Ashley Manor - Ramp

    427 SE Ramp St, Roseburg, OR 97470
    • Assisted Living
    • Memory Care
    4.0·8 reviews
    For the front desk(541) 464-0961

    Family-like care, clean comfortable facility

    My mom receives family-like care from kind, caring staff. The facility is clean and homey, with a comfortable private suite, varied meals, engaging activities, on-site medical help, and real peace of mind.

    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

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    4.00·(8)

    Overall rating

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

    • Care

      5.0

    • Staff

      5.0

    • Meals

      5.0

    • Amenities

      5.0

    • Value

      4.0

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    Location

    Map showing location of Ashley Manor - Ramp

    Ashley Manor - Ramp is located at 427 SE Ramp St, Roseburg, OR, 97470.

    About Ashley Manor - Ramp

    Ashley Manor - Ramp in Roseburg, OR is a small memory care provider with 15 beds, and it's known for its welcoming atmosphere because people who work there are usually warm, friendly, and helpful, so you won't feel lost or ignored, and they spend time with residents whether it's helping with bathing, dressing, or medication reminders, or just chatting during meals. The building feels a bit like a regular house, designed to help people with memory loss feel safe and comfortable, and folks can move around in shared spaces. They focus on serving seniors who have Alzheimer's or other kinds of dementia, with routines and activities made to reduce confusion and assist with things like wandering, so families don't worry as much about their loved ones' safety. Skilled nurses and caregivers are available all day and all night, giving care for health needs like blood sugar checks, insulin injections on a sliding scale, and bowel or bladder incontinence, and the staff can help incontinent residents remember to use the restroom, which is important for many seniors.

    Meals are prepared fresh each day to help seniors stay healthy, and there are activities-some social, some physical, some focused on keeping the mind sharp, so there's a good mix for people who want things to do. Residents' rooms have basic amenities for comfort, and the shared areas are set up to encourage conversation and visits. Along with regular care and medication help, Ashley Manor - Ramp gives physical and occupational therapy, plus rehabilitation services when someone needs extra support, and they try to pay attention to each resident's needs rather than treating everyone the same. The facility is family-owned and has been part of the community for a long time. Seniors who don't need much help can also live here, with no-frills housing that still provides support if something changes later. Everything in the community, from the daily routine to activities and meals, is meant to keep seniors involved in life, not cut them off, and people say the environment feels supportive and calm, especially for folks who get confused or upset easily.

    People often ask...

    Ashley Manor - Ramp offers competitive pricing, with rates starting at a cost of $4,826 per month.

    Ashley Manor - Ramp offers assisted living, memory care, and board and care.

    The full address for this community is 427 SE Ramp St, Roseburg, OR 97470.

    No, Ashley Manor - Ramp 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 number5MA233
    StatusActive
    Facility typeResidential Care Facility
    Capacity30 residents
    LicenseePacific Living Centers Southwest, LLC
    EffectiveFebruary 7th, 2000
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    142

    Reports

    0

    Type A Citations

    0

    Type B Citations

    6

    Complaints

    16

    Years

    02 Apr 2026Licensure
    Found multiple deficiencies related to neglect reporting, resident activities, service plans, and medication administration.
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Resident Services: Activities
    • Deficiency—Service Plan: General
    • Deficiency—Systems: Medication Administration
    • Deficiency—Administration Compliance
    • Deficiency—Compliance with Rules Health Care
    13 Feb 2026Kitchen
    Identified significant sanitation and food storage deficiencies in two kitchens, with improper food storage, dirty conditions, and inadequate sanitizer practices.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    22 Oct 2025Abuse: Neglect
    Investigated the allegation of neglect and abuse. Found failure to supervise a wandering resident as required, resulting in an injury.
    • Abuse—Failed to provide safe environment
    10 Jun 2025Complaint
    Investigated a complaint alleging abuse with potential for moderate harm; details are limited.
    • Deficiency—Reporting & Investigating Abuse-Other Action
    13 Mar 2025Kitchen
    Identified significant sanitation and food safety deficiencies in the kitchen areas, including improper refrigeration, unclean surfaces, and inadequate staff practices.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    27 Dec 2024Abuse: Neglect
    Investigated and found a failure to protect a resident from sexual abuse, with a $188 fine assessed.
    • Abuse—Failed to provide safe environment
    29 Jun 2024Inspection
    Found a failure to immediately report potential or suspected abuse following a physical injury of unknown cause, violating Oregon Administrative Rules.
    • Licensing—Failed to report potential or suspected abuse
    24 Jun 2024Inspection
    Investigated the allegation of physical abuse and found a failure to protect a resident from physical abuse.
    • Licensing—Failed to protect resident from physical abuse
    08 Apr 2024Validation
    Found multiple deficiencies in oversight, service planning, medication management, fire safety, and facility maintenance.
    • Deficiency—Comment
    • Deficiency—Facility Administration: Operation
    • Deficiency—Service Plan: General
    • Deficiency—Service Plan: Service Planning Team
    • Deficiency—Systems: Resident Right to Refuse
    • Deficiency—Systems: Self-Administration of Meds
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Fire and Life Safety: Training For Residents
    • Deficiency—General Building Exterior
    • Deficiency—Doors, Walls, Elevators, Odors
    18 Mar 2024Complaint
    Investigated the complaint; no deficiencies found.
    • Deficiency—Service Plan: General
    18 Oct 2023Abuse: Neglect
    Investigated a complaint and found neglect and abuse due to failure to provide needed services and supervision, resulting in a resident being sent to a medical appointment without staff escort.
    • Abuse—Failed to provide service
    07 Jul 2023Inspection
    Determined failure to follow the care plan led to improper implementation of services with potential for moderate harm.
    • Licensing—Failed to follow care plan
    06 Mar 2023Validation
    Identified widespread deficiencies across administration oversight, resident care, abuse reporting, service planning, move-in evaluations, activities, staffing, medication management, fire safety, and housekeeping.
    • Deficiency—Comment
    • Deficiency—Facility Administration: Operation
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Resident Services: Activities
    • Deficiency—Resident Move-In and Eval: Res Evaluation
    • Deficiency—Service Plan: General
    • Deficiency—Service Plan: Service Planning Team
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Systems: Tracking Control Substances
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Resident Right to Refuse
    • Deficiency—Staffing Requirements and Training: Staffing
    • Deficiency—Staffing Requirements and Training – Pre-Serv
    • Deficiency—Training Within 30 Days: Direct Care Staff
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Fire and Life Safety: Training For Residents
    • Deficiency—Doors, Walls, Elevators, Odors
    • Deficiency—Housekeeping and Laundry
    21 Feb 2023Complaint
    Investigated a complaint and identified deficiencies related to doors, walls, elevators, and odors.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Doors, Walls, Elevators, Odors
    08 Feb 2023Inspection
    Investigated the allegation and found deficiencies in keeping interior materials and surfaces clean and ensuring equipment was in good repair.
    • Licensing—Failed to provide safe environment
    05 Dec 2022Abuse: Neglect
    Identified neglect of care due to failing to follow a care plan, resulting in multiple falls and a hip fracture, which constitutes abuse.
    • Abuse—Failed to follow care plan
    27 Oct 2022Complaint
    Investigated a complaint and identified deficiencies in service planning and resident health services; other areas were in compliance.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Resident Services: Adls
    • Deficiency—Service Plan: General
    • Deficiency—Resident Health Services
    • Deficiency—Staffing Requirements and Training: Staffing
    • Deficiency—Acuity-Based Staffing Tool
    26 Oct 2022Inspection
    Found a deficiency in service planning that did not reflect residents' needs identified in the evaluation.
    • Licensing—Failed to properly plan care
    14 Oct 2022Inspection
    Found a deficiency for missing written medical emergency response policies for all shifts.
    • Licensing—Failed to provide safe environment
    14 Oct 2022Inspection
    Found a deficiency in the service plan; it did not include who would provide services or how often the services would be provided.
    • Licensing—Failed to provide service
    06 Oct 2022Complaint
    Investigated a complaint and identified a deficiency related to reasonable precautions; other areas were found in compliance.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Reasonable Precautions
    • Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
    • Deficiency—Staffing Requirements and Training: Staffing
    • Deficiency—Acuity-Based Staffing Tool
    16 Sept 2022Inspection
    Investigated an allegation that a staff member did not obtain a medication order and gave a resident the staff member's own medication; found abuse/neglect and unsafe conditions resulting in emotional harm and rights violations.
    • Licensing—Failed to obtain medication order
    15 Sept 2022Inspection
    Found a deficiency for failing to provide a safe environment.
    • Licensing—Failed to provide safe environment
    03 Aug 2022Inspection
    Found that a resident's pain medication was stolen by an unknown person and the provider failed to protect the resident from theft, constituting financial exploitation and abuse.
    • Licensing—Failed to protect resident from financial exploitation
    02 Aug 2022Complaint
    Investigated complaints found deficiencies in resident rights and health services, including consent access to POLST and missing emergency procedures.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Resident Rights and Protection - General
    • Deficiency—Resident Health Services
    16 Jul 2022Inspection
    Investigated an allegation of a resident rights violation and found the resident was not given informed choice to refuse services or accept the consequences.
    • Licensing—Failed to assure resident rights
    16 Jul 2022Inspection
    Found a deficiency in written policies and procedures for medical emergency response across shifts. This deficiency was cited under Oregon Administrative Rules.
    • Licensing—Failed to provide safe environment
    03 Jun 2022Inspection
    Found financial exploitation of a resident and a failure to protect the resident from exploitation.
    • Licensing—Failed to protect resident from financial exploitation
    18 Apr 2022Inspection
    Found a licensing violation for failing to provide a daily program of social and recreational activities, verified by the investigation.
    • Licensing—Failed to provide appropriate activities
    18 Apr 2022Inspection
    Found a failure to provide a safe environment due to staff not wearing masks and visitors not being screened.
    • Licensing—Failed to provide safe environment
    18 Apr 2022Inspection
    Investigated and found a violation where residents were not given informed choice about services and to accept consequences, including a restriction on coffee after 11 am.
    • Licensing—Failed to assure resident rights
    05 Jan 2022Inspection
    Verified that visitors were not screened for COVID, indicating insufficient safety precautions.
    • Licensing—Failed to provide safe environment
    23 Nov 2021Inspection
    Found that medication orders were not carried out as prescribed, creating a risk of harm due to an unsafe medication administration process.
    • Licensing—Failed to provide a safe medication administration system
    22 Nov 2021Abuse: Neglect
    Investigated a complaint about verbal abuse toward a resident and failure to protect the resident from staff misconduct. Findings identified inappropriate language and sexual comments toward the resident, constituting abuse and neglect.
    • Abuse—Failed to protect resident from verbal abuse
    09 Nov 2021Abuse: Neglect
    Identified failure to protect a resident from financial exploitation, with unauthorized charges over $1,000 and about six months before discovery.
    • Abuse—Failed to protect resident from financial exploitation
    27 Sept 2021Inspection
    Investigated the allegation of failing to provide a safe environment and found that reasonable precautions to protect residents' health, safety, or welfare were not taken, violating Oregon Administrative Rules.
    • Licensing—Failed to provide safe environment
    07 Sept 2021Inspection
    Investigated and found a deficiency in staff training competency development.
    • Licensing—Failed to provide safe environment
    07 Sept 2021Inspection
    Investigated and found a deficiency in providing a safe environment for residents. The finding identified a violation of Oregon Administrative Rules.
    • Licensing—Failed to provide safe environment
    24 Aug 2021Abuse: Neglect
    Investigated a medication-safety allegation and found a failure to provide a safe medication administration system. The failure resulted in incomplete records, missing medication, and risk of serious harm.
    • Abuse—Failed to provide a safe medication administration system
    20 Aug 2021Inspection
    Found deficiencies in the medication administration system related to tracking controlled substances and disposal of unused medications.
    • Licensing—Failed to provide a safe medication administration system
    19 Aug 2021Inspection
    Determined that there was inadequate professional oversight of the medication administration system, and the deficiency was substantiated.
    • Licensing—Failed to provide a safe medication administration system
    01 Jul 2021Abuse: Neglect
    Investigated a complaint of neglect and abuse and found the tab-alarm was not functioning, leading to a head injury after a fall.
    • Abuse—Failed to properly plan care
    04 Dec 2020Abuse: Neglect
    Found that staff verbally abused a resident and failed to protect the resident from abuse, constituting abuse and neglect. A fine was assessed.
    • Abuse—Failed to protect resident from verbal abuse
    07 Aug 2020Inspection
    Found deficiencies related to pest control and the secure, labeled storage of poisons and other toxic materials.
    • Licensing—Failed to provide safe environment
    07 Aug 2020Inspection
    Found that residents did not receive a daily program of social and recreational activities based on individual and group interests and needs, limiting opportunities for community participation.
    • Licensing—Failed to assure resident rights
    01 Aug 2020Inspection
    Identified failures to prevent pest entry and to securely store and label toxic materials, based on a complaint about ants in a room.
    • Licensing—Failed to control pests
    06 Sept 2019Inspection
    Investigated an allegation of failing to provide service and found substantial noncompliance.
    • Licensing—Failed to provide service
    10 Aug 2019Abuse: Neglect
    Identified neglect for failing to administer medications as ordered, resulting in harm.
    • Abuse—Failed to provide a safe medication administration system
    10 Aug 2019Inspection
    Investigated the allegation of failing to report suspected abuse and identified deficiencies in reporting.
    • Licensing—Failed to report potential or suspected abuse
    15 Jul 2019Inspection
    Determined neglect of care occurred and a resident's safety was not assured.
    • Licensing—Failed to assure resident was safe
    03 May 2019Abuse: Neglect
    Found neglect of care that created risk of harm and assessed a $375 fine.
    • Abuse—Failed to provide safe environment
    01 May 2019Abuse: Neglect
    Investigated the allegation of neglect and found a failure to provide a safe environment.
    • Abuse—Failed to provide safe environment
    12 Dec 2017Inspection
    Investigated a complaint and found that care planning was not performed appropriately.
    • Licensing—Failed to provide safe environment
    08 Dec 2017Abuse: Verbal/Mental abuse
    Investigated the complaint and identified a deficiency in protecting a resident from inappropriate comments.
    • Abuse—Failed to provide safe environment
    02 Dec 2017Abuse: Neglect
    Investigated the allegation of abuse/neglect and identified a failure to protect residents from harm.
    • Abuse—Failed to provide safe environment
    01 Oct 2017Abuse: Neglect
    Investigated an allegation of neglect and found a failure to assess and intervene when change of condition occurred.
    • Abuse—Failed to provide oversight and monitoring of change of condition
    18 Aug 2017Abuse: Financial abuse
    Investigated an allegation of financial abuse and found a failure to prevent theft of medication.
    • Abuse—Failed to provide safe environment
    04 Jul 2017Abuse: Neglect
    Found an inadequate medication system that led to ER visits.
    • Abuse—Failed to administer medication as ordered
    24 Jun 2017Inspection
    Investigated an allegation of failing to follow the care plan and identified a deficiency in protecting residents from harm.
    • Licensing—Failed to follow care plan
    09 Jun 2017Inspection
    Investigated the allegation and substantiated a deficiency related to move-in and evaluation requirements.
    • Licensing—Failed to perform adequate screening or assessment
    26 May 2017Inspection
    Found a licensing violation for failing to protect a resident from inappropriate comments that caused emotional distress.
    • Licensing—Failed to provide safe environment
    11 Apr 2017Inspection
    Found insufficient staffing to meet residents' scheduled and unscheduled needs.
    • Licensing—Failed to provide appropriate staffing
    08 Apr 2017Inspection
    Investigated a complaint and found a failure to maintain an adequate medication administration system.
    • Licensing—Failed to provide a safe medication administration system
    29 Mar 2017Inspection
    Found a deficiency for failing to provide PRN medication as requested.
    • Licensing—Failed to administer ordered medication
    04 Mar 2017Inspection
    Found violations related to administering ordered medication and maintaining an adequate medication system.
    • Licensing—Failed to administer ordered medication
    01 Mar 2017Abuse: Neglect
    Found neglect related to failing to administer ordered medication, with moderate harm potential.
    • Abuse—Failed to administer ordered medication
    03 Feb 2017Inspection
    Investigated the allegation of failing to assure food safety and found a deficiency.
    • Licensing—Failed to assure food safety
    03 Feb 2017Inspection
    Investigated an allegation of failing to assure adequate food supply and substantiated it.
    • Licensing—Failed to assure adequate food supply
    10 Jan 2017Inspection
    Found a deficiency where the staffing plan was not listed in the residency agreement as required by rule.
    • Licensing—Failed to communicate necessary information
    18 Dec 2016Inspection
    Investigated the allegation of a failure to provide a safe medication administration system and found prescribed medications were not provided.
    • Licensing—Failed to provide a safe medication administration system
    15 Dec 2016Inspection
    Concluded that a safe environment was not provided due to failure to assess and intervene to prevent inappropriate sexual behavior.
    • Licensing—Failed to provide safe environment
    01 Dec 2016Abuse: Financial abuse
    Investigated a financial abuse allegation and found misappropriation of a resident's resources.
    • Abuse—Failed to provide safe environment
    07 Nov 2016Abuse: Neglect
    Found residents were not protected from inappropriate interactions.
    • Abuse—Failed to provide safe environment
    04 Nov 2016Abuse: Neglect
    Investigated and found that residents were not protected from physical assault.
    • Abuse—Failed to provide safe environment
    29 Oct 2016Abuse: Neglect
    Concluded that neglect related to falls was substantiated, finding the care plan was not followed.
    • Abuse—Failed to adequately care plan related to falls
    27 Oct 2016Abuse: Neglect
    Investigated and found resident safety was not maintained.
    • Abuse—Failed to address resident's behavior
    19 Oct 2016Abuse: Neglect
    Found that a secure environment was not provided.
    • Abuse—Failed to provide safe environment
    15 Oct 2016Abuse: Neglect
    Determined that residents were not protected from physical assault, indicating a safety deficiency.
    • Abuse—Failed to provide safe environment
    15 Oct 2016Abuse: Neglect
    Investigated the allegation and found a failure to administer medications as prescribed, resulting in a $350 fine.
    • Abuse—Failed to provide a safe medication administration system
    15 Oct 2016Abuse: Neglect
    Investigated an allegation of neglect and found a failure to protect residents from harm.
    • Abuse—Failed to provide safe environment
    08 Oct 2016Inspection
    Determined that care planning was not properly followed, with potential for harm.
    • Licensing—Failed to properly plan care
    16 Sept 2016Inspection
    Found a deficiency because a qualified caregiver was not present.
    • Licensing—Failed to assure that a qualified caregiver was present
    16 Sept 2016Inspection
    Investigated the staffing allegation and found insufficient staffing.
    • Licensing—Failed to provide appropriate staffing
    14 Jul 2016Abuse: Neglect
    Investigated an allegation of failing to monitor a change of condition and found deficiencies; a civil penalty was assessed.
    • Abuse—Failed to provide oversight and monitoring of change of condition
    04 Apr 2016Inspection
    Investigated and concluded that a resident was not protected from physical assault.
    • Licensing—Failed to provide safe environment
    22 Dec 2015Inspection
    Investigated an allegation and found that medication was not destroyed according to a system approved by a pharmacist consultant.
    • Licensing—Failure to provide a system that prevents theft or misuse of medication
    25 Nov 2015Inspection
    Determined that a safe medication administration system was not provided because physicians' orders were not followed.
    • Licensing—Failed to provide a safe medication administration system
    11 Feb 2015Abuse: Neglect
    Found that staff failed to follow the care plan for a resident, and the finding supported the neglect allegation with potential for minor to moderate harm.
    • Abuse—Failed to follow care plan
    11 Feb 2015Inspection
    Found falsified medical records, a licensing violation with potential for moderate harm.
    • Licensing—Falsified records
    12 Sept 2014Abuse: Neglect
    Determined that appropriate care was not provided.
    • Abuse—Failed to provide service
    12 Sept 2014Inspection
    Identified a violation for failing to follow the care plan and to provide or assist with hygiene.
    • Licensing—Failed to provide or assist with hygiene
    12 Sept 2014Inspection
    Investigated an allegation of medication not being available. Found a deficiency for not following physician orders.
    • Licensing—Failed to have medication available
    07 Sept 2014Abuse: Neglect
    Found failure to plan care appropriately, resulting in potential harm to residents. Violations cited related to care planning and documentation.
    • Abuse—Failed to properly plan care
    04 Aug 2014Abuse: Neglect
    Investigated a complaint alleging improper medication administration. Found failure to obtain timely medication treatment.
    • Abuse—Failed to provide a safe medication administration system
    28 Feb 2014Inspection
    Investigated the allegation of failing to provide a safe environment and found a deficiency.
    • Licensing—Failed to provide safe environment
    15 Dec 2013Abuse: Neglect
    Investigated a complaint of abuse/neglect and identified a safety deficiency where residents were not protected from harm.
    • Abuse—Failed to provide safe environment
    07 Dec 2013Abuse: Neglect
    Found that the care plan was not followed and the issue was substantiated.
    • Abuse—Failed to follow care plan
    06 Jun 2013Inspection
    Investigated the allegation of failing to provide a safe environment and found the care plan was not followed.
    • Licensing—Failed to provide safe environment
    28 May 2013Abuse: Neglect
    Found a violation for failing to protect a resident from physical assault, with a $250 fine assessed.
    • Abuse—Failed to provide safe environment
    15 Mar 2013Inspection
    Found care planning was not performed properly.
    • Licensing—Failed to properly plan care
    09 Mar 2013Inspection
    Identified a failure to provide a safe and secure environment.
    • Licensing—Failed to provide safe environment
    01 Feb 2013Abuse: Neglect
    Found that residents were not protected from physical assault, indicating an unsafe environment.
    • Abuse—Failed to provide safe environment
    15 Jan 2013Abuse: Neglect
    Investigated the allegation and found care plan non-compliance, indicating a safety concern.
    • Abuse—Failed to provide safe environment
    15 Jan 2013Abuse: Neglect
    Investigated neglect related to medication administration and found that medications were not administered as prescribed.
    • Abuse—Failed to administer ordered medication
    07 Jan 2013Inspection
    Found that a resident was not protected from physical assault.
    • Licensing—Failed to provide safe environment
    07 Jan 2013Abuse: Neglect
    Found that the care plan was not followed, with potential for minor to moderate harm.
    • Abuse—Failed to follow care plan
    02 Jan 2013Abuse: Neglect
    Concluded that the licensee failed to follow the falls-related care plan.
    • Abuse—Failed to adequately care plan related to falls
    23 Dec 2012Inspection
    Found a deficiency for failure to assess and intervene in care planning.
    • Licensing—Failed to properly plan care
    21 Dec 2012Abuse: Neglect
    Investigated the neglect allegation and found noncompliance with the care plan.
    • Abuse—Failed to follow care plan
    21 Dec 2012Inspection
    Investigated and found a failure to provide a safe environment.
    • Licensing—Failed to provide safe environment
    20 Dec 2012Inspection
    Investigated an allegation of failing to assist with dressing or grooming and found substantiated deficiencies in care.
    • Licensing—Failed to assist with dressing or grooming
    20 Dec 2012Inspection
    Found failure to maintain an adequate medication system. This posed potential for moderate harm.
    • Licensing—Failed to provide a safe medication administration system
    18 Dec 2012Inspection
    Found that appropriate care for RV3 was not provided.
    • Licensing—Failed to provide service
    18 Dec 2012Abuse: Neglect
    Found an inadequate medication administration system that could put residents at risk.
    • Abuse—Failed to provide a safe medication administration system
    18 Dec 2012Inspection
    Found a failure to maintain a safe and secure medication system.
    • Licensing—Failed to provide a safe medication administration system
    16 Dec 2012Abuse: Neglect
    Determined that the allegation of failing to intervene when a resident's condition changed was substantiated.
    • Abuse—Failed to intervene when resident's condition changed
    12 Dec 2012Abuse: Neglect
    Determined that a safe and secure medication system was not provided.
    • Abuse—Failed to provide a safe medication administration system
    05 Dec 2012Abuse: Neglect
    Investigated a neglect allegation; found a failure to provide a safe environment and multiple rule violations cited.
    • Abuse—Failed to provide safe environment
    27 Nov 2012Abuse: Neglect
    Investigated a neglect allegation and found failure to provide appropriate incontinent care.
    • Abuse—Failed to assist with toileting
    24 Nov 2012Inspection
    Investigated an allegation that a safe medication administration system was not provided and found the provider failed to provide an adequate system.
    • Licensing—Failed to provide a safe medication administration system
    12 Oct 2012Abuse: Neglect
    Identified violations in providing care that could cause minor to moderate harm.
    • Abuse—Failed to provide service
    27 Jul 2012Abuse: Neglect
    Determined that a neglect allegation about care planning resulted in a failure to provide a safe environment.
    • Abuse—Failed to properly plan care
    16 Jul 2012Inspection
    Investigated the allegation and determined there was a failure to provide a safe environment and to follow the care plan.
    • Licensing—Failed to provide safe environment
    24 Jun 2012Inspection
    Found that timely medical treatment was not provided.
    • Licensing—Failed to assure timely medical treatment
    24 Jun 2012Abuse: Neglect
    Identified a deficiency for failing to administer the ordered medication.
    • Abuse—Failed to administer ordered medication
    24 Jun 2012Inspection
    Found that physician orders were not followed.
    • Licensing—Failed to assure physician services
    19 Jun 2012Inspection
    Found a failure to provide a safe environment.
    • Licensing—Failed to provide safe environment
    07 Jan 2012Inspection
    Determined that the care plan was not followed. This constitutes a deficiency related to care plan requirements.
    • Licensing—Failed to follow care plan
    25 Sept 2011Inspection
    Concluded that a resident's behavior was not addressed and a safe environment was not provided.
    • Licensing—Failed to address resident's behavior
    09 May 2011Abuse: Neglect
    Found that a safe environment was not provided.
    • Abuse—Failed to properly plan care
    05 May 2011Inspection
    Investigated the allegation of a failed safe medication administration system and found that a safe medication system was not maintained.
    • Licensing—Failed to provide a safe medication administration system
    21 Jan 2011Inspection
    Concluded that inadequate screening or assessment occurred and intervention was not performed.
    • Licensing—Failed to perform adequate screening or assessment
    24 Dec 2010Inspection
    Identified a deficiency for failing to provide a safe environment.
    • Licensing—Failed to provide safe environment
    27 May 2010Abuse: Neglect
    Identified a failure to administer medications as prescribed, with a substantiated abuse finding and a $300 fine assessed.
    • Abuse—Failed to administer medication as ordered
    21 May 2010Inspection
    Determined that a resident safety deficiency occurred due to failing to assess and intervene.
    • Licensing—Failed to assure resident was safe
    15 Apr 2010Inspection
    Identified a Level 2 licensing violation for failing to follow the care plan.
    • Licensing—Failed to follow care plan
    22 Mar 2010Abuse: Neglect
    Found failure to address resident behavior and provide a safe environment; a $300 fine was assessed.
    • Abuse—Failed to address resident's behavior
    10 Mar 2010Inspection
    Investigated a medication record-keeping issue and found the medication system inadequate.
    • Licensing—Failed to keep medication record current or accurate
    17 Feb 2010Abuse: Neglect
    Investigated an abuse/neglect allegation and found a failure to provide a safe environment; a $300 fine was assessed.
    • Abuse—Failed to provide safe environment
    10 Feb 2010Inspection
    Found that a secure environment was not provided.
    • Licensing—Failed to provide safe environment
    24 Jan 2010Abuse: Neglect
    Investigated a complaint and found failure to follow the care plan. A $300 fine was assessed.
    • Abuse—Failed to follow care plan
    10 Jan 2010Abuse: Neglect
    Determined that a safe environment was not provided, and a $300 fine was assessed.
    • Abuse—Failed to provide safe environment

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