Print Violation: 00135780-AP-106611

Provider Information

Bayberry Commons Memory Care

2211 LAURA STREET
Springfield, OR 97477

Date: 4/20/2021
Report number: 00135780-AP-106611
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) has a history of falls. On or about April 20, 2021, around 1:00 am, AV suffered a fall and was sent out to the hospital for evaluation. The hospital only completed a chest x-ray and facility staff did not read hospital documents when AV returned to see that the hospital checked AV for the wrong injury. Staff noticed that AV was still in pain from the fall and AV was sent back out to the hospital the afternoon of April 20, 2021 and diagnosed with a hip fracture. AV suffered unnecessary pain and suffering. The facility failed to properly care plan for AV's falls and failed to ensure that AV was given proper medical attention for his/her injury. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-02757 $1500.00 fine assessed