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 toileting Failed to assure resident rights Failed to assure resident was safe Failed to care plan in accordance with assessment Failed to control pests Failed to follow care plan Failed to intervene when resident's condition changed Failed to maintain a safe physical environment Failed to perform adequate screening or assessment Failed to properly plan care Failed to properly use restraint Failed to protect resident from involuntary seclusion Failed to protect resident from physical abuse Failed to protect resident from rough treatment Failed to protect resident from verbal abuse Failed to provide a homelike environment Failed to provide a safe medication administration system Failed to provide appropriate housekeeping services Failed to provide appropriate staffing Failed to provide or maintain resident care equipment 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 restraint properly	Level Level Between And	Type Type Abuse: Involuntary Seclusion Abuse: Neglect Abuse: Physical Abuse Abuse: Restraints Abuse: Verbal/Mental abuse Licensing Violation	Actions
	10/21/2019	00065393-AP-051165	Failed to use restraint properly	3	Licensing Violation
	6/1/2022	CALMS - 00028951	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
	5/2/2022	CALMS - 00028185	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
	3/1/2022	CALMS - 00025644	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
	11/27/2018	SR19093	Failed to report potential or suspected abuse	3	Licensing Violation
	2/14/2018	SR18058	Failed to report potential or suspected abuse	3	Licensing Violation
	12/27/2017	OR0001417700	Failed to provide service	1	Licensing Violation
	12/16/2017	KF175080	Failed to provide service	2	Abuse: Neglect
	11/14/2017	OR0001399200	Failed to provide service	1	Licensing Violation
	10/25/2017	KF174236	Failed to provide service	3	Abuse: Neglect

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