Print Violation: 00173726-AP-137910

Provider Information

Bayberry Commons Memory Care

2211 LAURA STREET
Springfield, OR 97477

Date: 12/4/2021
Report number: 00173726-AP-137910
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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: 411-054-0036(2)(g)
External site: 411-054-0040(2)
External site: 411-054-0045(1)(b)(e) and (f), (A) and (C)
Findings: On or about December 4, 2021, the Alleged Victim (AV) suffered a fall, causing bruising and an injury to his/her pinky finger, which was red, swollen and warm to the touch. AV has had previous falls, however, no fall interventions were put into place to ensure resident safety, and AV's care plan was out of date, with many incorrect citations in his/her care plan. Alleged Perpetrator #2 (AP2) was advised of the falls, however, did not complete any assessment of AV after his/her fall, nor did AP2 update AV's care plan. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00691 $500.00 fine assessed