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
5
4
3
2
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
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.
Investigated and found neglect of care and an unsafe medication administration system that left a resident in pain for about two hours.
Licensing—Failed to provide safe environment
18 Nov 2025Abuse: Neglect
18 Nov 2025Abuse: Neglect
Found failures to provide meal service on admission and to notify staff, resulting in unmet nutritional needs and hunger.
Abuse—Failed to properly plan care
01 Oct 2025Kitchen
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.
Investigated the allegation of failing to provide a safe environment and found deficiencies related to safety during a change of ownership survey.
Regulatory Action—Failed to provide safe environment
24 Jul 2025Change of Owner
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.
Found staffing levels did not align with the ABST and did not meet residents' scheduled and unscheduled needs.
Licensing—Failed to staff as indicated by ABST
25 Jun 2025Inspection
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.
Licensing—Failed to use an ABST
17 Jun 2025Inspection
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.
Licensing—Failed to use an ABST
07 Jun 2025Inspection
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.
Licensing—Failed to provide a safe medication administration system
04 Jun 2025Inspection
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.
Licensing—Failed to use an ABST
27 May 2025Inspection
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.
Licensing—Failed to provide a safe medication administration system
30 Apr 2025Inspection
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.
Licensing—Failed to use an ABST
30 Apr 2025Inspection
30 Apr 2025Inspection
Identified deficiencies in ABST implementation and data consistency. Staffing levels did not reflect resident needs.
Licensing—Failed to use an ABST
20 Mar 2025Inspection
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.
Licensing—Failed to use an ABST
20 Mar 2025Inspection
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.
Licensing—Failed to use an ABST
19 Mar 2025Abuse: Neglect
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.
Abuse—Failed to provide or assist with hygiene
19 Mar 2025Inspection
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.
Licensing—Failed to use an ABST
14 Mar 2025Inspection
14 Mar 2025Inspection
Found insufficient staff to meet residents' scheduled and unscheduled needs and delayed responses to call lights.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
11 Mar 2025Inspection
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.
Licensing—Failed to use an ABST
10 Mar 2025Inspection
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.
Licensing—Failed to provide safe environment
25 Feb 2025Inspection
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.
Licensing—Failed to use an ABST
17 Feb 2025Inspection
17 Feb 2025Inspection
Identified deficiencies in updating and aligning the Acuity-Based Staffing Tool with resident care needs.
Licensing—Failed to use an ABST
09 Feb 2025Inspection
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.
Licensing—Failed to use an ABST
09 Feb 2025Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
27 Jan 2025Inspection
27 Jan 2025Inspection
Investigated found failure to document action or intervention for change of condition and to monitor until resolved for falls.
Licensing—Failed to provide oversight and monitoring of change of condition
01 Jan 2025Abuse: Neglect
01 Jan 2025Abuse: Neglect
Investigated an allegation of neglect found the resident did not receive required showers, compromising personal hygiene.
Abuse—Failed to follow care plan
05 Dec 2024Licensure
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.
Deficiency—Resident Rights and Protection - General
Deficiency—Resident Move-in & Evaluation: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Systems: Medication Administration
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
Deficiency—Training Within 30 Days of Hire – Direct Care Staff
Investigated the complaint and found neglect and abuse due to failure to follow the care plan, causing sores and loss of dignity.
Abuse—Failed to follow care plan
16 Oct 2024Inspection
16 Oct 2024Inspection
Found a safety violation and neglect of care after investigation.
Licensing—Failed to provide safe environment
07 Sept 2024Inspection
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.
Licensing—Failed to use an ABST
03 Sept 2024Inspection
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.
Licensing—Failed to use an ABST
26 Aug 2024Kitchen
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.
Deficiency—Inspections and Investigation: Insp Interval
02 Jun 2024Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
27 May 2024Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
27 May 2024Abuse: Neglect
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.
Abuse—Failed to provide safe environment
27 May 2024Abuse: Neglect
27 May 2024Abuse: Neglect
Found neglect of care due to inadequate personal hygiene assistance, resulting in compromised hygiene and loss of personal dignity.
Abuse—Failed to properly plan care
19 Mar 2024Complaint
19 Mar 2024Complaint
Found deficiencies in implementing scheduled bathing assistance. Found failures to carry out prescribed medication and treatment orders.
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
04 Jan 2024Inspection
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.
Licensing—Failed to protect resident from financial exploitation
08 Nov 2023Abuse: Neglect
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.
Abuse—Failed to protect resident from financial exploitation
22 Oct 2023Inspection
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.
Licensing—Failed to protect resident from financial exploitation
28 Sept 2023Complaint
28 Sept 2023Complaint
Found deficiencies in complaint response processes, service plan implementation, housekeeping, and adherence to medication orders.
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.
Deficiency—Staffing Requirements and Training – Pre-Serv
12 Jun 2023Abuse: Neglect
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.
Abuse—Failed to provide safe environment
06 Jun 2023Abuse: Neglect
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.
Abuse—Failed to provide safe environment
10 Feb 2023License Condition
10 Feb 2023License Condition
Investigated and found insufficient direct care staff to meet residents' scheduled and unscheduled needs.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
10 Feb 2023License Condition
10 Feb 2023License Condition
Found failure to staff as indicated by ABST.
Regulatory Action—Failed to staff as indicated by ABST
04 Dec 2022Abuse: Neglect
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.
Abuse—Failed to provide service
29 Nov 2022Complaint
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.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
16 Oct 2022Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
07 Oct 2022Abuse: Neglect
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.
Abuse—Failed to provide service
28 Sept 2022Abuse: Neglect
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.
Abuse—Failed to administer medication as ordered
19 Sept 2022Complaint
19 Sept 2022Complaint
Found deficiencies in record-keeping policies, food sanitation practices, and medication oversight.
Investigated an allegation of failing to assure resident rights and found a violation of food sanitation rules due to improper food preparation and serving.
Licensing—Failed to assure resident rights
06 Sept 2022Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
31 Aug 2022Inspection
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.
Licensing—Failed to provide a safe medication administration system
31 Aug 2022Inspection
31 Aug 2022Inspection
Found inadequate professional oversight of the medication and treatment administration system.
Licensing—Failed to provide a safe medication administration system
31 Aug 2022Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
31 Aug 2022Abuse: Neglect
31 Aug 2022Abuse: Neglect
Found a substantiated failure to provide a safe medication administration system and related financial exploitation, with a fine assessed.
Abuse—Failed to provide a safe medication administration system
17 Aug 2022Licensure
17 Aug 2022Licensure
Determined substantial compliance with meal-related services and food sanitation rules. No deficiencies cited.
Deficiency—Comment
14 Jul 2022Abuse: Neglect
14 Jul 2022Abuse: Neglect
Found failure to follow the care plan for showers, resulting in loss of personal dignity for the resident.
Abuse—Failed to follow care plan
13 Jul 2022Abuse: Neglect
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.
Abuse—Failed to assure resident rights
07 Jun 2022Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
31 Mar 2022Abuse: Neglect
31 Mar 2022Abuse: Neglect
Found failure to appropriately care plan for known preferences, resulting in unreasonable discomfort and loss of personal dignity.
Abuse—Failed to properly plan care
21 Mar 2022Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
02 Mar 2022Abuse: Neglect
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.
Abuse—Failed to provide proper food/nutrition
16 Feb 2022Inspection
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.
Licensing—Failed to protect resident from inappropriate sexual contact
25 Jan 2022Inspection
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.
Licensing—Failed to administer medication as ordered
22 Jan 2022Inspection
22 Jan 2022Inspection
Investigated and identified a deficiency for failing to provide a safe environment that could threaten residents' health and safety.
Licensing—Failed to provide safe environment
03 Dec 2021Abuse: Neglect
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.
Abuse—Failed to provide a safe medication administration system
02 Dec 2021Abuse: Neglect
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.
Abuse—Failed to administer medication as ordered
28 Nov 2021Abuse: Neglect
28 Nov 2021Abuse: Neglect
Investigated a resident fall and found an unsafe environment due to inadequate staffing causing a delayed care response.
Abuse—Failed to provide safe environment
18 Nov 2021Inspection
18 Nov 2021Inspection
Investigated a medication administration allegation and verified missed doses.
Licensing—Failed to administer ordered medication
16 Nov 2021Abuse: Neglect
16 Nov 2021Abuse: Neglect
Found that the resident did not receive prescribed doses when unavailable, causing discomfort, and identified an unsafe medication administration system.
Abuse—Failed to administer medication as ordered
31 Oct 2021Abuse: Neglect
31 Oct 2021Abuse: Neglect
Determined that a failure to administer insulin as ordered harmed a resident and constituted abuse; a $500 fine was assessed.
Abuse—Failed to administer medication as ordered
11 Oct 2021Inspection
11 Oct 2021Inspection
Investigated an allegation of financial exploitation involving a resident and found that the licensee failed to protect the resident from exploitation.
Licensing—Failed to protect resident from financial exploitation
23 Sept 2021Inspection
23 Sept 2021Inspection
Found a licensing violation for failing to obtain background checks on all subject individuals.
Licensing—Failed to provide safe environment
15 Sept 2021Inspection
15 Sept 2021Inspection
Investigated and found that background checks were not obtained for all subject individuals, indicating a lack of a safe environment.
Licensing—Failed to provide safe environment
28 Aug 2021Abuse: Neglect
28 Aug 2021Abuse: Neglect
Found that ordered medications were not administered, causing patient discomfort and constituting neglect and abuse. A $500 fine was assessed.
Abuse—Failed to administer ordered medication
22 Jul 2021Abuse: Neglect
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.
Abuse—Failed to assure resident rights
12 Jul 2021Abuse: Neglect
12 Jul 2021Abuse: Neglect
Determined a failure to protect resident rights, resulting in neglect and abuse; the financial exploitation allegation was not supported.
Abuse—Failed to assure resident rights
12 Jul 2021Abuse: Neglect
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.
Abuse—Failed to protect resident from financial exploitation
03 Jul 2021Abuse: Neglect
03 Jul 2021Abuse: Neglect
Concluded that a resident was financially exploited due to staff failure to protect, resulting in a $500 fine.
Abuse—Failed to protect resident from financial exploitation
03 Jul 2021Abuse: Neglect
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.
Abuse—Failed to protect resident from financial exploitation
03 Jul 2021Inspection
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.
Licensing—Failed to protect resident from financial exploitation
21 Apr 2021Abuse: Neglect
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.
Abuse—Failed to properly plan care
16 Apr 2021Abuse: Neglect
16 Apr 2021Abuse: Neglect
Investigated and found deficiencies in medication administration and provision that caused patient discomfort; a $500 fine was assessed.
Abuse—Failed to administer medication as ordered
05 Apr 2021Abuse: Neglect
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.
Abuse—Failed to properly plan care
19 Mar 2021Abuse: Neglect
19 Mar 2021Abuse: Neglect
Found violations of the care plan and resident rights, including delayed medication and missed showers, with a $500 fine assessed.
Abuse—Failed to follow care plan
18 Mar 2021Abuse: Neglect
18 Mar 2021Abuse: Neglect
Investigated found a failure to provide a safe medication administration system, risking harm to a resident.
Abuse—Failed to provide a safe medication administration system
08 Mar 2021Abuse: Neglect
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.
Abuse—Failed to administer ordered medication
02 Mar 2021Abuse: Neglect
02 Mar 2021Abuse: Neglect
Investigated and found that the care plan was not followed, causing unnecessary discomfort and constituting neglect and abuse.
Abuse—Failed to follow care plan
02 Mar 2021Abuse: Neglect
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.
Abuse—Failed to follow care plan
01 Jan 2021Abuse: Neglect
01 Jan 2021Abuse: Neglect
Found a violation of safe medication administration that could cause harm and resulted in a $500 fine.
Abuse—Failed to provide a safe medication administration system
01 Nov 2020Abuse: Neglect
01 Nov 2020Abuse: Neglect
Determined that a resident did not receive an ordered medication, constituting neglect and abuse.
Abuse—Failed to administer ordered medication
14 Sept 2020Abuse: Neglect
14 Sept 2020Abuse: Neglect
Investigated found abuse and neglect due to failure to keep a resident safe; a $1,500 fine was assessed.
Abuse—Failed to assure resident was safe
14 Sept 2020Abuse: Neglect
14 Sept 2020Abuse: Neglect
Found failure to administer medications as ordered, resulting in overmedication and sedation; a $1500 fine assessed.
Abuse—Failed to administer medication as ordered
07 Apr 2020Abuse: Neglect
07 Apr 2020Abuse: Neglect
Found a failure to provide a safe medication administration system and to follow physician orders, leading to neglect and abuse.
Abuse—Failed to provide a safe medication administration system
09 Mar 2020Inspection
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.
Licensing—Failed to administer medication as ordered
16 Jan 2020Inspection
16 Jan 2020Inspection
Investigated the allegation of inadequate screening or assessment and identified a compliance issue.
Licensing—Failed to perform adequate screening or assessment
16 Jan 2020Inspection
16 Jan 2020Inspection
Investigated the medication administration allegation and found a deficiency.
Licensing—Failed to administer medication as ordered
16 Jan 2020Inspection
16 Jan 2020Inspection
Found failure to administer medication as ordered.
Licensing—Failed to administer medication as ordered
16 Jan 2020Inspection
16 Jan 2020Inspection
Investigated the allegation of failing to provide a safe medication administration system and found a deficiency in medication safety.
Licensing—Failed to provide a safe medication administration system
12 Sept 2019Abuse: Neglect
12 Sept 2019Abuse: Neglect
Found neglect in medication administration that caused actual physical harm.
Abuse—Failed to provide a safe medication administration system
26 Jul 2019Abuse: Neglect
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.
Abuse—Failed to assure timely medical treatment
20 Jun 2019Inspection
20 Jun 2019Inspection
Investigated and found a failure to administer medications to AV as ordered, creating risk of serious harm.
Licensing—Failed to administer ordered medication
19 May 2019Inspection
19 May 2019Inspection
Investigated an allegation of failing to report suspected abuse; cited a violation and assessed a $1000 fine.
Licensing—Failed to report potential or suspected abuse
19 May 2019Abuse: Neglect
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.
Abuse—Failed to intervene when resident's condition changed
06 Apr 2019Abuse: Neglect
06 Apr 2019Abuse: Neglect
Investigated a complaint alleging neglect with toileting assistance and found inadequate supervision that caused discomfort.
Abuse—Failed to assist with toileting
19 Feb 2019Inspection
19 Feb 2019Inspection
Investigated an allegation that a call light wasn't answered promptly and concluded the allegation was supported.
Licensing—Failed to answer call light in a timely manner
11 Jan 2019Inspection
11 Jan 2019Inspection
Investigated an allegation of failing to report suspected abuse; the allegation was substantiated and a $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
11 Jan 2019Abuse: Neglect
11 Jan 2019Abuse: Neglect
Investigated a medication administration allegation and found neglect related to not giving medications as ordered, which caused unnecessary discomfort.
Abuse—Failed to administer medication as ordered
01 Nov 2018Inspection
01 Nov 2018Inspection
Investigated a resident rights allegation and found the resident was involuntarily secluded by restricting interaction with others.
Licensing—Failed to assure resident rights
29 Mar 2018Inspection
29 Mar 2018Inspection
Found that medications were not administered as ordered, and assessed a $375 fine.
Licensing—Failed to administer medication as ordered
05 Mar 2018Inspection
05 Mar 2018Inspection
Found a licensing violation for failing to administer medication as ordered; a $500 fine was assessed.
Licensing—Failed to administer medication as ordered
16 Feb 2018Abuse: Neglect
16 Feb 2018Abuse: Neglect
Investigated an allegation of neglect related to medication administration and found deficiencies in the medication administration system.
Abuse—Failed to provide a safe medication administration system
12 Feb 2018Inspection
12 Feb 2018Inspection
Determined that the allegation of failing to administer medications as ordered was upheld and a $375 fine assessed.
Licensing—Failed to administer medication as ordered
12 Feb 2018Inspection
12 Feb 2018Inspection
Found an inadequate medication administration system that could cause harm.
Licensing—Failed to provide a safe medication administration system
22 Jan 2018Inspection
22 Jan 2018Inspection
Investigated and found medications were not administered as ordered. This constitutes a violation related to medication administration.
Licensing—Failed to provide a safe medication administration system
19 Jan 2018Abuse: Financial abuse
19 Jan 2018Abuse: Financial abuse
Concluded that protections against financial exploitation and theft of medication were not adequate. A $375 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
11 Jan 2018Inspection
11 Jan 2018Inspection
Found a violation for failing to protect a resident from theft.
Licensing—Failed to provide safe environment
09 Jan 2018Abuse: Financial abuse
09 Jan 2018Abuse: Financial abuse
Investigated an allegation of financial exploitation and found a deficiency in protecting a resident from theft of medication.
Abuse—Failed to protect resident from financial exploitation
20 Dec 2017Abuse: Financial abuse
20 Dec 2017Abuse: Financial abuse
Investigated a financial abuse allegation and found that a secure environment was not maintained, leading to theft of medications.
Abuse—Failed to provide safe environment
12 Dec 2017Abuse: Neglect
12 Dec 2017Abuse: Neglect
Found deficiencies in the medication administration system that could pose safety risks due to inadequate medication management.
Abuse—Failed to provide a safe medication administration system
16 Sept 2017Abuse: Verbal/Mental abuse
16 Sept 2017Abuse: Verbal/Mental abuse
Investigated and found that residents were not protected from inappropriate verbal comments.
Abuse—Failed to protect resident from verbal abuse
13 Sept 2017Abuse: Neglect
13 Sept 2017Abuse: Neglect
Investigated an allegation of not administering medications as ordered; found deficiencies in the medication system and assessed a $350 fine.
Abuse—Failed to administer medication as ordered
12 Sept 2017Abuse: Neglect
12 Sept 2017Abuse: Neglect
Investigated the allegation and found a failure to provide a safe environment and adequate supervision.
Abuse—Failed to provide safe environment
21 Aug 2017Abuse: Neglect
21 Aug 2017Abuse: Neglect
Determined that a caregiver caused physical pain and discomfort to a resident by non-accidental means.
Abuse—Failed to protect resident from rough treatment
09 Aug 2017Inspection
09 Aug 2017Inspection
Found insufficient staffing to meet residents' needs.
Licensing—Failed to provide appropriate staffing
09 Aug 2017Inspection
09 Aug 2017Inspection
Found failure to comply with required staff training practices; medication technicians administered medications without prior training.
Licensing—Failed to assure that a qualified caregiver was present
20 Jul 2017Abuse: Neglect
20 Jul 2017Abuse: Neglect
Determined that abuse/neglect occurred when a resident did not have a medical order and was given unprescribed medication.
Abuse—Failed to obtain medical order
18 Jul 2017Inspection
18 Jul 2017Inspection
Determined that initial move-in service evaluations were not completed as required.
Licensing—Failed to perform adequate screening or assessment
07 Jul 2017Condition
07 Jul 2017Condition
Investigated a complaint alleging failure to properly plan care and identified regulatory noncompliance related to care planning.
Regulatory Action—Failed to properly plan care
23 Jun 2017Abuse: Neglect
23 Jun 2017Abuse: Neglect
Investigated the allegation and found deficiencies related to safe medication administration, with a $300 fine assessed.
Abuse—Failed to administer medication as ordered
25 May 2017Abuse: Neglect
25 May 2017Abuse: Neglect
Found failure to obtain a medically ordered urinalysis, resulting in a fall, and a $300 fine assessed.
Abuse—Failed to provide service
08 May 2017Inspection
08 May 2017Inspection
Substantiated the allegation that a resident did not receive an adequate meal.
Licensing—Failed to provide service
25 Apr 2017Abuse: Neglect
25 Apr 2017Abuse: Neglect
Investigated a neglect allegation and found deficiencies in medication management and failure to provide medical treatment as ordered.
Abuse—Failed to provide medical treatment as ordered
18 Apr 2017Inspection
18 Apr 2017Inspection
Found insufficient staffing to provide appropriate care.
Licensing—Failed to provide appropriate staffing
18 Apr 2017Inspection
18 Apr 2017Inspection
Found failure to provide proper food/nutrition.
Licensing—Failed to provide proper food/nutrition
18 Apr 2017Inspection
18 Apr 2017Inspection
Investigated a caregiver-presence allegation and identified a deficiency.
Licensing—Failed to assure that a qualified caregiver was present
16 Apr 2017Abuse: Neglect
16 Apr 2017Abuse: Neglect
Investigated the complaint and found that care staff failed to provide appropriate hygiene care to a resident.
Abuse—Failed to assist with toileting
16 Apr 2017Inspection
16 Apr 2017Inspection
Found that the resident's behavioral systems were not addressed.
Licensing—Failed to address resident's behavior
16 Apr 2017Abuse: Neglect
16 Apr 2017Abuse: Neglect
Determined that a neglect violation occurred for failing to assist a resident with eating.
Abuse—Failed to assure resident was safe
31 Dec 2016Abuse: Neglect
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.
Abuse—Failed to follow care plan
21 Oct 2016Inspection
21 Oct 2016Inspection
Investigated and found a licensing violation for failing to provide a safe environment.
Licensing—Failed to provide safe environment
10 Jul 2016Inspection
10 Jul 2016Inspection
Confirmed a failure to provide a safe environment, allowing a resident-to-resident altercation.
Licensing—Failed to provide safe environment
07 Apr 2016Abuse: Neglect
07 Apr 2016Abuse: Neglect
Found deficiencies in administering medication as ordered and in maintaining an adequate medication regimen, with a $500 fine assessed.
Abuse—Failed to administer medication as ordered
17 Dec 2015Inspection
17 Dec 2015Inspection
Investigated the allegation and found a failure to include an abuse question in staff employment applications.
Licensing—Failed to hire according to administrative rules
14 Dec 2015Abuse: Financial abuse
14 Dec 2015Abuse: Financial abuse
Investigated and concluded that residents were not adequately protected from theft.
Abuse—Failed to provide safe environment
24 Nov 2015Inspection
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.
Licensing—Failed to provide a safe medication administration system
26 Oct 2015Inspection
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.
Licensing—Failed to assure resident rights
24 Aug 2015Abuse: Financial abuse
24 Aug 2015Abuse: Financial abuse
Investigated the allegation and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
09 Apr 2015Abuse: Neglect
09 Apr 2015Abuse: Neglect
Found a failure to provide a safe environment for residents with potential for moderate harm.
Abuse—Failed to provide safe environment
11 Mar 2015Abuse: Neglect
11 Mar 2015Abuse: Neglect
Investigated a neglect allegation and found failure to follow the care plan resulting in inappropriate care.
Abuse—Failed to follow care plan
26 Nov 2014Abuse: Neglect
26 Nov 2014Abuse: Neglect
Investigated an allegation of failing to administer medication as ordered and found an inadequate medication system.
Abuse—Failed to administer medication as ordered
29 Oct 2014Abuse: Financial abuse
29 Oct 2014Abuse: Financial abuse
Determined that a secure environment was not provided, resulting in a resident's money and wallet going missing.
Abuse—Failed to provide safe environment
04 Oct 2014Inspection
04 Oct 2014Inspection
Found a failure to administer medication as ordered and an inadequate medication system.
Licensing—Failed to administer medication as ordered
03 Oct 2014Inspection
03 Oct 2014Inspection
Found noncompliance with state licensing rules and regulations after a follow-up review.
Licensing—Failed to provide safe environment
02 Oct 2014Abuse: Neglect
02 Oct 2014Abuse: Neglect
Investigated the abuse/neglect allegation and determined a failure to provide a safe environment, with inadequate assessment and intervention.
Abuse—Failed to provide safe environment
02 Oct 2014Abuse: Financial abuse
02 Oct 2014Abuse: Financial abuse
Found a substantiated financial abuse allegation and that a resident was not protected from theft.
Abuse—Failed to provide safe environment
04 Aug 2014Inspection
04 Aug 2014Inspection
Investigated the allegation of failing to provide medical treatment as ordered and found deficiencies in medication administration and overall care.
Licensing—Failed to provide medical treatment as ordered
11 Apr 2014Inspection
11 Apr 2014Inspection
Found that a provider failed to assess and intervene to protect a resident from a fall.
Licensing—Failed to intervene when resident's condition changed
08 Dec 2013Abuse: Neglect
08 Dec 2013Abuse: Neglect
Investigated and found failure to provide appropriate care; a $300 fine was assessed.
Abuse—Failed to follow care plan
07 Nov 2013Abuse: Neglect
07 Nov 2013Abuse: Neglect
Found deficiencies in planning care and in assessing and intervening after investigating an abuse/neglect allegation.
Abuse—Failed to properly plan care
30 Oct 2013Abuse: Neglect
30 Oct 2013Abuse: Neglect
Investigated an allegation of abuse/neglect and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
29 Oct 2013Abuse: Neglect
29 Oct 2013Abuse: Neglect
Investigated a complaint about medication administration and found an inadequate medication administration system.
Abuse—Failed to administer medication as ordered
21 Oct 2013Abuse: Neglect
21 Oct 2013Abuse: Neglect
Identified an inadequate medication administration system that could pose harm.
Abuse—Failed to provide a safe medication administration system
15 Oct 2013Abuse: Financial abuse
15 Oct 2013Abuse: Financial abuse
Found failure to maintain a secure environment and assessed a $400 fine.
Abuse—Failed to provide safe environment
15 Oct 2013Abuse: Neglect
15 Oct 2013Abuse: Neglect
Investigated the complaint and substantiated failure to follow the care plan and to provide a secure environment.
Abuse—Failed to follow care plan
10 Oct 2013Inspection
10 Oct 2013Inspection
Found a failure to maintain a supply ordering system.
Licensing—Failed to assure adequate supply or equipment
26 Sept 2013Abuse: Neglect
26 Sept 2013Abuse: Neglect
Concluded there was a failure to assess and intervene regarding resident behavior.
Abuse—Failed to address resident's behavior
15 Sept 2013Abuse: Neglect
15 Sept 2013Abuse: Neglect
Identified an inadequate medication administration system and assessed a $400 fine.
Abuse—Failed to provide a safe medication administration system
10 Sept 2013Inspection
10 Sept 2013Inspection
Investigated the allegation and found an inadequate medication administration system that posed potential harm.
Licensing—Failed to provide a safe medication administration system
07 Aug 2013Abuse: Neglect
07 Aug 2013Abuse: Neglect
Investigated and found failure to provide appropriate care to a resident.
Abuse—Failed to assist with transfer
05 Aug 2013Abuse: Neglect
05 Aug 2013Abuse: Neglect
Found an inadequate medication administration system. A $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
01 Aug 2013Inspection
01 Aug 2013Inspection
Investigated the allegation and found that a secure environment was not provided.
Licensing—Failed to provide safe environment
04 Jul 2013Abuse: Neglect
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.
Abuse—Failed to perform adequate screening or assessment
07 Jun 2013Abuse: Financial abuse
07 Jun 2013Abuse: Financial abuse
Investigated a financial abuse accusation and found a failure to protect the resident from theft.
Abuse—Failed to provide safe environment
21 May 2013Abuse: Financial abuse
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.
Abuse—Failed to provide safe environment
19 May 2013Abuse: Financial abuse
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.
Abuse—Failed to provide safe environment
11 May 2013Abuse: Financial abuse
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.
Abuse—Failed to provide safe environment
05 May 2013Abuse: Financial abuse
05 May 2013Abuse: Financial abuse
Investigated and found a failure to protect a resident from theft, involving financial abuse.
Abuse—Failed to provide safe environment
02 May 2013Abuse: Financial abuse
02 May 2013Abuse: Financial abuse
Determined that the financial abuse allegation was supported; a $400 fine was assessed.
Abuse—Failed to provide safe environment
28 Apr 2013Abuse: Financial abuse
28 Apr 2013Abuse: Financial abuse
Investigated and found a resident was not protected from loss of medications.
Abuse—Failed to provide safe environment
09 Apr 2013Inspection
09 Apr 2013Inspection
Investigated a complaint and found a failure to provide transportation for medical or social purposes, with insufficient assessment and intervention.
Licensing—Failed to provide transportation for medical or social purposes
26 Mar 2013Abuse: Financial abuse
26 Mar 2013Abuse: Financial abuse
Investigated and found a resident’s property was not protected from loss. This indicated a safety issue.
Abuse—Failed to provide safe environment
19 Feb 2013Abuse: Financial abuse
19 Feb 2013Abuse: Financial abuse
Found that a resident was not protected from theft; a $300 fine was assessed.
Abuse—Failed to provide safe environment
19 Jan 2013Abuse: Financial abuse
19 Jan 2013Abuse: Financial abuse
Investigated and found that a resident’s property was not adequately protected, indicating financial abuse with potential for harm.
Abuse—Failed to provide safe environment
19 Sept 2012Abuse: Financial abuse
19 Sept 2012Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to protect a resident's property.
Abuse—Failed to provide safe environment
18 Jul 2012Abuse: Financial abuse
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.
Abuse—Failed to provide safe environment
16 Jul 2012Abuse: Physical Abuse
16 Jul 2012Abuse: Physical Abuse
Investigated a complaint alleging physical abuse; found a resident was not protected from rough treatment.
Abuse—Failed to protect resident from corporal punishment
30 Jun 2012Abuse: Financial abuse
30 Jun 2012Abuse: Financial abuse
Investigated the allegation of financial abuse and found that a secure environment was not provided.
Abuse—Failed to provide safe environment
30 Jun 2012Abuse: Financial abuse
30 Jun 2012Abuse: Financial abuse
Identified a financial abuse allegation and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
01 Apr 2012Abuse: Financial abuse
01 Apr 2012Abuse: Financial abuse
Investigated the allegation of financial abuse and found that a staff member wrongfully took medications belonging to multiple residents.
Abuse—Failure to provide a system that prevents theft or misuse of medication
19 Feb 2012Inspection
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.
Licensing—Failed to assure resident rights
12 Jan 2012Abuse: Financial abuse
12 Jan 2012Abuse: Financial abuse
Found failure to provide a secure medication system, resulting in missing medications.
Abuse—Failed to provide a safe medication administration system
15 Dec 2011Abuse: Neglect
15 Dec 2011Abuse: Neglect
Identified an inadequate medication system and assessed a $300 fine.
Abuse—Failed to provide a safe medication administration system
03 Dec 2011Abuse: Neglect
03 Dec 2011Abuse: Neglect
Investigated the allegation of unsafe medication administration; found an inadequate medications system.
Abuse—Failed to provide a safe medication administration system
21 Nov 2011Abuse: Financial abuse
21 Nov 2011Abuse: Financial abuse
Concluded that a safe environment was not provided and a resident's personal items were not protected from misappropriation.
Abuse—Failed to provide safe environment
19 Nov 2011Abuse: Financial abuse
19 Nov 2011Abuse: Financial abuse
Investigated a complaint and found a safety failure that left a resident at risk of theft.
Abuse—Failed to provide safe environment
11 Nov 2011Abuse: Neglect
11 Nov 2011Abuse: Neglect
Found deficiencies in the medication system and assessed a $250 fine.
Abuse—Failed to administer ordered medication
06 Nov 2011Abuse: Neglect
06 Nov 2011Abuse: Neglect
Investigated a neglect allegation related to medication safety and found a failure to maintain an adequate medication system.
Abuse—Failed to provide a safe medication administration system
22 Oct 2011Abuse: Financial abuse
22 Oct 2011Abuse: Financial abuse
Investigated an allegation of financial abuse and found a failure to protect a resident's property from theft.
Abuse—Failed to provide safe environment
04 Sept 2011Abuse: Financial abuse
04 Sept 2011Abuse: Financial abuse
Investigated an allegation of financial abuse and found an inadequate medication system.
Abuse—Failed to provide a safe medication administration system
03 Sept 2011Abuse: Financial abuse
03 Sept 2011Abuse: Financial abuse
Determined that a resident faced financial exploitation and that a secure environment was not provided.
Abuse—Failed to protect resident from financial exploitation
18 Aug 2011Inspection
18 Aug 2011Inspection
Investigated the allegation and found a deficiency in providing a safe care plan.
Licensing—Failed to provide safe environment
05 Aug 2011Abuse: Financial abuse
05 Aug 2011Abuse: Financial abuse
Concluded there was a failure to protect a resident from the theft of medication.
Abuse—Failed to provide safe environment
10 Jun 2011Abuse: Neglect
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.
Abuse—Failed to provide or maintain resident care equipment
26 Apr 2011Inspection
26 Apr 2011Inspection
Identified a deficiency for failing to provide or maintain resident care equipment.
Licensing—Failed to provide or maintain resident care equipment
09 Apr 2011Inspection
09 Apr 2011Inspection
Investigated a complaint about toileting assistance and found the provider failed to provide appropriate care.
Licensing—Failed to assist with toileting
26 Mar 2011Inspection
26 Mar 2011Inspection
Investigated and found an inadequate medication administration system.
Licensing—Failed to provide a safe medication administration system
26 Mar 2011Inspection
26 Mar 2011Inspection
Found that a resident did not receive appropriate care.
Licensing—Failed to assure resident was safe
18 Mar 2011Inspection
18 Mar 2011Inspection
Found a deficiency in maintaining a safe medication administration system.
Licensing—Failed to administer medication as ordered
14 Mar 2011Abuse: Financial abuse
14 Mar 2011Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to protect a resident from medication theft.
Abuse—Failed to provide safe environment
31 Jan 2011Abuse: Financial abuse
31 Jan 2011Abuse: Financial abuse
Found a deficiency in protecting a resident from theft after a financial abuse allegation.
Abuse—Failed to provide safe environment
22 Jan 2011Abuse: Verbal/Mental abuse
22 Jan 2011Abuse: Verbal/Mental abuse
Found that a resident was not protected from inappropriate verbal comments.
Abuse—Failed to protect resident from verbal abuse
22 Jan 2011Abuse: Physical Abuse
22 Jan 2011Abuse: Physical Abuse
Determined that a resident was subjected to rough treatment resulting in minor harm or potential for moderate harm.
Abuse—Failed to protect resident from rough treatment
30 Oct 2010Inspection
30 Oct 2010Inspection
Identified that assistance with eating was not provided and inadequate care occurred.
Licensing—Failed to assist with eating
13 Sept 2010Abuse: Neglect
13 Sept 2010Abuse: Neglect
Investigated a neglect allegation and found a failure to protect RV1 from theft, with a $300 fine assessed.
Abuse—Failed to provide safe environment
26 May 2010Abuse: Neglect
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.
Abuse—Failed to follow care plan
09 Mar 2010Abuse: Financial abuse
09 Mar 2010Abuse: Financial abuse
Investigated the allegation of financial abuse and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
08 Mar 2010Abuse: Financial abuse
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.
Abuse—Failed to provide safe environment
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