Print Violation: 00136110-AP-106894

Provider Information

Bayberry Commons Memory Care

2211 LAURA STREET
Springfield, OR 97477

Date: 3/12/2021
Report number: 00136110-AP-106894
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) had a history of multiple falls, including two falls on different occasions which resulted in AV being sent to the hospital to have staples placed in his/her head due to injuries. The facility failed to report these incidences to Adult Protective Services and failed to properly care plan for AV's falls to ensure his/her safety, placing AV at risk for serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-02763 $1500.00 fine assessed