Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00365566-AP-315817
Provider Information
Waverly Place Memory Care
2853 SE SALEM AVE
Albany, OR 97321
- Provider ID
- 50R456
- Administrator
- Britney King
- Phone
- (541) 990-4580
- bking@ridgelineteam.com
Violation Details
- Date
- 11/10/2024
- Report number
- 00365566-AP-315817
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- 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 properly care plan appropriate fall interventions for the Alleged Victim (AV) for their known history of falls with injury. On or about November 05, 2024, the AV suffered a fall with injury sustaining a laceration. The interventions put into place after this fall was already implemented on the AV’s most recent service plan. On or about November 10, 2024, the AV was heard screaming for help in their room. A staff member found the AV sitting on the floor asking for assistance to get up. The staff member performed range of motion tests on the AV to identify injury or soreness from the fall. The AV experienced significant pain during the range of motion tests and the staff member called 911. The AV was transported to the hospital and was diagnosed with a hip fracture. The AV was sent to a skilled nursing facility due to needing a higher level of care for a few weeks. When the AV returned to their home facility, they were no longer independent with ambulation and required a wheelchair for mobility. The facility did not properly care plan appropriate interventions for the AV’s known fall risk resulting in a fractured hip and significant change of condition, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00153 $2500.00 fine assessed