Table
	Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to adequately care plan related to falls Failed to administer medication as ordered Failed to administer ordered medication Failed to assist with eating Failed to assist with toileting Failed to assure a qualified caregiver was present Failed to assure resident rights Failed to assure resident was safe Failed to care plan in accordance with assessment Failed to communicate necessary information Failed to cooperate with an investigation Failed to follow care plan Failed to intervene when resident's condition changed Failed to investigate injury of unknown origin to rule out abuse Failed to perform adequate screening or assessment Failed to properly plan care Failed to protect resident from involuntary seclusion Failed to protect resident from verbal abuse Failed to provide a safe medication administration system Failed to provide a therapeutic diet Failed to provide appropriate staffing Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide service Failed to report potential or suspected abuse Failed to submit timely or adequate staffing documentation Failed to use an ABST Failure to provide a system that prevents theft or misuse of medication Falsified records	Level Level Between And	Type Type Abuse: Neglect Licensing Violation	Actions
	11/9/2016	KF168375	Failed to follow care plan	2	Abuse: Neglect
	10/22/2016	KF168427	Failed to provide service	3	Abuse: Neglect
	11/23/2016	KF168634A	Failed to provide safe environment	2	Licensing Violation
	11/23/2016	KF168634B	Failed to perform adequate screening or assessment	2	Licensing Violation
	12/1/2016	KF168653	Failed to provide safe environment	2	Licensing Violation
	12/15/2016	KF168838	Failed to provide safe environment	2	Licensing Violation
	3/20/2017	KF170356	Failed to properly plan care	2	Abuse: Neglect
	4/4/2017	KF170626	Failed to provide safe environment	2	Abuse: Neglect
	4/12/2017	KF170820	Failed to provide safe environment	2	Abuse: Neglect
	4/14/2017	KF170871	Failed to intervene when resident's condition changed	2	Abuse: Neglect

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