Table
	Date Date From To	Report number Report number	Allegation Allegation Failed to adequately care plan related to falls Failed to administer medication as ordered Failed to administer ordered medication Failed to assist with toileting Failed to assure adequate food supply Failed to assure resident rights Failed to assure resident was safe Failed to follow care plan Failed to obtain medical order Failed to properly plan care Failed to protect resident from physical abuse Failed to provide a safe medication administration system Failed to provide a therapeutic diet Failed to provide appropriate staffing Failed to provide proper food/nutrition Failed to provide safe environment Failed to provide service Failed to report potential or suspected abuse Failed to submit timely or adequate staffing documentation	Level Level Between And	Type Type Abuse: Neglect Licensing Violation	Actions
	2/4/2019	SR19190	Failed to report potential or suspected abuse	3	Licensing Violation
	2/4/2019	00017286AP-012286	Failed to provide service	2	Abuse: Neglect
	2/15/2019	SR19169	Failed to report potential or suspected abuse	3	Licensing Violation
	2/15/2019	00018875AP-013443	Failed to provide safe environment	3	Abuse: Neglect
	2/12/2020	00070778-AP-051585	Failed to provide a safe medication administration system	2	Licensing Violation
	8/17/2020	00098095-AP-074309	Failed to provide service	3	Abuse: Neglect
	10/17/2020	00112814-AP-087017	Failed to provide a safe medication administration system	3	Abuse: Neglect
	11/17/2020	00112386-AP-086654	Failed to provide a safe medication administration system	3	Abuse: Neglect
	11/20/2020	OR0002734500	Failed to provide a safe medication administration system	1	Licensing Violation
	12/4/2020	OR0002752400	Failed to provide safe environment	1	Licensing Violation

62 records found | Page 5 of 7