Timber Pointe Senior Living

    4865 Main St, Springfield, OR 97478
    • Independent Living
    • Assisted Living

    Smooth intake; caring, active community

    I moved my father into Timber Pointe and the intake was smooth - communication was clear and Scott and Maya made the process easy. Staff are kind, attentive, and professional (nurses, medtechs, personal assistants), and residents are outgoing with a full schedule of activities, movies, and outings. The community is clean, bright, tastefully decorated, and the dining/cafe is excellent with a fun 50s vibe. I feel confident he's well cared for and would recommend Timber Pointe to families seeking a warm, active place.

    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
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

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

    Transportation

    • Community operated transportation
    • Located close to restaurants
    • Located close to shopping centers
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.20·(97)

    Overall rating

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

      4.1
    • Staff

      4.2
    • Meals

      3.7
    • Amenities

      4.8
    • Value

      2.8

    Pros

    • Engaging, varied activity program
    • Regular outings and transportation for errands and appointments
    • Active community events and seasonal celebrations
    • Diverse fitness options (aerobics, yoga, gym)
    • Arts, games, and clubs (card making, baking, gardening, puzzles)
    • On-site memory-care options and resident council
    • Friendly, compassionate caregiving staff
    • Knowledgeable nursing and medtech presence
    • Welcoming admissions and marketing team support
    • Housekeeping and maintenance responsiveness
    • Clean, well-maintained facility and grounds
    • Spacious, light-filled apartments
    • Cafe-style dining environment and communal dining rooms
    • Short-term/respite-stay availability
    • Strong volunteer and community partnerships
    • Frequent live music and entertainment
    • Resident ambassadors and peer support programs
    • Personalized touches allowed in rooms (e.g., feeders, chimes)
    • Active family communication in many cases
    • Accessible common spaces and social rooms

    Cons

    • Inconsistent meal quality and meal-service continuity
    • High staff turnover and understaffing
    • Gaps in clinical-staff training and onboarding
    • Variable responsiveness to family concerns and communication gaps
    • Management responsiveness and leadership engagement variability
    • Billing, invoicing, and financial-transparency issues
    • Medication-management practices
    • Affordability constraints and limited Medicaid assistance
    • Inconsistent infection-control/PPE adherence
    • Allegations of theft and financial misconduct
    • Care-scheduling delays and inconsistent promptness of assistance
    • Operational reliance on dual-role staff affecting service speed

    Summary of reviews

    Timber Pointe Senior Living is frequently praised for its active, social environment and well-maintained physical plant. The community offers a broad calendar of activities — fitness classes, arts and crafts, clubs, live music, seasonal parties, and frequent outings for shopping, banking, and medical appointments — that many residents and families find fulfilling. Common areas, apartment layouts, and grounds are described as clean, bright, and comfortable; several reviewers highlighted larger units and good housekeeping and maintenance responsiveness.

    Staffing and direct-care quality are a central strength for many families. Numerous comments describe caregiving and nursing staff as compassionate, attentive, and knowledgeable; on-site medtechs and nurses are noted, and many families reported smooth admissions experiences assisted by specific staff members in marketing and care coordination. Volunteer involvement, resident ambassadors, and active community partnerships also contribute to a strong social culture and a welcoming atmosphere for new residents.

    Dining and activity programming are standout features for some reviewers but appear inconsistent for others. The facility’s cafe-style dining, communal dining rooms, and themed meals receive positive remarks, yet multiple accounts indicate variability in food quality and meal-service continuity over time. Operational factors such as cooks changing or meal delivery charges have influenced perceptions of dining reliability.

    Several operational and management patterns warrant attention. There are recurring concerns about staffing stability and training: high turnover, understaffing, and uneven onboarding for care staff were associated with delays in assistance and inconsistent service speed. Family communication and management responsiveness are variable; some families praised specific leaders for strong communication and collaboration, while others described difficulty getting administrative concerns addressed or timely information following clinical events. Reviewers also raised issues around billing organization, steep entry fees, limited Medicaid support, and isolated allegations of theft and financial misconduct, which suggest a need for clearer financial transparency and controls.

    Clinical and safety-related themes are mixed. The presence of nursing staff and medtechs is a positive, but reviewers noted inconsistent PPE adherence during infection-control events and expressed concerns about medication-management practices and care-scheduling responsiveness. There are also mentions of families wanting more timely sharing of medical records and clearer communication during hospital transfers and end-of-life events.

    In summary, Timber Pointe presents as a socially active, attractive community with many families reporting high satisfaction with staff, activities, and living spaces. At the same time, pattern-level issues around staffing stability, training consistency, meal-service reliability, management communication, and financial transparency appear in the feedback and should be considered by prospective residents and families. Those prioritizing strong social programming and a well-kept environment may find Timber Pointe appealing, while families for whom clinical continuity, transparent billing, and consistently prompt operational responsiveness are primary concerns should seek detailed discussions with management and request documentation of staffing, infection-control, and financial policies before decision-making.

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    Location

    Map showing location of Timber Pointe Senior Living

    Timber Pointe Senior Living is located at 4865 Main St, Springfield, OR, 97478.

    About Timber Pointe Senior Living

    Timber Pointe Senior Living sits in a scenic spot at 4865 Main St in Springfield, Oregon, and offers a friendly, welcoming environment that looks and feels like home, and you'll find a variety of suite options to let each resident make their space their own, and there's all sorts of people here, some who want independence and others who need quite a bit of help, since care plans are tailored to each person's needs and staff stay around the clock with licensed nurse oversight and keep in regular touch with healthcare providers, so whether someone just needs reminders for medication or full nursing home services or even memory care, there's help here for that, and there's the Retreat respite care program which gives short-term stays with furnished rooms, meals, snacks, and participation in the Life Enrichment Program, which is a good way to sample the community or get a break for caregivers.

    The campus has 122 beds and offers everything from independent living to assisted living, memory care, and even skilled nursing, which means people can adjust their care as their needs change, and the place tries to feel like more than just a building-it encourages people to join in, share, and feel like they belong, so family and caregivers stay involved and are always welcome. Staff seem to care a lot and focus on creating a warm mood, helping people with daily activities like dressing and bathing and making sure everyone can join in social and educational programs, since staying busy and connected is a big part of daily life here. Everyone can use the free wireless internet to visit or chat with family and friends even if they can't make it out, and there's a focus on having things to do together, both on site and with outings for shopping or cultural events.

    The list of common areas and extras is long-there's indoor lounges, outdoor areas, and a beauty and barber salon, plus places to play cards and do arts or painting, as well as devotional services and a library. Residents can enjoy meals in the dining area, snacks anytime, and weekly housekeeping and laundry are taken care of, so there's less to worry about like yard work or daily cooking. Pets are welcome, so people don't have to give them up when they move, and services include transportation for appointments or to get out into the Springfield community, visiting places like the Richard E. Wildish Community Theater or Springfield Public Library.

    Rooms come in different sizes like studios, one- and two-bedroom floor plans, all with modern touches and amenities, and everything's been thought out to keep life comfortable, so people can relax or join in with as much as they like, whether it's walking, biking, just reading, or celebrating with live music, special meals, and fresh flowers during events. Staff are always nearby to answer the 24-hour call system and handle maintenance, and with all the focus on helping people stay engaged and healthy, many appreciate how Timber Pointe gives a mix of care and freedom in a home-like setting for the next chapter of life.

    People often ask...

    Timber Pointe Senior Living offers competitive pricing, with rates starting at a cost of $4,495 per month.

    Timber Pointe Senior Living offers independent living and assisted living.

    There are 46 photos of Timber Pointe Senior Living on Mirador.

    The full address for this community is 4865 Main St, Springfield, OR 97478.

    No, Timber Pointe Senior Living does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.

    License number70A299
    StatusActive
    Facility typeAssisted Living Facility
    Capacity150 residents
    LicenseePointe Side OpCo, LLC
    EffectiveMarch 1st, 2006
    View the official license record

    Inspection Reports

    221

    Reports

    0

    Type A Citations

    0

    Type B Citations

    4

    Complaints

    16

    Years

    16 Dec 2025Inspection
    Investigated and found neglect of care and an unsafe medication administration system that left a resident in pain for about two hours.
    • LicensingFailed to provide safe environment
    18 Nov 2025Abuse: Neglect
    Found failures to provide meal service on admission and to notify staff, resulting in unmet nutritional needs and hunger.
    • AbuseFailed to properly plan care
    01 Oct 2025Kitchen
    Identified extensive sanitation and food-handling deficiencies in the kitchen, with dirt, cross-contamination risks, and improper cooling and hygiene practices observed during a visit.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    20 Aug 2025License Condition
    Investigated the allegation of failing to provide a safe environment and found deficiencies related to safety during a change of ownership survey.
    • Regulatory ActionFailed to provide safe environment
    24 Jul 2025Change of Owner
    The facility was cited for multiple failures across quality improvement, resident rights, service plans, change of condition monitoring, health services, medication management, staffing, ABST accuracy, inspections, building cleanliness, and resident freedom to schedule activities.
    • DeficiencyFacility Administration: Quality Improvement
    • DeficiencyResident Rights and Protection - General
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencySystems: Tracking Control Substances
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Self-Administration of Meds
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity Based Staffing Tool - ABST Time
    • DeficiencyAcuity Based Staffing Tool - Updates & Staffing Plan
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    • DeficiencyIndividual freedom & Support: Activities
    25 Jun 2025Inspection
    Found staffing levels did not align with the ABST and did not meet residents' scheduled and unscheduled needs.
    • LicensingFailed to staff as indicated by ABST
    25 Jun 2025Inspection
    Identified deficiencies in the acuity-based staffing tool that did not accurately reflect resident needs, and found staffing levels did not align with those needs.
    • LicensingFailed to use an ABST
    17 Jun 2025Inspection
    Investigated staffing practices revealed failures to use and align the ABST with the posted plan. This led to under-staffing on two shifts and mismatches between rosters, care plans, and the ABST.
    • LicensingFailed to use an ABST
    07 Jun 2025Inspection
    Found a failure to maintain a safe medication administration system and timely notification of a resident's return, resulting in a missed medication dose and delayed monitoring.
    • LicensingFailed to provide a safe medication administration system
    04 Jun 2025Inspection
    Identified deficiencies in acuity-based staffing and staffing plans, with insufficient awake direct care staff and misalignment between ABST data, resident needs, and care plans.
    • LicensingFailed to use an ABST
    27 May 2025Inspection
    Identified a failure to provide a safe medication administration system, including tracking and disposal of controlled substances, with multiple instances of undestroyed narcotics after disposal dates.
    • LicensingFailed to provide a safe medication administration system
    30 Apr 2025Inspection
    Investigated staffing and care issues; found insufficient awake direct care staff to meet 24-hour and unscheduled resident needs, with ABST not accurately reflecting needs and ADLs. Also identified delays in call lights and showers not provided.
    • LicensingFailed to use an ABST
    30 Apr 2025Inspection
    Identified deficiencies in ABST implementation and data consistency. Staffing levels did not reflect resident needs.
    • LicensingFailed to use an ABST
    20 Mar 2025Inspection
    Found insufficient qualified awake direct care staff to meet residents' 24-hour needs and an outdated ABST not reflecting current care needs. An issue impacted one resident.
    • LicensingFailed to use an ABST
    20 Mar 2025Inspection
    Identified deficiencies in implementing and updating the Acuity-Based Staffing Tool and in staffing adequacy. Findings showed ABST was not updated quarterly, data inconsistencies across roster and care plans, and delayed call lights and care tasks.
    • LicensingFailed to use an ABST
    19 Mar 2025Abuse: Neglect
    Found abuse and neglect due to failure to provide adequate hygiene care, resulting in discomfort and worsening condition from infrequent showers and unverified care. A $225 fine was assessed.
    • AbuseFailed to provide or assist with hygiene
    19 Mar 2025Inspection
    Identified deficiencies in the ABST accuracy and staffing levels due to mismatches among resident data and care plans, with inconsistencies between roster, ADLs, and ABST.
    • LicensingFailed to use an ABST
    14 Mar 2025Inspection
    Found insufficient staff to meet residents' scheduled and unscheduled needs and delayed responses to call lights.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    11 Mar 2025Inspection
    Investigated and found deficiencies in the Acuity-Based Staffing Tool updates and accuracy. ABST evaluations were not updated quarterly and data did not align with rosters and care plans.
    • LicensingFailed to use an ABST
    10 Mar 2025Inspection
    Identified a deficiency for failing to provide requested records. The investigation found that documents related to the Acuity-Based Staffing Tool were not supplied by the due date.
    • LicensingFailed to provide safe environment
    25 Feb 2025Inspection
    Identified deficiencies in updating and aligning the Acuity-Based Staffing Tool with resident care needs, showing inconsistencies between roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    17 Feb 2025Inspection
    Identified deficiencies in updating and aligning the Acuity-Based Staffing Tool with resident care needs.
    • LicensingFailed to use an ABST
    09 Feb 2025Inspection
    Found deficiencies in updating ABST and ensuring it reflects residents’ care needs, with inconsistencies between the resident roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    09 Feb 2025Abuse: Neglect
    Investigated found a failure to oversee the medication administration system, leading to the diversion of two narcotic tablets from a resident's supply by an unknown person, constituting abuse and neglect with financial exploitation; a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    27 Jan 2025Inspection
    Investigated found failure to document action or intervention for change of condition and to monitor until resolved for falls.
    • LicensingFailed to provide oversight and monitoring of change of condition
    01 Jan 2025Abuse: Neglect
    Investigated an allegation of neglect found the resident did not receive required showers, compromising personal hygiene.
    • AbuseFailed to follow care plan
    05 Dec 2024Licensure
    Investigated found multiple deficiencies across resident rights, service planning, health services, medication administration, staffing, and building accessibility, indicating violations of several requirements.
    • DeficiencyResident Rights and Protection - General
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencySystems: Medication Administration
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity Based Staffing Tool - ABST Time
    • DeficiencyAcuity Based Staffing Tool - Updates & Staffing Plan
    • DeficiencyTraining Within 30 Days of Hire – Direct Care Staff
    • DeficiencyGeneral Building Exterior
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    • DeficiencyPhysical Setting: Individual Accessible
    31 Oct 2024Abuse: Neglect
    Investigated the complaint and found neglect and abuse due to failure to follow the care plan, causing sores and loss of dignity.
    • AbuseFailed to follow care plan
    16 Oct 2024Inspection
    Found a safety violation and neglect of care after investigation.
    • LicensingFailed to provide safe environment
    07 Sept 2024Inspection
    Investigated findings showed ABST was not fully implemented or updated quarterly. Staffing did not meet the posted plan, and was short by one direct care staff.
    • LicensingFailed to use an ABST
    03 Sept 2024Inspection
    Identified failures to maintain an updated Acuity-Based Staffing Tool and to staff according to the posted plan, with resident data not updated quarterly and under-staffing observed.
    • LicensingFailed to use an ABST
    26 Aug 2024Kitchen
    Identified ongoing sanitation and food-safety deficiencies in the kitchen, including widespread cleanliness issues and missing temperature monitoring, with a repeat citation issued.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    02 Jun 2024Abuse: Neglect
    Investigated the allegation that there was a failure to provide a safe medication administration system, risking unnecessary discomfort from untreated infection.
    • AbuseFailed to provide a safe medication administration system
    27 May 2024Abuse: Neglect
    Investigated a medication administration failure and found that a safe system was not provided, constituting neglect and abuse; a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    27 May 2024Abuse: Neglect
    Found a failure to provide a safe environment that led to the theft of a resident's shoes and loss of personal items, constituting neglect and abuse. An unknown individual was alleged to financially exploit the resident.
    • AbuseFailed to provide safe environment
    27 May 2024Abuse: Neglect
    Found neglect of care due to inadequate personal hygiene assistance, resulting in compromised hygiene and loss of personal dignity.
    • AbuseFailed to properly plan care
    19 Mar 2024Complaint
    Found deficiencies in implementing scheduled bathing assistance. Found failures to carry out prescribed medication and treatment orders.
    • DeficiencyService Plan: General
    • DeficiencySystems: Treatment Orders
    04 Jan 2024Inspection
    Investigated found violations for failing to protect a resident from financial exploitation. An unknown alleged perpetrator charged the resident's bank account without authorization.
    • LicensingFailed to protect resident from financial exploitation
    08 Nov 2023Abuse: Neglect
    Investigated the financial exploitation incident and found neglect and abuse for failing to protect a resident’s rights; a $188 fine was assessed.
    • AbuseFailed to protect resident from financial exploitation
    22 Oct 2023Inspection
    Found that a resident's funds were exploited when an unknown individual used AV’s bank card and money was missing, indicating financial exploitation and abuse.
    • LicensingFailed to protect resident from financial exploitation
    28 Sept 2023Complaint
    Found deficiencies in complaint response processes, service plan implementation, housekeeping, and adherence to medication orders.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Policy & Procedure
    • DeficiencyService Plan: General
    • DeficiencySystems: Treatment Orders
    11 Sept 2023Licensure
    Found deficiencies in kitchen sanitation, equipment condition, and food handling; staff certification gaps were identified, with a later visit showing substantial compliance for some items but other deficiencies remained.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    12 Jun 2023Abuse: Neglect
    Found a failure to provide a safe environment and that about $200-$300 was missing from the resident’s wallet; a fine was assessed.
    • AbuseFailed to provide safe environment
    06 Jun 2023Abuse: Neglect
    Investigated and found a failure to provide a safe environment resulting in a resident injury during bus transport; a fine was assessed.
    • AbuseFailed to provide safe environment
    10 Feb 2023License Condition
    Investigated and found insufficient direct care staff to meet residents' scheduled and unscheduled needs.
    • Regulatory ActionFailed to meet the scheduled and unscheduled needs of residents
    10 Feb 2023License Condition
    Found failure to staff as indicated by ABST.
    • Regulatory ActionFailed to staff as indicated by ABST
    04 Dec 2022Abuse: Neglect
    Investigated found neglect due to staff not promptly responding to a resident's call light after a fall, causing discomfort and loss of dignity.
    • AbuseFailed to provide service
    29 Nov 2022Complaint
    Identified staffing shortages and incomplete implementation of an acuity-based staffing tool, leading to delayed call-light responses and unrecorded resident care needs.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    16 Oct 2022Abuse: Neglect
    Investigated found a failure to provide a safe medication administration system that delayed PRN pain medication for about an hour. This is identified as abuse and neglect.
    • AbuseFailed to provide a safe medication administration system
    07 Oct 2022Abuse: Neglect
    Investigated a nutrition-related care failure. Found the care plan wasn't followed and the resident lost weight, risking serious harm.
    • AbuseFailed to provide service
    28 Sept 2022Abuse: Neglect
    Investigated a medication administration issue and found a neglect and abuse violation due to failure to provide ordered medications, which caused emotional distress, and a $500 fine was assessed.
    • AbuseFailed to administer medication as ordered
    19 Sept 2022Complaint
    Found deficiencies in record-keeping policies, food sanitation practices, and medication oversight.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Records
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencySystems: Medications and Treatments
    16 Sept 2022Inspection
    Investigated an allegation of failing to assure resident rights and found a violation of food sanitation rules due to improper food preparation and serving.
    • LicensingFailed to assure resident rights
    06 Sept 2022Abuse: Neglect
    Investigated a complaint and found a violation related to medication administration safety, resulting in a resident not receiving medication for about six days and experiencing pain.
    • AbuseFailed to provide a safe medication administration system
    31 Aug 2022Inspection
    Investigated a claim about a safe medication administration system and found deficiencies in resident records preparation, completeness, accuracy, and preservation, and in a written policy prohibiting falsification.
    • LicensingFailed to provide a safe medication administration system
    31 Aug 2022Inspection
    Found inadequate professional oversight of the medication and treatment administration system.
    • LicensingFailed to provide a safe medication administration system
    31 Aug 2022Abuse: Neglect
    Investigated a medication administration issue and found the facility failed to provide a safe medication administration system, causing the resident undue discomfort.
    • AbuseFailed to provide a safe medication administration system
    31 Aug 2022Abuse: Neglect
    Found a substantiated failure to provide a safe medication administration system and related financial exploitation, with a fine assessed.
    • AbuseFailed to provide a safe medication administration system
    17 Aug 2022Licensure
    Determined substantial compliance with meal-related services and food sanitation rules. No deficiencies cited.
    • DeficiencyComment
    14 Jul 2022Abuse: Neglect
    Found failure to follow the care plan for showers, resulting in loss of personal dignity for the resident.
    • AbuseFailed to follow care plan
    13 Jul 2022Abuse: Neglect
    Investigated a report of potential sexual contact and found a failure to complete an internal investigation, risking resident rights and safety and constituting neglect and abuse.
    • AbuseFailed to assure resident rights
    07 Jun 2022Abuse: Neglect
    Investigated a failure to provide a safe medication administration system, leading to missed doses of heart medications and potential harm. A $1500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    31 Mar 2022Abuse: Neglect
    Found failure to appropriately care plan for known preferences, resulting in unreasonable discomfort and loss of personal dignity.
    • AbuseFailed to properly plan care
    21 Mar 2022Abuse: Neglect
    Found a failure to provide a safe medication administration system that risked harm to a resident, constituting neglect and abuse; a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    02 Mar 2022Abuse: Neglect
    Determined that a resident did not receive two meals a day on several occasions, causing discomfort and constituting neglect and abuse.
    • AbuseFailed to provide proper food/nutrition
    16 Feb 2022Inspection
    Investigated a complaint and found that a staff member engaged in inappropriate sexual contact with a resident; the resident experienced discomfort and loss of dignity. Protection from such contact was inadequate.
    • LicensingFailed to protect resident from inappropriate sexual contact
    25 Jan 2022Inspection
    Verified the allegation that medication and treatment orders were not carried out as prescribed, including a resident not receiving prescribed pain medications.
    • LicensingFailed to administer medication as ordered
    22 Jan 2022Inspection
    Investigated and identified a deficiency for failing to provide a safe environment that could threaten residents' health and safety.
    • LicensingFailed to provide safe environment
    03 Dec 2021Abuse: Neglect
    Determined there was a failure to provide a safe medication administration system, resulting in missed medications and increased pain, constituting abuse and neglect. A $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    02 Dec 2021Abuse: Neglect
    Investigated for failing to administer medications as ordered. The resident missed required doses on multiple occasions due to an unsafe medication administration system.
    • AbuseFailed to administer medication as ordered
    28 Nov 2021Abuse: Neglect
    Investigated a resident fall and found an unsafe environment due to inadequate staffing causing a delayed care response.
    • AbuseFailed to provide safe environment
    18 Nov 2021Inspection
    Investigated a medication administration allegation and verified missed doses.
    • LicensingFailed to administer ordered medication
    16 Nov 2021Abuse: Neglect
    Found that the resident did not receive prescribed doses when unavailable, causing discomfort, and identified an unsafe medication administration system.
    • AbuseFailed to administer medication as ordered
    31 Oct 2021Abuse: Neglect
    Determined that a failure to administer insulin as ordered harmed a resident and constituted abuse; a $500 fine was assessed.
    • AbuseFailed to administer medication as ordered
    11 Oct 2021Inspection
    Investigated an allegation of financial exploitation involving a resident and found that the licensee failed to protect the resident from exploitation.
    • LicensingFailed to protect resident from financial exploitation
    23 Sept 2021Inspection
    Found a licensing violation for failing to obtain background checks on all subject individuals.
    • LicensingFailed to provide safe environment
    15 Sept 2021Inspection
    Investigated and found that background checks were not obtained for all subject individuals, indicating a lack of a safe environment.
    • LicensingFailed to provide safe environment
    28 Aug 2021Abuse: Neglect
    Found that ordered medications were not administered, causing patient discomfort and constituting neglect and abuse. A $500 fine was assessed.
    • AbuseFailed to administer ordered medication
    22 Jul 2021Abuse: Neglect
    Found a violation of resident rights and neglect/abuse after a resident's wallet went missing and could not be recovered; a $500 fine was assessed.
    • AbuseFailed to assure resident rights
    12 Jul 2021Abuse: Neglect
    Determined a failure to protect resident rights, resulting in neglect and abuse; the financial exploitation allegation was not supported.
    • AbuseFailed to assure resident rights
    12 Jul 2021Abuse: Neglect
    Found that a staff member failed to protect a resident from financial exploitation, constituting neglect and abuse. Assessed a $500 fine.
    • AbuseFailed to protect resident from financial exploitation
    03 Jul 2021Abuse: Neglect
    Concluded that a resident was financially exploited due to staff failure to protect, resulting in a $500 fine.
    • AbuseFailed to protect resident from financial exploitation
    03 Jul 2021Abuse: Neglect
    Determined that a staff member failed to protect a resident from financial exploitation, and a $500 fine was assessed for neglect/abuse.
    • AbuseFailed to protect resident from financial exploitation
    03 Jul 2021Inspection
    Investigated a complaint alleging financial exploitation of a resident; found that a staff member had access to the resident's wallet during the night, cash was stolen, and protections against exploitation were inadequate.
    • LicensingFailed to protect resident from financial exploitation
    21 Apr 2021Abuse: Neglect
    Investigated an allegation of neglect and abuse related to inadequate care planning and toileting support, including repeated occurrences of bedding that remained soaked and not changed for a week.
    • AbuseFailed to properly plan care
    16 Apr 2021Abuse: Neglect
    Investigated and found deficiencies in medication administration and provision that caused patient discomfort; a $500 fine was assessed.
    • AbuseFailed to administer medication as ordered
    05 Apr 2021Abuse: Neglect
    Investigated an allegation of neglect and abuse; found failure to plan care to mitigate fall risk, resulting in multiple falls and a $500 fine assessed.
    • AbuseFailed to properly plan care
    19 Mar 2021Abuse: Neglect
    Found violations of the care plan and resident rights, including delayed medication and missed showers, with a $500 fine assessed.
    • AbuseFailed to follow care plan
    18 Mar 2021Abuse: Neglect
    Investigated found a failure to provide a safe medication administration system, risking harm to a resident.
    • AbuseFailed to provide a safe medication administration system
    08 Mar 2021Abuse: Neglect
    Investigated a medication administration concern and found a resident did not receive prescribed medication after an unapproved discontinuation, and there was no system to detect such changes, risking serious harm.
    • AbuseFailed to administer ordered medication
    02 Mar 2021Abuse: Neglect
    Investigated and found that the care plan was not followed, causing unnecessary discomfort and constituting neglect and abuse.
    • AbuseFailed to follow care plan
    02 Mar 2021Abuse: Neglect
    Found abuse/neglect due to failure to follow the care plan, resulting in an incontinence episode and discomfort. A $500 fine was assessed.
    • AbuseFailed to follow care plan
    01 Jan 2021Abuse: Neglect
    Found a violation of safe medication administration that could cause harm and resulted in a $500 fine.
    • AbuseFailed to provide a safe medication administration system
    01 Nov 2020Abuse: Neglect
    Determined that a resident did not receive an ordered medication, constituting neglect and abuse.
    • AbuseFailed to administer ordered medication
    14 Sept 2020Abuse: Neglect
    Investigated found abuse and neglect due to failure to keep a resident safe; a $1,500 fine was assessed.
    • AbuseFailed to assure resident was safe
    14 Sept 2020Abuse: Neglect
    Found failure to administer medications as ordered, resulting in overmedication and sedation; a $1500 fine assessed.
    • AbuseFailed to administer medication as ordered
    07 Apr 2020Abuse: Neglect
    Found a failure to provide a safe medication administration system and to follow physician orders, leading to neglect and abuse.
    • AbuseFailed to provide a safe medication administration system
    09 Mar 2020Inspection
    Investigated a failure to administer prescribed pain medication as ordered, which resulted in the patient's condition worsening and raised safety concerns.
    • LicensingFailed to administer medication as ordered
    16 Jan 2020Inspection
    Investigated the allegation of inadequate screening or assessment and identified a compliance issue.
    • LicensingFailed to perform adequate screening or assessment
    16 Jan 2020Inspection
    Investigated the medication administration allegation and found a deficiency.
    • LicensingFailed to administer medication as ordered
    16 Jan 2020Inspection
    Found failure to administer medication as ordered.
    • LicensingFailed to administer medication as ordered
    16 Jan 2020Inspection
    Investigated the allegation of failing to provide a safe medication administration system and found a deficiency in medication safety.
    • LicensingFailed to provide a safe medication administration system
    12 Sept 2019Abuse: Neglect
    Found neglect in medication administration that caused actual physical harm.
    • AbuseFailed to provide a safe medication administration system
    26 Jul 2019Abuse: Neglect
    Investigated the neglect allegation and found that basic care was not provided, resulting in significant emotional harm, unreasonable discomfort, and loss of personal dignity.
    • AbuseFailed to assure timely medical treatment
    20 Jun 2019Inspection
    Investigated and found a failure to administer medications to AV as ordered, creating risk of serious harm.
    • LicensingFailed to administer ordered medication
    19 May 2019Inspection
    Investigated an allegation of failing to report suspected abuse; cited a violation and assessed a $1000 fine.
    • LicensingFailed to report potential or suspected abuse
    19 May 2019Abuse: Neglect
    Investigated an allegation of neglect related to failing to intervene when a resident's condition changed; findings showed lack of documentation and risk of serious harm, with a fine assessed.
    • AbuseFailed to intervene when resident's condition changed
    06 Apr 2019Abuse: Neglect
    Investigated a complaint alleging neglect with toileting assistance and found inadequate supervision that caused discomfort.
    • AbuseFailed to assist with toileting
    19 Feb 2019Inspection
    Investigated an allegation that a call light wasn't answered promptly and concluded the allegation was supported.
    • LicensingFailed to answer call light in a timely manner
    11 Jan 2019Inspection
    Investigated an allegation of failing to report suspected abuse; the allegation was substantiated and a $750 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    11 Jan 2019Abuse: Neglect
    Investigated a medication administration allegation and found neglect related to not giving medications as ordered, which caused unnecessary discomfort.
    • AbuseFailed to administer medication as ordered
    01 Nov 2018Inspection
    Investigated a resident rights allegation and found the resident was involuntarily secluded by restricting interaction with others.
    • LicensingFailed to assure resident rights
    29 Mar 2018Inspection
    Found that medications were not administered as ordered, and assessed a $375 fine.
    • LicensingFailed to administer medication as ordered
    05 Mar 2018Inspection
    Found a licensing violation for failing to administer medication as ordered; a $500 fine was assessed.
    • LicensingFailed to administer medication as ordered
    16 Feb 2018Abuse: Neglect
    Investigated an allegation of neglect related to medication administration and found deficiencies in the medication administration system.
    • AbuseFailed to provide a safe medication administration system
    12 Feb 2018Inspection
    Determined that the allegation of failing to administer medications as ordered was upheld and a $375 fine assessed.
    • LicensingFailed to administer medication as ordered
    12 Feb 2018Inspection
    Found an inadequate medication administration system that could cause harm.
    • LicensingFailed to provide a safe medication administration system
    22 Jan 2018Inspection
    Investigated and found medications were not administered as ordered. This constitutes a violation related to medication administration.
    • LicensingFailed to provide a safe medication administration system
    19 Jan 2018Abuse: Financial abuse
    Concluded that protections against financial exploitation and theft of medication were not adequate. A $375 fine was assessed.
    • AbuseFailed to protect resident from financial exploitation
    11 Jan 2018Inspection
    Found a violation for failing to protect a resident from theft.
    • LicensingFailed to provide safe environment
    09 Jan 2018Abuse: Financial abuse
    Investigated an allegation of financial exploitation and found a deficiency in protecting a resident from theft of medication.
    • AbuseFailed to protect resident from financial exploitation
    20 Dec 2017Abuse: Financial abuse
    Investigated a financial abuse allegation and found that a secure environment was not maintained, leading to theft of medications.
    • AbuseFailed to provide safe environment
    12 Dec 2017Abuse: Neglect
    Found deficiencies in the medication administration system that could pose safety risks due to inadequate medication management.
    • AbuseFailed to provide a safe medication administration system
    16 Sept 2017Abuse: Verbal/Mental abuse
    Investigated and found that residents were not protected from inappropriate verbal comments.
    • AbuseFailed to protect resident from verbal abuse
    13 Sept 2017Abuse: Neglect
    Investigated an allegation of not administering medications as ordered; found deficiencies in the medication system and assessed a $350 fine.
    • AbuseFailed to administer medication as ordered
    12 Sept 2017Abuse: Neglect
    Investigated the allegation and found a failure to provide a safe environment and adequate supervision.
    • AbuseFailed to provide safe environment
    21 Aug 2017Abuse: Neglect
    Determined that a caregiver caused physical pain and discomfort to a resident by non-accidental means.
    • AbuseFailed to protect resident from rough treatment
    09 Aug 2017Inspection
    Found insufficient staffing to meet residents' needs.
    • LicensingFailed to provide appropriate staffing
    09 Aug 2017Inspection
    Found failure to comply with required staff training practices; medication technicians administered medications without prior training.
    • LicensingFailed to assure that a qualified caregiver was present
    20 Jul 2017Abuse: Neglect
    Determined that abuse/neglect occurred when a resident did not have a medical order and was given unprescribed medication.
    • AbuseFailed to obtain medical order
    18 Jul 2017Inspection
    Determined that initial move-in service evaluations were not completed as required.
    • LicensingFailed to perform adequate screening or assessment
    07 Jul 2017Condition
    Investigated a complaint alleging failure to properly plan care and identified regulatory noncompliance related to care planning.
    • Regulatory ActionFailed to properly plan care
    23 Jun 2017Abuse: Neglect
    Investigated the allegation and found deficiencies related to safe medication administration, with a $300 fine assessed.
    • AbuseFailed to administer medication as ordered
    25 May 2017Abuse: Neglect
    Found failure to obtain a medically ordered urinalysis, resulting in a fall, and a $300 fine assessed.
    • AbuseFailed to provide service
    08 May 2017Inspection
    Substantiated the allegation that a resident did not receive an adequate meal.
    • LicensingFailed to provide service
    25 Apr 2017Abuse: Neglect
    Investigated a neglect allegation and found deficiencies in medication management and failure to provide medical treatment as ordered.
    • AbuseFailed to provide medical treatment as ordered
    18 Apr 2017Inspection
    Found insufficient staffing to provide appropriate care.
    • LicensingFailed to provide appropriate staffing
    18 Apr 2017Inspection
    Found failure to provide proper food/nutrition.
    • LicensingFailed to provide proper food/nutrition
    18 Apr 2017Inspection
    Investigated a caregiver-presence allegation and identified a deficiency.
    • LicensingFailed to assure that a qualified caregiver was present
    16 Apr 2017Abuse: Neglect
    Investigated the complaint and found that care staff failed to provide appropriate hygiene care to a resident.
    • AbuseFailed to assist with toileting
    16 Apr 2017Inspection
    Found that the resident's behavioral systems were not addressed.
    • LicensingFailed to address resident's behavior
    16 Apr 2017Abuse: Neglect
    Determined that a neglect violation occurred for failing to assist a resident with eating.
    • AbuseFailed to assure resident was safe
    31 Dec 2016Abuse: Neglect
    Investigated an allegation of neglect and found that a gait belt was not used during a transfer and the care plan was not followed.
    • AbuseFailed to follow care plan
    21 Oct 2016Inspection
    Investigated and found a licensing violation for failing to provide a safe environment.
    • LicensingFailed to provide safe environment
    10 Jul 2016Inspection
    Confirmed a failure to provide a safe environment, allowing a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    07 Apr 2016Abuse: Neglect
    Found deficiencies in administering medication as ordered and in maintaining an adequate medication regimen, with a $500 fine assessed.
    • AbuseFailed to administer medication as ordered
    17 Dec 2015Inspection
    Investigated the allegation and found a failure to include an abuse question in staff employment applications.
    • LicensingFailed to hire according to administrative rules
    14 Dec 2015Abuse: Financial abuse
    Investigated and concluded that residents were not adequately protected from theft.
    • AbuseFailed to provide safe environment
    24 Nov 2015Inspection
    Investigated an allegation of failing to provide a safe medication administration system and found that medication orders were not provided as prescribed.
    • LicensingFailed to provide a safe medication administration system
    26 Oct 2015Inspection
    Investigated the allegation of failing to assure resident rights and found a deficiency in policies and procedures to respond appropriately to resident.
    • LicensingFailed to assure resident rights
    24 Aug 2015Abuse: Financial abuse
    Investigated the allegation and found a failure to protect a resident from theft.
    • AbuseFailed to provide safe environment
    09 Apr 2015Abuse: Neglect
    Found a failure to provide a safe environment for residents with potential for moderate harm.
    • AbuseFailed to provide safe environment
    11 Mar 2015Abuse: Neglect
    Investigated a neglect allegation and found failure to follow the care plan resulting in inappropriate care.
    • AbuseFailed to follow care plan
    26 Nov 2014Abuse: Neglect
    Investigated an allegation of failing to administer medication as ordered and found an inadequate medication system.
    • AbuseFailed to administer medication as ordered
    29 Oct 2014Abuse: Financial abuse
    Determined that a secure environment was not provided, resulting in a resident's money and wallet going missing.
    • AbuseFailed to provide safe environment
    04 Oct 2014Inspection
    Found a failure to administer medication as ordered and an inadequate medication system.
    • LicensingFailed to administer medication as ordered
    03 Oct 2014Inspection
    Found noncompliance with state licensing rules and regulations after a follow-up review.
    • LicensingFailed to provide safe environment
    02 Oct 2014Abuse: Neglect
    Investigated the abuse/neglect allegation and determined a failure to provide a safe environment, with inadequate assessment and intervention.
    • AbuseFailed to provide safe environment
    02 Oct 2014Abuse: Financial abuse
    Found a substantiated financial abuse allegation and that a resident was not protected from theft.
    • AbuseFailed to provide safe environment
    04 Aug 2014Inspection
    Investigated the allegation of failing to provide medical treatment as ordered and found deficiencies in medication administration and overall care.
    • LicensingFailed to provide medical treatment as ordered
    11 Apr 2014Inspection
    Found that a provider failed to assess and intervene to protect a resident from a fall.
    • LicensingFailed to intervene when resident's condition changed
    08 Dec 2013Abuse: Neglect
    Investigated and found failure to provide appropriate care; a $300 fine was assessed.
    • AbuseFailed to follow care plan
    07 Nov 2013Abuse: Neglect
    Found deficiencies in planning care and in assessing and intervening after investigating an abuse/neglect allegation.
    • AbuseFailed to properly plan care
    30 Oct 2013Abuse: Neglect
    Investigated an allegation of abuse/neglect and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    29 Oct 2013Abuse: Neglect
    Investigated a complaint about medication administration and found an inadequate medication administration system.
    • AbuseFailed to administer medication as ordered
    21 Oct 2013Abuse: Neglect
    Identified an inadequate medication administration system that could pose harm.
    • AbuseFailed to provide a safe medication administration system
    15 Oct 2013Abuse: Financial abuse
    Found failure to maintain a secure environment and assessed a $400 fine.
    • AbuseFailed to provide safe environment
    15 Oct 2013Abuse: Neglect
    Investigated the complaint and substantiated failure to follow the care plan and to provide a secure environment.
    • AbuseFailed to follow care plan
    10 Oct 2013Inspection
    Found a failure to maintain a supply ordering system.
    • LicensingFailed to assure adequate supply or equipment
    26 Sept 2013Abuse: Neglect
    Concluded there was a failure to assess and intervene regarding resident behavior.
    • AbuseFailed to address resident's behavior
    15 Sept 2013Abuse: Neglect
    Identified an inadequate medication administration system and assessed a $400 fine.
    • AbuseFailed to provide a safe medication administration system
    10 Sept 2013Inspection
    Investigated the allegation and found an inadequate medication administration system that posed potential harm.
    • LicensingFailed to provide a safe medication administration system
    07 Aug 2013Abuse: Neglect
    Investigated and found failure to provide appropriate care to a resident.
    • AbuseFailed to assist with transfer
    05 Aug 2013Abuse: Neglect
    Found an inadequate medication administration system. A $300 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    01 Aug 2013Inspection
    Investigated the allegation and found that a secure environment was not provided.
    • LicensingFailed to provide safe environment
    04 Jul 2013Abuse: Neglect
    Investigated and identified a neglect finding due to failure to assess risks of a restraining device; a $300 fine was assessed.
    • AbuseFailed to perform adequate screening or assessment
    07 Jun 2013Abuse: Financial abuse
    Investigated a financial abuse accusation and found a failure to protect the resident from theft.
    • AbuseFailed to provide safe environment
    21 May 2013Abuse: Financial abuse
    Investigated an allegation of financial abuse and found a resident's personal property was not protected. A fine was assessed.
    • AbuseFailed to provide safe environment
    19 May 2013Abuse: Financial abuse
    Investigated a complaint alleging unsafe environment protections and found a deficiency related to protecting a resident's property from loss.
    • AbuseFailed to provide safe environment
    11 May 2013Abuse: Financial abuse
    Investigated and found deficiencies including a financial abuse allegation and a failure to provide a secure environment. A $200 fine was assessed.
    • AbuseFailed to provide safe environment
    05 May 2013Abuse: Financial abuse
    Investigated and found a failure to protect a resident from theft, involving financial abuse.
    • AbuseFailed to provide safe environment
    02 May 2013Abuse: Financial abuse
    Determined that the financial abuse allegation was supported; a $400 fine was assessed.
    • AbuseFailed to provide safe environment
    28 Apr 2013Abuse: Financial abuse
    Investigated and found a resident was not protected from loss of medications.
    • AbuseFailed to provide safe environment
    09 Apr 2013Inspection
    Investigated a complaint and found a failure to provide transportation for medical or social purposes, with insufficient assessment and intervention.
    • LicensingFailed to provide transportation for medical or social purposes
    26 Mar 2013Abuse: Financial abuse
    Investigated and found a resident’s property was not protected from loss. This indicated a safety issue.
    • AbuseFailed to provide safe environment
    19 Feb 2013Abuse: Financial abuse
    Found that a resident was not protected from theft; a $300 fine was assessed.
    • AbuseFailed to provide safe environment
    19 Jan 2013Abuse: Financial abuse
    Investigated and found that a resident’s property was not adequately protected, indicating financial abuse with potential for harm.
    • AbuseFailed to provide safe environment
    19 Sept 2012Abuse: Financial abuse
    Investigated a financial abuse allegation and found a failure to protect a resident's property.
    • AbuseFailed to provide safe environment
    18 Jul 2012Abuse: Financial abuse
    Investigated an allegation of financial abuse and found a failure to protect a resident from theft. A safety concern was identified.
    • AbuseFailed to provide safe environment
    16 Jul 2012Abuse: Physical Abuse
    Investigated a complaint alleging physical abuse; found a resident was not protected from rough treatment.
    • AbuseFailed to protect resident from corporal punishment
    30 Jun 2012Abuse: Financial abuse
    Investigated the allegation of financial abuse and found that a secure environment was not provided.
    • AbuseFailed to provide safe environment
    30 Jun 2012Abuse: Financial abuse
    Identified a financial abuse allegation and found a failure to protect a resident from theft.
    • AbuseFailed to provide safe environment
    01 Apr 2012Abuse: Financial abuse
    Investigated the allegation of financial abuse and found that a staff member wrongfully took medications belonging to multiple residents.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    19 Feb 2012Inspection
    Investigated a complaint and found a violation involving failure to protect resident rights by allowing inappropriate verbal comments directed at a resident.
    • LicensingFailed to assure resident rights
    12 Jan 2012Abuse: Financial abuse
    Found failure to provide a secure medication system, resulting in missing medications.
    • AbuseFailed to provide a safe medication administration system
    15 Dec 2011Abuse: Neglect
    Identified an inadequate medication system and assessed a $300 fine.
    • AbuseFailed to provide a safe medication administration system
    03 Dec 2011Abuse: Neglect
    Investigated the allegation of unsafe medication administration; found an inadequate medications system.
    • AbuseFailed to provide a safe medication administration system
    21 Nov 2011Abuse: Financial abuse
    Concluded that a safe environment was not provided and a resident's personal items were not protected from misappropriation.
    • AbuseFailed to provide safe environment
    19 Nov 2011Abuse: Financial abuse
    Investigated a complaint and found a safety failure that left a resident at risk of theft.
    • AbuseFailed to provide safe environment
    11 Nov 2011Abuse: Neglect
    Found deficiencies in the medication system and assessed a $250 fine.
    • AbuseFailed to administer ordered medication
    06 Nov 2011Abuse: Neglect
    Investigated a neglect allegation related to medication safety and found a failure to maintain an adequate medication system.
    • AbuseFailed to provide a safe medication administration system
    22 Oct 2011Abuse: Financial abuse
    Investigated an allegation of financial abuse and found a failure to protect a resident's property from theft.
    • AbuseFailed to provide safe environment
    04 Sept 2011Abuse: Financial abuse
    Investigated an allegation of financial abuse and found an inadequate medication system.
    • AbuseFailed to provide a safe medication administration system
    03 Sept 2011Abuse: Financial abuse
    Determined that a resident faced financial exploitation and that a secure environment was not provided.
    • AbuseFailed to protect resident from financial exploitation
    18 Aug 2011Inspection
    Investigated the allegation and found a deficiency in providing a safe care plan.
    • LicensingFailed to provide safe environment
    05 Aug 2011Abuse: Financial abuse
    Concluded there was a failure to protect a resident from the theft of medication.
    • AbuseFailed to provide safe environment
    10 Jun 2011Abuse: Neglect
    Investigated a neglect allegation and found deficiencies in providing care equipment and in securing the environment. A $300 fine was assessed.
    • AbuseFailed to provide or maintain resident care equipment
    26 Apr 2011Inspection
    Identified a deficiency for failing to provide or maintain resident care equipment.
    • LicensingFailed to provide or maintain resident care equipment
    09 Apr 2011Inspection
    Investigated a complaint about toileting assistance and found the provider failed to provide appropriate care.
    • LicensingFailed to assist with toileting
    26 Mar 2011Inspection
    Investigated and found an inadequate medication administration system.
    • LicensingFailed to provide a safe medication administration system
    26 Mar 2011Inspection
    Found that a resident did not receive appropriate care.
    • LicensingFailed to assure resident was safe
    18 Mar 2011Inspection
    Found a deficiency in maintaining a safe medication administration system.
    • LicensingFailed to administer medication as ordered
    14 Mar 2011Abuse: Financial abuse
    Investigated a financial abuse allegation and found a failure to protect a resident from medication theft.
    • AbuseFailed to provide safe environment
    31 Jan 2011Abuse: Financial abuse
    Found a deficiency in protecting a resident from theft after a financial abuse allegation.
    • AbuseFailed to provide safe environment
    22 Jan 2011Abuse: Verbal/Mental abuse
    Found that a resident was not protected from inappropriate verbal comments.
    • AbuseFailed to protect resident from verbal abuse
    22 Jan 2011Abuse: Physical Abuse
    Determined that a resident was subjected to rough treatment resulting in minor harm or potential for moderate harm.
    • AbuseFailed to protect resident from rough treatment
    30 Oct 2010Inspection
    Identified that assistance with eating was not provided and inadequate care occurred.
    • LicensingFailed to assist with eating
    13 Sept 2010Abuse: Neglect
    Investigated a neglect allegation and found a failure to protect RV1 from theft, with a $300 fine assessed.
    • AbuseFailed to provide safe environment
    26 May 2010Abuse: Neglect
    Investigated and found that care was not provided according to the care plan, resulting in minor harm or potential for moderate harm.
    • AbuseFailed to follow care plan
    09 Mar 2010Abuse: Financial abuse
    Investigated the allegation of financial abuse and found a failure to protect a resident from theft.
    • AbuseFailed to provide safe environment
    08 Mar 2010Abuse: Financial abuse
    Investigated a financial abuse allegation and found a failure to provide a safe environment that left a resident at risk of theft.
    • AbuseFailed to provide safe environment

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