Table
	Date Date From To	Report number Report number	Allegation Allegation Failed to adequately care plan related to falls Failed to administer medication as ordered Failed to administer ordered medication Failed to answer call light in a timely manner Failed to assist with dressing or grooming Failed to assure a qualified caregiver was present Failed to assure food safety Failed to assure resident rights Failed to assure resident was safe Failed to communicate necessary information Failed to comply with nursing delegation requirement Failed to control pests Failed to follow care plan Failed to have medication available Failed to maintain a safe physical environment Failed to meet the scheduled and unscheduled needs of residents Failed to obtain a facility license Failed to perform adequate screening or assessment Failed to properly plan care Failed to protect resident from financial exploitation Failed to protect resident from rough treatment Failed to provide a safe medication administration system Failed to provide appropriate housekeeping services Failed to provide appropriate staffing Failed to provide infection control 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 update staffing plan based on ABST Failed to use an ABST	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect Abuse: Physical Abuse Abuse: Restraints Licensing Violation	Actions
	9/1/2020	00110731-AP-085257	Failed to provide a safe medication administration system	2	Abuse: Neglect
	11/19/2020	00112803-AP-087007	Failed to follow care plan	2	Abuse: Neglect
	11/25/2020	00113593-AP-087711	Failed to provide a safe medication administration system	2	Abuse: Neglect
	12/28/2020	00118110-AP-091505	Failed to provide a safe medication administration system	2	Abuse: Neglect
	2/3/2021	00123566-AP-096052	Failed to follow care plan	2	Abuse: Neglect
	2/3/2021	00123560-AP-096050	Failed to follow care plan	2	Abuse: Neglect
	3/2/2021	00127827-AP-099611	Failed to provide a safe medication administration system	2	Licensing Violation
	3/4/2021	OR0002902200	Failed to provide appropriate housekeeping services	1	Licensing Violation
	4/9/2021	OR0002975202	Failed to provide appropriate staffing	1	Licensing Violation
	4/9/2021	OR0002975201	Failed to maintain a safe physical environment	1	Licensing Violation

137 records found | Page 4 of 14