Print Violation: 00325686-AP-277303

Provider Information

Brookdale Geary Street Memory Care

2445 GEARY ST SE
Albany, OR 97321

Date: 4/8/2024
Report number: 00325686-AP-277303
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to implement appropriate interventions for recent falls with injury for the Alleged Victim (AV). On approximately February 21, 2024, and February 27, 2024, the AV suffered two falls while attempting to self-transfer. As a result of these unwitnessed falls, the AV suffered skin abrasions and bruising to their knees. After these two injury falls, there was no documented evidence the facility implanted new interventions to ensure the AV’s safety with transfers. On or about April 08, 2024, the AV suffered another fall attempting to self-transfer resulting in a fractured femur, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00919 $1125.00 fine assessed