Table
	Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to administer ordered medication Failed to assure a qualified caregiver was present Failed to assure resident rights Failed to follow care plan Failed to properly plan care Failed to protect resident from financial exploitation Failed to protect resident from involuntary seclusion Failed to protect resident from physical abuse Failed to protect resident from verbal abuse Failed to provide a safe medication administration system Failed to provide appropriate staffing Failed to provide or assist with hygiene 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 Failed to use restraint properly	Level Level Between And	Type Type Abuse: Neglect Licensing Violation	Actions
	6/17/2022	00206683-AP-166791	Failed to properly plan care	2	Abuse: Neglect
	8/25/2022	00217940-AP-176955	Failed to provide service	3	Abuse: Neglect
	8/29/2022	00218316-AP-177315	Failed to provide safe environment	2	Abuse: Neglect
	9/11/2022	00220278-AP-179188	Failed to provide safe environment	2	Abuse: Neglect
	9/11/2022	00220278-AP-179116	Failed to provide safe environment	2	Abuse: Neglect
	12/1/2022	CALMS - 00035599	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
	1/20/2023	00242995-AP-199451	Failed to protect resident from physical abuse	2	Licensing Violation
	1/23/2023	OR0004005503	Failed to properly plan care	2	Licensing Violation
	1/23/2023	OR0004005502	Failed to administer medication as ordered	2	Licensing Violation
	1/23/2023	OR0004005500	Failed to assure resident rights	2	Licensing Violation

84 records found | Page 4 of 9