Violations
Substantiated violations listed are either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed. This section of the website displays substantiated licensing violation history back to 2010.
| Date | Provider ID Provider ID | Name Name | Provider type | Report number Report number | Allegation | Type | Actions |
|---|---|---|---|---|---|---|---|
| 5/19/2022 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | CALMS - 00028651 | Failed to provide a safe medication administration system | Licensing Violation | |
| 5/10/2023 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | CALMS - 00048711 | Failed to provide a safe medication administration system | Licensing Violation | |
| 5/30/2024 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | CALMS - 00057815 | Failed to perform adequate screening or assessment | Licensing Violation | |
| 12/1/2024 | 50R370 | Roxy Ann Memory Community | RCF | 00374532-AP-352862 | Failed to provide a safe medication administration system | Abuse: Neglect | |
| 12/14/2024 | 50R370 | Roxy Ann Memory Community | RCF | 00374532-AP-339290 | Failed to properly plan care | Abuse: Neglect | |
| 5/1/2025 | 50R370 | Roxy Ann Memory Community | RCF | 00401420-AP-352334 | Failed to properly plan care | Abuse: Neglect | |
| 4/20/2023 | 50R370 | Roxy Ann Memory Community | RCF | CALMS - 00041976 | Failed to submit timely or adequate staffing documentation | Licensing Violation | |
| 11/14/2018 | 50R370 | Roxy Ann Memory Community | RCF | MS181131 | Failed to assure resident was safe | Abuse: Neglect | |
| 7/11/2018 | 50R370 | Roxy Ann Memory Community | RCF | MS189087 | Failed to provide service | Abuse: Neglect | |
| 7/11/2018 | 50R370 | Roxy Ann Memory Community | RCF | SR19039 | Failed to report potential or suspected abuse | Licensing Violation |
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