Print Violation: 00395013-AP-361471

Provider Information

Waverly Place Memory Care

2853 SE SALEM AVE
Albany, OR 97321

Date: 4/13/2025
Report number: 00395013-AP-361471
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate 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)(g)
Findings: Alleged Victim (AV) relies on the facility for assistance with mobility, which includes two-person transfers and use of a gait belt. On or about April 13, 2025, the Alleged Perpetrator 2 (AP2) did not follow AV's care plan and transferred AV without a gait belt resulting in a skin injury. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure care plans were followed which is a violation of Oregon Administrative Rules.
Sanction: RCFCP25-01176 $188.00 fine assessed