Print Violation: 00348553-AP-298964

Provider Information

Brookdale Geary Street Memory Care

2445 GEARY ST SE
Albany, OR 97321

Date: 8/13/2024
Report number: 00348553-AP-298964
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to follow care plan
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 follow the care plan to put on non-skid socks or shoes for the Alleged Victim’s (AV) known fall risk. From approximately July 22, 2024, through August 02, 2024, the AV experienced approximately three falls. The interventions implemented was to ensure the AV was always wearing shoes or non-slipped socks to prevent falls. On or about August 13, 2024, the AV was in the dining room folding laundry in the dining room wearing one non-slip sock and one regular sock. The AV then slipped and fell, causing hip pain. The AV was sent to the hospital for evaluation. The AV sustained a fractured hip which required surgery, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01216 $1500.00 fine assessed