Licensing violations
	Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to administer ordered medication Failed to answer call light in a timely manner Failed to assure resident rights Failed to assure resident was safe Failed to follow care plan Failed to intervene when resident's condition changed Failed to keep resident record current or accurate Failed to maintain a safe physical environment Failed to provide a safe medication administration system Failed to provide appropriate activities Failed to provide appropriate staffing Failed to provide safe environment Failed to provide service Failed to report potential or suspected abuse Failed to report vaccination status Failed to staff as indicated by ABST Failed to submit timely or adequate staffing documentation Failed to use an ABST	Level Level Between And	Type Type Licensing Violation	Actions
	8/1/2023	OR0004414300	Failed to administer medication as ordered	2	Licensing Violation
	12/1/2022	CALMS - 00035570	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
	11/1/2022	CALMS - 00034391	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
	10/1/2022	CALMS - 00033036	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
	3/10/2021	OR0002890202	Failed to provide safe environment	2	Licensing Violation
	3/10/2021	OR0002890200	Failed to provide appropriate staffing	2	Licensing Violation
	3/10/2021	OR0002890204	Failed to provide appropriate activities	2	Licensing Violation
	3/10/2021	OR0002890203	Failed to provide appropriate activities	2	Licensing Violation
	3/10/2021	OR0002890201	Failed to follow care plan	2	Licensing Violation
	12/15/2020	OR0002767100	Failed to provide a safe medication administration system	2	Licensing Violation

44 records found | Page 3 of 5