Print Violation: 00401220-AP-352129

Provider Information

Battle Creek Memory Care

1805 WALN DR SE
Salem, OR 97306

Date: 5/12/2025
Report number: 00401220-AP-352129
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(4)
External site: 411-054-0027(1)(s)
External site: 411-057-0170(6) and (10)(a)
Findings: Alleged Victim (AV) experiences severe confusion and resides in a secure memory care facility. AV requires frequent redirection due to wandering. Staff are to redirect AV when AV is seen wandering in order to manage wandering and prevent elopement. AV is known to try and open doors to try to find the exit. The evening of May 12, 2025, around 11:54 pm Witness 6 (W6) heard AV yelling, "Help me!" and looking stressed while wandering outside of the facility so W6 called the facility at approximately11:56 pm. Witness 4 (W4) went to the front door, saw AV outside the building, and walked AV back to AV's room. On May 13, 2025, AV was found to have purple discoloration on AV's left forearm. Around the beginning of April, it was reported the back secure door wasn't latching properly and staff performed maintenance. The facility failed to ensure all secure exits were working properly, resulting in AV exiting the facility, and sustained injury, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00628 $375.00 fine assessed