Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00443313-AP-395313
Provider Information
Battle Creek Memory Care
1805 WALN DR SE
Salem, OR 97306
- Provider ID
- 50R480
- Administrator
- NATALIE NELSON
- Phone
- (503) 364-9378
- nnelson@battlecreekcare.com
Violation Details
- Date
- 12/3/2025
- Report number
- 00443313-AP-395313
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to protect resident from financial exploitation
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)(a) and (b)
411-054-0030(1)(f)
411-054-0036(2)(g)
411-054-0055(1)(a)
- Findings
- Alleged Victim (AV) resides in the Respondent’s facility and depends on the facility for assistance with activities of daily living and medication administration. AV is prescribed mental health medication. Alleged Perpetrator 2 (AP2) completed all required medication-technician training provided by facility staff. AP2 has a history of prior disciplinary action related to medication errors, including inaccurate charting and missing documentation. Despite this, the facility failed to maintain a safe medication administration system and did not provide adequate oversight or monitoring of AP2 following the disciplinary action issued on November 7, 2025. On or about December 8, 2025, Witness 2 (W2) completed a medication and identified discrepancies in the narcotic log for AV’s PRN mental health medication. W2 found 2 pills missing from AV's behavioral health medication but there was no documentation as to why. AP2 had marked in the narcotics log that AP2 had given the medication, however AV is able to recall events and does not remember taking this medication. AP2’s actions constitute a violation of resident rights and are considered neglect of care, as well as financial abuse. The Respondent’s failure to ensure a safe medication administration system constitutes abuse by neglect as defined in OAR 411-020-0002(1)(b)(A)(ii).
- Sanction
- RCFCP26-00551 $188.00 fine assessed