Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00397025-AP-347699
Provider Information
Bayberry Commons Assisted Living
2211 LAURA STREET
Springfield, OR 97477
- Provider ID
- 70A307
- Administrator
- Becky Johnson
- Phone
- (541) 744-7000
- ed@bayberrysl.com
Violation Details
- Date
- 4/20/2025
- Report number
- 00397025-AP-347699
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- 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: 411-054-0030(1)(f)
External site: 411-054-0055(1)(a), (b), (d) and (f)
- Findings
- On or about 04/20/2025 Alleged Perpetrator 2 (AP2) administered Alleged Victim (AV) another residents’ medications. AV was placed on alert charting. The facility failed to provide a safe medication administration system for the AV. According to an investigation, AV experienced no negative outcome. The failure is a violation of Oregon Administrative Rules. The allegation that AP2 failed to provide a safe medication administration system for the AV was investigated and determined to be not substantiated.