not provided.
Regulatory Action—Failed to provide safe environment
18 Nov 2024Abuse: Neglect
18 Nov 2024Abuse: Neglect
Determined that staff failed to provide a safe environment and follow the care plan, leading to an incident of abuse and neglect.
Abuse—Failed to provide safe environment
31 Oct 2024Licensure
31 Oct 2024Licensure
Identified multiple deficiencies across resident rights, service planning, monitoring of changes, infection control, fire safety, building exterior and interior, housekeeping, privacy, door locks, activities, and administration.
Deficiency—Resident Rights and Protection - General
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Infection Prevention & Control
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Housekeeping and Laundry
Deficiency—Individual Rights Settings: Privacy, Dignity
Deficiency—Individual Privacy: Own Unit
Deficiency—Individual Door Locks: Key Access
Deficiency—Administration Compliance
Deficiency—Compliance with Rules Health Care
Deficiency—Activities
Deficiency—Resident Rooms
26 Oct 2024Abuse: Neglect
26 Oct 2024Abuse: Neglect
Investigated and found a failure to provide a safe environment that caused injury when an extension cord was left in a walkway.
Abuse—Failed to provide safe environment
23 Oct 2024Licensure
23 Oct 2024Licensure
Identified numerous deficiencies across abuse reporting, service planning, change of condition monitoring, health services, orders, staff training, fire safety, building maintenance, privacy, and sanitation.
Found violations of resident rights and neglect due to failure to oversee change of condition and update care planning, leading to an unwitnessed fall and injuries.
Abuse—Failed to provide oversight and monitoring of change of condition
03 Jan 2024Licensure
03 Jan 2024Licensure
Identified deficiencies in kitchen practices and food sanitation during the first visit; follow-up showed substantial compliance on the second visit.
Identified inconsistencies between staffing levels and the acuity-based staffing tool, showing inadequate staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to staff as indicated by ABST
14 May 2023Abuse: Neglect
14 May 2023Abuse: Neglect
Investigated an allegation of abuse and neglect; found failure to provide a safe environment and to adjust care plans, resulting in a lip injury.
Abuse—Failed to provide safe environment
09 May 2023Inspection
09 May 2023Inspection
Found unsafe medication administration with extra doses causing dizziness and discomfort, and neglect of care constituting abuse.
Licensing—Failed to provide a safe medication administration system
25 Apr 2023Inspection
25 Apr 2023Inspection
Investigated a medication administration issue and found medications were discarded and falsely marked as administered on MAR, constituting neglect and abuse.
Licensing—Failed to provide a safe medication administration system
28 Jan 2023Inspection
28 Jan 2023Inspection
Investigated found a deficiency for failing to promptly investigate all reports of abuse and suspected abuse in accordance with the applicable rule.
Licensing—Failed to report potential or suspected abuse
28 Jan 2023Abuse: Neglect
28 Jan 2023Abuse: Neglect
Investigation found a resident's personal items were stolen due to failure to protect property, resulting in a substantiated abuse/neglect finding and a $500 fine.
Abuse—Failed to protect resident from financial exploitation
11 Nov 2022Inspection
11 Nov 2022Inspection
Determined that a safe medication administration system was not provided, leading to a resident receiving another resident's medication and experiencing side effects.
Licensing—Failed to provide a safe medication administration system
12 Oct 2022Licensure
12 Oct 2022Licensure
Found deficiencies in kitchen sanitation during the initial visit, and later substantial compliance on the follow-up.
Investigated the incident and found a violation of resident rights due to financial exploitation and failure to protect property; a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
18 Aug 2022Complaint
18 Aug 2022Complaint
Observed that an acuity-based staffing tool was not fully implemented, with incomplete ABST profiles and missing resident data.
Deficiency—Acuity-Based Staffing Tool
11 Aug 2022Complaint
11 Aug 2022Complaint
Investigated a complaint and found deficiencies in the service plan reflecting the resident's needs and in documenting psychotropic medication use parameters.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Systems: Psychotropic Medication
03 Aug 2022Inspection
03 Aug 2022Inspection
Investigated an allegation of financial exploitation and found an unknown perpetrator took $80 from a resident, and the resident was not protected from exploitation. The findings indicate abuse under applicable rules.
Licensing—Failed to protect resident from financial exploitation
03 Aug 2022Abuse: Neglect
03 Aug 2022Abuse: Neglect
Investigated and found neglect and abuse due to failure to provide a safe environment, causing rug burns and bruising; a $250 fine was assessed.
Abuse—Failed to provide safe environment
02 Aug 2022Inspection
02 Aug 2022Inspection
Found a deficiency in identifying the reasons for psychotropic medication use prior to administration.
Licensing—Failed to provide a safe medication administration system
02 Aug 2022Inspection
02 Aug 2022Inspection
Found that a resident's service plan did not reflect the resident's needs. The plan indicated 1-person assist, while 2-person assist was required, placing the resident at risk of harm.
Licensing—Failed to properly plan care
22 Jul 2022Abuse: Neglect
22 Jul 2022Abuse: Neglect
Investigated and found that staff did not follow the care plan for a high fall risk resident, leading to a fall and injury and constituting abuse and neglect.
Abuse—Failed to follow care plan
22 Jul 2022Inspection
22 Jul 2022Inspection
Investigated and found a resident was financially exploited by an unknown individual, and protections against exploitation were not adequate, violating state rules.
Licensing—Failed to protect resident from financial exploitation
16 Jul 2022Abuse: Neglect
16 Jul 2022Abuse: Neglect
Determined that a resident’s funds were stolen by an unknown individual and protections against financial exploitation were inadequate; a $500 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
14 Jul 2022Abuse: Neglect
14 Jul 2022Abuse: Neglect
Determined that a resident experienced financial exploitation and neglect due to failure to protect against theft, with a fine assessed.
Abuse—Failed to protect resident from financial exploitation
07 Jul 2022Abuse: Neglect
07 Jul 2022Abuse: Neglect
Investigated found a failure to provide a safe medication administration system, causing missing controlled pain medication and potential financial exploitation.
Abuse—Failed to provide a safe medication administration system
02 Mar 2022Abuse: Neglect
02 Mar 2022Abuse: Neglect
Investigated and found a lack of a safe medication administration system, with Lorazepam tampering and related neglect and financial abuse. A $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
02 Mar 2022Inspection
02 Mar 2022Inspection
Investigated a complaint and found violations of resident rights, neglect, and financial abuse related to tampering with liquid narcotics and unsafe medication practices.
Licensing—Failed to protect resident from financial exploitation
02 Mar 2022Abuse: Neglect
02 Mar 2022Abuse: Neglect
Investigated a medication tampering incident and found a failure to provide a safe medication administration system, resulting in violations and a monetary penalty.
Abuse—Failed to provide a safe medication administration system
24 Nov 2021Inspection
24 Nov 2021Inspection
Investigated a narcotic medication handling concern and found a safe medication administration system was not provided, with narcotics counts becoming incorrect at shift end.
Licensing—Failed to provide a safe medication administration system
06 Nov 2021Inspection
06 Nov 2021Inspection
Investigated a complaint and found that medication was not administered as ordered, resulting in an emergency department visit for the resident.
Licensing—Failed to administer ordered medication
02 Nov 2021Inspection
02 Nov 2021Inspection
Found that the facility failed to update a resident's service plan quarterly, with the last update on 4/3/2022 and a planning meeting planned for late August 2022.
Licensing—Failed to properly plan care
02 Nov 2021Inspection
02 Nov 2021Inspection
Found that the provider did not fully adopt or implement an acuity-based staffing tool, resulting in incomplete ABST records.
Licensing—Failed to staff as indicated by ABST
03 May 2021Abuse: Neglect
03 May 2021Abuse: Neglect
Determined substantiated findings of neglect and abuse related to medication safety and financial exploitation. A $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
27 Apr 2021Abuse: Neglect
27 Apr 2021Abuse: Neglect
Found that controlled medications were destroyed without a second staff member present and unwitnessed destruction was signed by a non-licensed worker. Also found training sign-off gaps and a deficient safe medication administration system, with a fine assessed.
Abuse—Failed to provide a safe medication administration system
15 Apr 2021Abuse: Neglect
15 Apr 2021Abuse: Neglect
Found violations related to unsafe medication handling and neglect, with a fine assessed.
Abuse—Failed to provide a safe medication administration system
14 Apr 2021Abuse: Neglect
14 Apr 2021Abuse: Neglect
Found neglect of care and financial abuse due to unsafe medication handling, including unwitnessed destruction of controlled medications and falsified witness signatures; improper training and lack of a safe medication administration system were identified.
Abuse—Failed to provide a safe medication administration system
05 Mar 2021Abuse: Neglect
05 Mar 2021Abuse: Neglect
Found a deficiency in care planning and meal supervision that led to a choking incident; a $250 fine was assessed.
Abuse—Failed to properly plan care
26 Feb 2021Abuse: Neglect
26 Feb 2021Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to provide a safe medication administration system, resulting in a $500 fine.
Abuse—Failed to provide a safe medication administration system
26 Feb 2021Abuse: Neglect
26 Feb 2021Abuse: Neglect
Found an unsafe medication administration system with missing controlled medication cards and altered narcotic counts, leading to neglect and financial abuse; a $250 fine was assessed.
Abuse—Failed to provide a safe medication administration system
26 Feb 2021Abuse: Neglect
26 Feb 2021Abuse: Neglect
Identified deficiencies in the medication administration system with related neglect and financial abuse.
Abuse—Failed to provide a safe medication administration system
14 Sept 2020Inspection
14 Sept 2020Inspection
Found the staffing allegation verified. A deficiency in required staffing or staff training was identified.
Licensing—Failed to provide appropriate staffing
03 Sept 2020Inspection
03 Sept 2020Inspection
Found a staffing deficiency due to failure to provide appropriate staffing.
Licensing—Failed to provide appropriate staffing
29 Nov 2019Abuse: Neglect
29 Nov 2019Abuse: Neglect
Investigated and found that fall-risk care planning was not properly addressed, resulting in a resident’s fall and hip fracture. This failure was determined to constitute abuse and neglect.
Abuse—Failed to properly plan care
06 Aug 2019Inspection
06 Aug 2019Inspection
Found a deficiency in administering medications as ordered.
Licensing—Failed to administer medication as ordered
03 Dec 2018Abuse: Neglect
03 Dec 2018Abuse: Neglect
Investigated neglect for failing to provide basic care, creating risk of serious harm; a $188 fine was assessed.
Abuse—Failed to follow care plan
02 Feb 2018Abuse: Neglect
02 Feb 2018Abuse: Neglect
Investigated a neglect allegation related to falls and found that monitoring and intervention were inadequate, resulting in a resident head injury; a fine was assessed.
Abuse—Failed to adequately care plan related to falls
20 Sept 2017Inspection
20 Sept 2017Inspection
Found that a safe environment was not provided, resulting in a resident to resident altercation.
Licensing—Failed to provide safe environment
24 Jul 2017Inspection
24 Jul 2017Inspection
Found insufficient direct care staffing to meet 24-hour needs, with posted staffing plans not reflected in actual staffing.
Licensing—Failed to provide appropriate staffing
01 Jun 2017Inspection
01 Jun 2017Inspection
Found that staff did not respond promptly to a call light, compromising resident safety, with pager volume cited as a contributing factor.
Licensing—Failed to answer call light in a timely manner
07 Mar 2017Abuse: Neglect
07 Mar 2017Abuse: Neglect
Found that a resident was not adequately protected from injury, with a fine assessed.
Abuse—Failed to provide safe environment
14 Dec 2016Abuse: Neglect
14 Dec 2016Abuse: Neglect
Investigated a neglect allegation about falls risk; identified deficiencies in falls-related care planning that led to a serious injury.
Abuse—Failed to adequately care plan related to falls
20 Oct 2016Abuse: Neglect
20 Oct 2016Abuse: Neglect
Investigated an allegation of an unsafe environment and found a failure to protect residents from a physical altercation.
Abuse—Failed to provide safe environment
29 Jul 2016Abuse: Financial abuse
29 Jul 2016Abuse: Financial abuse
Investigated and identified a failure to protect medication from theft. The findings show violations related to safety and abuse.
Abuse—Failed to provide safe environment
14 Jul 2016Abuse: Financial abuse
14 Jul 2016Abuse: Financial abuse
Found a failure to maintain a secure medication system that resulted in stolen medications.
Abuse—Failed to provide safe environment
16 May 2016Abuse: Neglect
16 May 2016Abuse: Neglect
Investigated an allegation of neglect involving failure to provide medical treatment and found inadequate medical care.
Abuse—Failed to provide medical treatment as ordered
04 May 2016Abuse: Neglect
04 May 2016Abuse: Neglect
Investigated and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
21 Mar 2016Abuse: Neglect
21 Mar 2016Abuse: Neglect
Investigated the neglect allegation and found a deficiency in assessing and intervening to ensure a safe environment.
Abuse—Failed to provide safe environment
11 Mar 2016Inspection
11 Mar 2016Inspection
Determined that care was not followed as planned, resulting in inadequate care for a resident.
Licensing—Failed to follow care plan
10 Mar 2016Inspection
10 Mar 2016Inspection
Found a deficiency for failing to provide a lockable storage space for residents' valuables and for not providing the key to the resident.
Licensing—Failed to assure resident rights
10 Mar 2016Inspection
10 Mar 2016Inspection
Found a violation for failing to administer medication as ordered and for failing to provide required ADL assistance.
Licensing—Failed to administer medication as ordered
28 Jan 2016Inspection
28 Jan 2016Inspection
Found a deficiency in housekeeping services due to lack of staff, resulting in failure to provide essential household services.
Licensing—Failed to provide appropriate housekeeping services
27 Dec 2015Inspection
27 Dec 2015Inspection
Found inadequate care planning related to falls, resulting in harm.
Licensing—Failed to adequately care plan related to falls
25 Dec 2015Inspection
25 Dec 2015Inspection
Investigated the allegation and found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
15 Dec 2015Inspection
15 Dec 2015Inspection
Identified a deficiency in dementia care training for memory care staff. Dementia-specific training was not provided to all staff working with residents with Alzheimer's disease and other dementias.
Licensing—Failed to assure that a qualified caregiver was present
08 Dec 2015Inspection
08 Dec 2015Inspection
Identified a deficiency for failing to complete an initial screening to determine a prospective resident's service needs and preferences.
Licensing—Failed to care plan in accordance with assessment
06 Apr 2015Abuse: Neglect
06 Apr 2015Abuse: Neglect
Found a deficiency for not providing a safe environment and for failing to intervene when a resident's condition changed; a $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
24 Feb 2015Abuse: Neglect
24 Feb 2015Abuse: Neglect
Investigated and determined that a safe environment was not provided, resulting in resident-to-resident altercations.
Abuse—Failed to provide safe environment
15 Feb 2015Inspection
15 Feb 2015Inspection
Investigated the allegation of failing to provide a safe environment and found a resident was not protected from harm.
Licensing—Failed to provide safe environment
09 Oct 2014Abuse: Physical Abuse
09 Oct 2014Abuse: Physical Abuse
Investigated an abuse allegation and concluded that physical abuse occurred.
Abuse—Failed to protect resident from verbal abuse
01 Jun 2014Abuse: Neglect
01 Jun 2014Abuse: Neglect
Determined that a safe environment was not provided.
Abuse—Failed to provide safe environment
09 Apr 2014Abuse: Neglect
09 Apr 2014Abuse: Neglect
Found that a safe environment was not provided. The allegation of failing to intervene when a resident's condition changed was noted.
Abuse—Failed to intervene when resident's condition changed
04 Mar 2014Abuse: Financial abuse
04 Mar 2014Abuse: Financial abuse
Investigated the allegation of financial abuse and concluded that a safe environment was not provided, resulting in theft of resident funds.
Abuse—Failed to provide safe environment
19 Jan 2014Abuse: Neglect
19 Jan 2014Abuse: Neglect
Found abuse/neglect substantiated due to failure to provide a safe environment that caused injury.
Abuse—Failed to provide safe environment
12 Oct 2013Abuse: Neglect
12 Oct 2013Abuse: Neglect
Found a failure to supervise a resident resulting in a fall with injury; a $400 fine was assessed.
Abuse—Failed to provide safe environment
11 Oct 2013Inspection
11 Oct 2013Inspection
Found failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
10 Oct 2013Abuse: Neglect
10 Oct 2013Abuse: Neglect
Investigated and concluded that a safe environment was not provided, resulting in a skin tear of unknown origin.
Abuse—Failed to provide safe environment
21 Sept 2013Abuse: Neglect
21 Sept 2013Abuse: Neglect
Investigated an allegation and found deficiencies in falls care planning and unsafe environment that led to bruising of unknown origin.
Abuse—Failed to adequately care plan related to falls
30 Apr 2013Abuse: Financial abuse
30 Apr 2013Abuse: Financial abuse
Found a failure to provide a safe environment due to an unsafe medication administration system, which led to narcotics theft.
Abuse—Failed to provide safe environment
16 Jan 2013Abuse: Neglect
16 Jan 2013Abuse: Neglect
Investigated an abuse/neglect allegation and found violations involving failure to oversee and monitor changes in condition.
Abuse—Failed to provide oversight and monitoring of change of condition
11 Nov 2012Abuse: Financial abuse
11 Nov 2012Abuse: Financial abuse
Found a deficiency in providing a safe environment. The finding involved failure to ensure safety.
Abuse—Failed to provide safe environment
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