Table
	Date Date From To	Report number Report number	Allegation Allegation Failed to assure resident was safe Failed to follow care plan Failed to make facility or resident records accessible Failed to properly plan care Failed to provide a safe medication administration system Failed to provide safe environment Failed to provide service Failed to submit timely or adequate staffing documentation Failed to use an ABST	Level Level Between And	Type Type Abuse: Neglect Licensing Violation	Actions
	7/27/2017	BH172709	Failed to provide service	2	Abuse: Neglect
	9/11/2017	BH173503	Failed to follow care plan	2	Abuse: Neglect
	7/16/2017	BH186086	Failed to assure resident was safe	4	Abuse: Neglect
	4/1/2022	CALMS - 00027057	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
	10/3/2024	CALMS - 00067315	Failed to provide a safe medication administration system	2	Licensing Violation
	5/12/2026	CALMS - 00112269	Failed to use an ABST	2	Licensing Violation
	5/12/2026	CALMS - 00112270	Failed to properly plan care	0	Licensing Violation
	3/31/2017	CO17126	Failed to provide service	3	Abuse: Neglect
	7/7/2017	CO17276	Failed to provide safe environment	3	Abuse: Neglect
	2/9/2023	OR0004048602	Failed to use an ABST	2	Licensing Violation

21 records found | Page 2 of 3