Print Violation: 00388563-AP-339059

Provider Information

Bridgecreek Memory Care

1401 S 12TH STREET
Lebanon, OR 97355

Date: 3/11/2025
Report number: 00388563-AP-339059
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
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)(b),(c), and(g)
External site: 411-054-0037(1)(c)
External site: 411-054-0070(1)
Findings: Alleged Victim (AV) is a resident of a memory care facility and relies on facility staff to ensure basic care, safety and supervision needs are met. AV has a history of falls and has fall intervention to place a fall mat at AV's bedside whenever AV is in bed. On or about March 11, 2025 AV fell,sustained a head injury, and was transported to the emergency room. AV was treated for a head injury and facial lacerations. Alleged Perpetrator 2 (AP2) reported the faciity was short staffed that night and did not place the fall mat at AV's bedside when AV was put into bed. The fall mat was found under AV's bed when AV was found on the floor. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to provide a safe environment, and oversight which resulted in the Alleged Victim (AV) sustaining injury from a fall. The failure is a violation of Oregon Administrative Rules.