Print Violation: 00179063-AP-142341

Provider Information

Bayberry Commons Memory Care

2211 LAURA STREET
Springfield, OR 97477

Date: 1/9/2022
Report number: 00179063-AP-142341
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: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) resides in a room in the facility that shares a bathroom with another resident. The other resident wanders into AV's room, which is upsetting to AV. On or about January 8, 2022, AV was trying to alert staff that his/her neighbor was in his/her room, and AV suffered a fall, causing bruising to his/her back and shoulder. On or about January 9, 2022, AV fell again, hitting his/her head and suffering left hip pain, which resulted in AV being sent to the hospital and being diagnosed with a hip fracture. It is unclear if AV was trying to use the restroom or trying to notify staff of the neighbor in his/her room. The facility failed to properly care plan to reduce AV's falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00755 $1500.00 fine assessed