Print Violation: 00300161-AP-253510

Provider Information

Bayside Terrace Memory Care

192 NORMAN AVENUE
Coos Bay, OR 97420

Date: 11/21/2023
Report number: 00300161-AP-253510
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)
Findings: The Alleged Victim (AV) was walking with the assistance of a staff member and had a fall in the hallway on or about November 21, 2023. AV walks with one hand on his/her walker and one on the handrail. Staff walking with AV tried to redirect AV from doing this action but was unsuccessful. While AV was walking and grabbing the hand rail, he/she leaned on the hand rail and lost his/her balance, and when AV reached for the handrail again, he/she was at a door and there was no handrail, and AV slid to the floor against the wall. AV suffered a broken femur in this process. Facility staff tried to redirect AV but were unsuccessful. There is no evidence that the facility could have foreseen or prevented this particular fall. The facility's failure to properly care plan is a violation of Oregon Administrative Rules.