Print Violation: 00417280-AP-368646

Provider Information

Brookdale Geary Street Memory Care

2445 GEARY ST SE
Albany, OR 97321

Date: 7/16/2025
Report number: 00417280-AP-368646
Type: Abuse: Neglect
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: According to the documentation, the facility failed to follow the care plan for the Alleged Victim (AV) for transfer assistance which resulted in numerous falls. On or about June 20, 2025, and July 16, 2025, the AV suffered two falls, one on each day while trying to self-transfer. The service plan was updated after the fall on or about June 20, 2025, to offer bathroom assistance during safety checks. This intervention was not followed on or about July 16, 2025, when the AV attempted to self-transfer to the toilet and suffered a fall. The failure to follow the service plan for the AV to prevent future falls with injury is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-01297 $375.00 fine assessed