I placed my mom in their memory care and have been very pleased. The caregivers (Shawna, Sierra and many others) are attentive, compassionate and professional - helping with bathroom and mobility needs, escorting residents to activities, and creating a warm, family-like atmosphere. The small, clean, bright community is well-maintained with a secure courtyard, large private rooms, excellent activities and accessible, caring management (Anne was a wonderful tour guide); I'd happily recommend it.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
Accessible administration and clear communication (for some families)
Family-like, community atmosphere
Clean, updated, well-maintained interior
Beautiful, secure grounds and private courtyard
Large private memory-care rooms
Small memory-care household model (about 14 residents)
Bright, updated apartments with accessible bathrooms
Robust activity program including arts, live music, and outings
Welcoming, informative admissions tours
Positive end-of-life care experience
Hospital social-worker endorsements
Perceived equitable pricing relative to services
Cons
Understaffing and scheduling instability
Workplace culture and management problems
Allegations of payroll and wage misconduct
Inconsistent family and hospice communication
Inconsistent meal quality and meal-service delays
Limitations in clinical policies that restrict equipment or care practices
Gaps in diabetes and blood-sugar management protocols
Small facility footprint limiting privacy and circulation
Staff conduct and substance-use concerns
Low staff morale and retention risks affecting care continuity
Summary of reviews
Bayberry Commons elicits a strongly mixed but actionable picture for prospective families. Positive feedback centers on direct care: many families describe compassionate, well-trained caregivers who provide personalized attention, particularly in the small memory-care household where large private rooms and a low resident count support continuity and familiarity. The facility's interior is consistently described as clean, updated, and bright, and the grounds — including a secure private courtyard — are viewed as attractive and well maintained. Admissions and tour experiences are often noted as welcoming, and the community receives praise for end-of-life care and endorsements from hospital social workers.
Staffing and operational issues form the primary area of concern. While several accounts emphasize consistent caregivers and accessible administration, other accounts identify understaffing, scheduling instability, and broader workplace-culture problems that put pressure on staff morale and retention. There are serious personnel-related claims, including payroll irregularities and concerns about staff conduct and substance use; these items, if accurate, could affect care continuity and should be explored during a visit. Communication practices are reported as uneven — some families find administrators responsive, while others cite lapses in updates and challenges coordinating hospice and other clinical services.
Dining and clinical routines show mixed performance. Multiple families praise meals and dining-room amenities, yet others report inconsistent food quality and occasional delays with meal and beverage service. On the clinical side, reviewers raised issues with diabetes and blood-sugar management and noted facility policies that restrict certain equipment or practices (for example, limits on transfer devices). Those policy constraints and protocol gaps are operational traits that can materially affect residents with specific clinical needs.
Activity programming and social engagement are consistently positive. The community offers frequent activities, arts-and-crafts groups, live music, field trips and bus outings, and reviewers describe residents as socially engaged. For prospective residents who value an active calendar and frequent outings, the programming is a strong point.
Facility scale is a trade-off. The smaller footprint and household model support a home-like atmosphere and close staff–resident relationships, but the compact layout can feel limiting to people who want more spacious common areas; some units and rooms are close to dining areas, which may affect privacy or noise. Prospective families should weigh the benefits of personalized attention against the desire for larger communal spaces.
Recommendations for families touring Bayberry Commons: ask for current staffing ratios and turnover data, review payroll and HR stability if that is a concern, inquire about policies that affect clinical care (including transfer equipment and diabetes protocols), sample a meal and ask about meal-service timing, and request examples of recent hospice coordination. A focused tour and specific operational questions will help determine whether the facility’s strong caregiving reputation aligns with your relative’s clinical needs and expectations for privacy, dining, and administrative responsiveness.
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Location
Bayberry Commons is located at 2211 Laura St, Springfield, OR, 97477.
About Bayberry Commons
Bayberry Commons Memory Care offers a vibrant and supportive environment for seniors living with Alzheimer’s or other forms of dementia. The community provides a caring, person-centered approach that focuses on the social, spiritual, mental, and physical well-being of each resident. Residents at Bayberry Commons are surrounded by an intentional, inspirational, and empathetic atmosphere that encourages a sense of purpose and independence, while also providing the necessary support and safety that memory care requires. The staff at Bayberry Commons recognizes and meets the unique and evolving needs of every resident through a multifaceted approach designed to foster the highest level of personal ability. This balance between independence and assistance is central to the care philosophy at Bayberry Commons.
The memory care neighborhood at Bayberry Commons features thoughtfully designed spaces that promote safety, comfort, and accessibility. Secured entrances and exits, well-lit pathways, carefully placed handrails, grab bars, and a personal emergency response system in every residence are just some of the features that help minimize risks while nurturing independence. Each room, such as the Memory Care Studio, offers a cozy and homelike environment, furnished to ensure both comfort and familiarity. The living spaces are decorated with neutral tones, cozy décor, and personal touches, helping residents feel at ease and at home.
Residents benefit from 24-hour compassionate support provided by trained caregivers who are skilled in managing the behaviors and challenges associated with cognitive impairment. This loving presence ensures safety and peace of mind for both residents and their families, knowing that help is always available. The memory care team at Bayberry Commons understands the specific journey that those living with dementia experience and is committed to providing support that is tailored to each individual’s needs.
Engaging activities and programming play a significant role at Bayberry Commons Memory Care. Residents participate in daily activities, events, and specialized programs such as sensory gardens and music therapy, which are designed to promote cognitive, creative, and motor skills. These programs not only provide stimulation but also foster colorful connections and bright days, enriching the lives of everyone in the community. The community’s F.A.I.T.H.E. values—focusing on positivity, collaboration, honesty, character, and commitment—guide all aspects of care and community life, ensuring a warm, inviting, and uplifting environment.
Exceptional amenities and services further enhance resident well-being at Bayberry Commons. Complimentary housekeeping, scheduled transportation, and delicious dining options help relieve daily stress and give residents more freedom to enjoy what they love. The community also offers best-in-class amenities, including accessible common areas, cozy lounges, inviting dining spaces, and attractive gardens. Safety is prioritized with on-call maintenance, an always-on emergency call system, and assistive devices throughout the building, so residents can move about confidently.
Bayberry Commons Memory Care embraces the importance of family and connection. Loved ones are welcome at any time, and the community’s open, friendly atmosphere encourages meaningful visits and interactions. The team at Bayberry Commons is dedicated to creating a secure, engaging, and nurturing environment where residents can thrive, supported by personalized memory care and a vibrant, compassionate community.
People often ask...
Bayberry Commons offers competitive pricing, with rates starting at a cost of $6,722 per month.
Bayberry Commons offers assisted living and memory care.
There are 14 photos of Bayberry Commons on Mirador.
The full address for this community is 2211 Laura St, Springfield, OR 97477.
No, Bayberry Commons does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Investigated the allegation that the facility failed to use an Acuity Based Staffing Tool and to staff as indicated by ABST.
Regulatory Action—Failed to use an ABST
12 Mar 2026License Condition
12 Mar 2026License Condition
Found that resident care plans were not properly planned to reflect identified needs or updated after significant changes in condition.
Regulatory Action—Failed to properly plan care
12 Mar 2026License Condition
12 Mar 2026License Condition
Investigated an allegation that supervision and responsibility for operation and the quality of services were not provided. Found deficiencies in supervision and service quality.
Regulatory Action—Failed to provide service
20 Jan 2026Inspection
20 Jan 2026Inspection
Found that records were not made accessible to the Department upon request. This was identified as a licensing violation.
Licensing—Failed to make facility or resident records accessible
20 Jan 2026Inspection
20 Jan 2026Inspection
Found that records were not provided when requested. This violated Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
20 Jan 2026Inspection
20 Jan 2026Inspection
Investigated a records access issue and found that records were not provided to the Department upon request. This violated Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
19 Sept 2025Change of Owner
19 Sept 2025Change of Owner
Found deficiencies in direct care staffing during overnight shifts and in the interior building condition, including surfaces not being kept clean or in good repair.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Limitations: Threats To Health And Safety
Deficiency—Activities
23 Aug 2025Inspection
23 Aug 2025Inspection
Investigated and found that records were not provided upon request.
Licensing—Failed to make facility or resident records accessible
11 Jul 2025License Condition
11 Jul 2025License Condition
Found that failures to provide a safe environment created a risk to current and future residents. The investigation identified violations of state administrative rules.
Regulatory Action—Failed to provide safe environment
07 Jul 2025Abuse: Neglect
07 Jul 2025Abuse: Neglect
Found violations for failure to safely administer medications as ordered, resulting in missed doses and hospital admission that culminated in death; a $2,500 fine was assessed.
Abuse—Failed to administer medication as ordered
07 Jul 2025Inspection
07 Jul 2025Inspection
Investigated found a failure to maintain a safe medication administration system, with numerous missed doses and poor oversight contributing to a serious health event and eventual death.
Licensing—Failed to provide a safe medication administration system
07 Jul 2025Inspection
07 Jul 2025Inspection
Determined that medications were not administered as ordered, resulting in multiple missed doses and potential harm.
Licensing—Failed to administer medication as ordered
07 Jul 2025Inspection
07 Jul 2025Inspection
Investigated found that a 24-hour resident monitoring and reporting system was not implemented, leading to missed medications and a stroke, hospitalization, and death.
Licensing—Failed to provide oversight and monitoring of change of condition
07 Jul 2025Inspection
07 Jul 2025Inspection
Identified failure to implement the resident's care plan, including medication ordering and alerting for missed doses, leading to missed Eliquis and Metoprolol doses.
Licensing—Failed to follow care plan
20 Apr 2025Inspection
20 Apr 2025Inspection
Investigated a complaint about safe medication administration and found a failure to provide a safe medication administration system for a resident. The allegation against a staff member was not substantiated.
Licensing—Failed to provide a safe medication administration system
16 Apr 2025Kitchen
16 Apr 2025Kitchen
Identified significant kitchen sanitation and administration violations, including unsanitary conditions, unrepaired equipment, improper food handling, and failure to implement required plans.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
16 Apr 2025Kitchen
16 Apr 2025Kitchen
Found extensive kitchen sanitation and repair deficiencies, including debris buildup, multiple equipment issues, and failure to implement required corrective actions.
Deficiency—Inspections and Investigation: Insp Interval
18 Nov 2024Inspection
18 Nov 2024Inspection
Investigated the allegation of failing to cooperate by not providing requested documentation and identified a deficiency for not providing required records.
Licensing—Failed to cooperate with an investigation
23 Sept 2024Inspection
23 Sept 2024Inspection
Investigated a report of unsafe conditions and found failures to provide a safe environment and to follow poisoning-response procedures.
Licensing—Failed to provide safe environment
17 Jun 2024Abuse: Neglect
17 Jun 2024Abuse: Neglect
Investigated a report of neglect where staff did not answer a call light promptly, leaving the resident on the floor for over an hour and causing unreasonable discomfort.
Abuse—Failed to answer call light in a timely manner
17 Jun 2024Abuse: Neglect
17 Jun 2024Abuse: Neglect
Investigated allegation of neglect involving medication administration; found staff withheld a prescribed benzodiazepine after suspected intoxication without consulting a licensed professional, causing distress to the resident.
Abuse—Failed to provide appropriate staffing
21 May 2024Inspection
21 May 2024Inspection
Investigated an allegation of financial exploitation and found deficiencies related to protecting a resident from exploitation and maintaining a safe environment.
Licensing—Failed to protect resident from financial exploitation
17 May 2024Complaint
17 May 2024Complaint
Investigated found that a resident's service plan wasn't updated quarterly and interior surfaces and carpets weren't kept clean or in good repair. Documentation showed the service plan had not been updated quarterly, with a late 2023 update and no recent care plan meeting or sign-off, and interior areas showed stains and unaddressed maintenance.
Found a failure to provide a safe medication administration system, resulting in eye drops not being provided and causing discomfort.
Abuse—Failed to provide a safe medication administration system
16 Feb 2024Inspection
16 Feb 2024Inspection
Investigated allegations of improper care planning and found quarterly evaluations on residents were not completed.
Licensing—Failed to properly plan care
27 Dec 2023Abuse: Neglect
27 Dec 2023Abuse: Neglect
Found that fall interventions were not properly implemented, leading to a self-transfer incident with pain and bruising.
Abuse—Failed to properly plan care
09 Nov 2023Inspection
09 Nov 2023Inspection
Found inadequate housekeeping and maintenance, including stained carpets and floors not cleaned and equipment not kept in good repair.
Licensing—Failed to provide appropriate housekeeping services
02 Nov 2023Inspection
02 Nov 2023Inspection
Investigated and found a deficiency due to insufficient qualified awake direct care staff to meet resident needs.
Licensing—Failed to assure a qualified caregiver was present
02 Nov 2023Inspection
02 Nov 2023Inspection
Found a licensing violation for failing to keep interior and exterior materials, surfaces, and equipment clean and in good repair.
Licensing—Failed to provide a homelike environment
02 Nov 2023Inspection
02 Nov 2023Inspection
Investigated the allegation of not providing a homelike environment. Found an interior odor and cleanliness deficiency.
Licensing—Failed to provide a homelike environment
02 Nov 2023Complaint
02 Nov 2023Complaint
Found no deficiencies.
Deficiency—Licensing Complaint Investigation
Deficiency—Doors, Walls, Elevators, Odors
14 Sept 2023Abuse: Neglect
14 Sept 2023Abuse: Neglect
Identified a failure to provide a safe medication administration system, with an inaccurate narcotic log resulting in about 3.5 ml of narcotic medication missing.
Abuse—Failed to provide a safe medication administration system
25 May 2023Abuse: Neglect
25 May 2023Abuse: Neglect
Investigated a neglect finding involving failure to supervise an alleged victim outside the site, which allowed wandering without staff intervention.
Abuse—Failed to follow care plan
26 Apr 2023Inspection
26 Apr 2023Inspection
Investigated the allegation and found that residents' rights were not assured due to a failure to treat residents with dignity and respect.
Licensing—Failed to assure resident rights
26 Apr 2023Inspection
26 Apr 2023Inspection
Investigated allegation and determined that direct care staffing was insufficient to meet residents' needs.
Licensing—Failed to provide appropriate staffing
01 Mar 2023License Condition
01 Mar 2023License Condition
Found failure to use an Acuity Based Staffing Tool as required.
Regulatory Action—Failed to use an ABST
10 Jan 2023Complaint
10 Jan 2023Complaint
Identified deficiencies related to service plans and staffing during the complaint review.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Staffing Requirements and Training: Staffing
10 Jan 2023Complaint
10 Jan 2023Complaint
Identified deficiencies in compliance with applicable rules.
Deficiency—Acuity-Based Staffing Tool
02 Jan 2023Inspection
02 Jan 2023Inspection
Determined that resident rights were not upheld because services were not provided according to service planned preference to promote dignity.
Licensing—Failed to assure resident rights
28 Dec 2022Inspection
28 Dec 2022Inspection
Found insufficient direct care staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
20 Nov 2022Inspection
20 Nov 2022Inspection
Investigated a complaint alleging failure to protect a resident from abuse and found that a staff member grabbed the resident's hands and wrist, pulled them up out of a recliner, causing bruising and swelling, and that protections against abuse were not met.
Licensing—Failed to protect resident from physical abuse
18 Nov 2022Abuse: Neglect
18 Nov 2022Abuse: Neglect
Investigated an abuse/neglect allegation found that staff failed to follow a care plan to redirect a resident's inappropriate behavior, causing emotional distress, and a $250 fine was assessed.
Abuse—Failed to follow care plan
15 Nov 2022Complaint
15 Nov 2022Complaint
Identified deficiencies in meals and nutrition, quarterly service plan updates, staffing and acuity-based staffing, and involuntary move-out notification.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Involuntary Move-Out Criteria
28 Oct 2022Inspection
28 Oct 2022Inspection
Investigated an allegation of failing to assure resident rights and found the facility did not provide 30-days advance written notice before asking a resident to move out or not return.
Licensing—Failed to assure resident rights
28 Oct 2022Inspection
28 Oct 2022Inspection
Determined quarterly service plans were not completed after residents moved in, indicating a care planning deficiency.
Licensing—Failed to properly plan care
25 Oct 2022License Condition
25 Oct 2022License Condition
Found violations for failing to provide a safe environment and noted an imminent order imposing license conditions.
Regulatory Action—Failed to provide safe environment
25 Oct 2022License Condition
25 Oct 2022License Condition
Identified deficiencies for failing to provide a safe environment. Notified that an order imposing license conditions would be issued in the near future.
Regulatory Action—Failed to provide safe environment
24 Oct 2022Inspection
24 Oct 2022Inspection
Identified a licensing violation for failing to provide three daily nutritious meals.
Licensing—Failed to provide proper food/nutrition
24 Oct 2022Inspection
24 Oct 2022Inspection
Investigated a staffing deficiency and identified insufficient direct care staff to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
24 Oct 2022Inspection
24 Oct 2022Inspection
Investigated and found a violation for not fully implementing and updating an Acuity Based Staffing Tool, affecting residents' needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
17 Oct 2022Abuse: Neglect
17 Oct 2022Abuse: Neglect
Investigated and found that a resident went seven days without prescribed pain medication because it was not available, constituting abuse and neglect; a fine was assessed.
Abuse—Failed to have medication available
17 Oct 2022Abuse: Neglect
17 Oct 2022Abuse: Neglect
Found a violation of resident rights due to failing to answer a call light promptly, leaving the resident on the commode for an extended period and causing discomfort; a $250 fine was assessed.
Abuse—Failed to answer call light in a timely manner
16 Oct 2022Abuse: Neglect
16 Oct 2022Abuse: Neglect
Investigated a complaint and found that the resident's care plan was not followed, placing the resident at risk when requiring restroom assistance; a $500 fine was assessed.
Abuse—Failed to follow care plan
10 Oct 2022Validation
10 Oct 2022Validation
Investigations identified numerous deficiencies across administration, resident care planning, health services, infection prevention, meals, records, staffing, fire safety, and building maintenance.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Deficiency—Administration Responsibilities
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Outside Area
20 Sept 2022Complaint
20 Sept 2022Complaint
Identified deficiencies related to move-in evaluations, service planning, and staffing; some aspects showed compliance with state rules.
Deficiency—Licensing Complaint Investigation
Deficiency—Reasonable Precautions
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
Deficiency—Staffing Requirements and Training: Staffing
19 Sept 2022Inspection
19 Sept 2022Inspection
Found a violation for failing to provide a safe environment. Bruising observed on a resident and an internal investigation was not completed.
Licensing—Failed to provide safe environment
12 Sept 2022Inspection
12 Sept 2022Inspection
Investigated the allegation of inadequate staffing and found direct care staff were insufficient in number to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
12 Sept 2022Inspection
12 Sept 2022Inspection
Investigated an allegation that residents' needs were not met; ABST implementation deficiencies were identified.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
12 Sept 2022Inspection
12 Sept 2022Inspection
Found that resident service plans were not updated quarterly to reflect updated care needs.
Licensing—Failed to properly plan care
12 Sept 2022Inspection
12 Sept 2022Inspection
Investigated the allegation that a safe environment was not provided and found a violation related to resident safety. Found failure to exercise reasonable precautions to protect residents' health, safety, or welfare.
Licensing—Failed to provide safe environment
12 Aug 2022License Condition
12 Aug 2022License Condition
Identified failure to fully implement and update an acuity based staffing tool as required.
Regulatory Action—Failed to use an ABST
04 Aug 2022Complaint
04 Aug 2022Complaint
Found that the acuity-based staffing tool was not fully implemented or updated, and no resident information was entered.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
17 Jul 2022Abuse: Neglect
17 Jul 2022Abuse: Neglect
Found neglect and abuse due to staff not responding to a resident's call light for hours, causing discomfort and loss of dignity.
Abuse—Failed to answer call light in a timely manner
01 Jun 2022Inspection
01 Jun 2022Inspection
Determined that there was a failure to submit timely or adequate staffing documentation for 30 days, and assessed a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
01 Jun 2022Inspection
01 Jun 2022Inspection
Found a failure to submit timely weekly vaccination reporting for residents and staff; a $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
05 May 2022Inspection
05 May 2022Inspection
Investigated an allegation that a qualified caregiver was not present and identified a rule violation.
Licensing—Failed to assure a qualified caregiver was present
02 May 2022Inspection
02 May 2022Inspection
Found failure to submit timely or adequate staffing documentation for April 1–30, 2022. A $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
02 May 2022Inspection
02 May 2022Inspection
Found a licensing violation for failing to submit timely weekly vaccination reporting; a $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
01 May 2022Abuse: Neglect
01 May 2022Abuse: Neglect
Investigated an allegation of neglect and abuse; concluded there was a failure to properly plan care, leaving a resident at risk of harm.
Abuse—Failed to properly plan care
26 Apr 2022Inspection
26 Apr 2022Inspection
Investigated the allegation of failing to provide a safe environment and identified a deficiency.
Licensing—Failed to provide safe environment
06 Apr 2022Inspection
06 Apr 2022Inspection
Determined that a resident was financially exploited and protections against exploitation were inadequate.
Licensing—Failed to protect resident from financial exploitation
01 Apr 2022Inspection
01 Apr 2022Inspection
Found violations for failing to submit timely weekly vaccination reporting for residents and staff to the proper authority for March 2022. A $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
01 Apr 2022Inspection
01 Apr 2022Inspection
Found failure to submit timely or adequate staffing documentation for weekly reporting of vaccinated individuals, residents, and staff during March 2022.
Licensing—Failed to submit timely or adequate staffing documentation
01 Mar 2022Inspection
01 Mar 2022Inspection
Found a licensing violation for failing to submit timely staffing documentation and not reporting weekly vaccination information to the proper authority. The violation was substantiated and a fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
01 Mar 2022Inspection
01 Mar 2022Inspection
Found a violation for failing to submit timely weekly vaccination reporting and assessed a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
09 Jan 2022Abuse: Neglect
09 Jan 2022Abuse: Neglect
Found that care planning failed to reduce falls, constituting abuse and neglect, and a fine was assessed.
Abuse—Failed to properly plan care
04 Dec 2021Abuse: Neglect
04 Dec 2021Abuse: Neglect
Found neglect and abuse due to failure to plan care after a resident fall, with no fall interventions and an out-of-date care plan.
Abuse—Failed to properly plan care
28 Nov 2021Abuse: Neglect
28 Nov 2021Abuse: Neglect
Found that a resident's bag was removed and money and a checkbook went missing, with staff failing to protect the resident's property and report the incident, resulting in financial exploitation and neglect. A $500 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
19 Oct 2021Abuse: Neglect
19 Oct 2021Abuse: Neglect
Identified violations for failing to ensure pain medication was available, causing pain and sleep disruption; a fine was assessed.
Abuse—Failed to have medication available
11 Oct 2021Inspection
11 Oct 2021Inspection
Concluded that staff failed to answer the call light in a timely manner.
Licensing—Failed to answer call light in a timely manner
23 Sept 2021Inspection
23 Sept 2021Inspection
Identified insufficient staff to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide safe environment
17 Sept 2021Inspection
17 Sept 2021Inspection
Identified a staffing deficiency that failed to meet scheduled and unscheduled resident needs, and substantiated an allegation of failing to provide or assist with hygiene.
Licensing—Failed to provide or assist with hygiene
02 Jul 2021Abuse: Neglect
02 Jul 2021Abuse: Neglect
Found that a resident was at risk because hand sanitizer was accessible, violating safety and resident rights. A $250 fine was assessed.
Abuse—Failed to provide safe environment
14 Jun 2021Inspection
14 Jun 2021Inspection
Investigated a complaint about protecting a resident from financial exploitation found that pain medication was stolen because medications weren't protected from theft. A violation of Oregon Administrative Rules was identified.
Licensing—Failed to protect resident from financial exploitation
11 Jun 2021Abuse: Neglect
11 Jun 2021Abuse: Neglect
Found failure to follow a resident's shower care plan and lack of tracking, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to follow care plan
11 Jun 2021Abuse: Neglect
11 Jun 2021Abuse: Neglect
Investigated a complaint and found that a resident's cash and belongings went missing due to failure to protect belongings, resulting in financial exploitation and neglect; a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
11 Jun 2021Abuse: Neglect
11 Jun 2021Abuse: Neglect
Identified an inadequate medication administration system that placed a resident at risk for harm; assessed a $750 fine.
Abuse—Failed to provide a safe medication administration system
03 May 2021Inspection
03 May 2021Inspection
Verified failure to provide medical treatment as ordered.
Licensing—Failed to provide appropriate staffing
20 Apr 2021Abuse: Neglect
20 Apr 2021Abuse: Neglect
Investigated and identified care planning failures and insufficient medical attention after a resident fall, leading to an unnecessary hip fracture and suffering; a fine was assessed.
Abuse—Failed to properly plan care
15 Apr 2021Inspection
15 Apr 2021Inspection
Investigated a complaint and found violations involving failure to provide service and resident abuse/neglect.
Licensing—Failed to provide service
12 Mar 2021Abuse: Neglect
12 Mar 2021Abuse: Neglect
Investigated a complaint and found failures to report incidents to authorities and to properly care plan for falls, risking serious harm to a resident.
Abuse—Failed to properly plan care
11 Feb 2021Abuse: Neglect
11 Feb 2021Abuse: Neglect
Found a failure to appropriately care plan for a resident's fall risk, leading to additional falls with injury; a $250 fine was assessed.
Abuse—Failed to properly plan care
17 Nov 2020Inspection
17 Nov 2020Inspection
Found a deficiency for failing to protect a resident's money from theft. Money went missing from the resident's room due to theft by an unknown person.
Licensing—Failed to protect resident from financial exploitation
26 Feb 2020Inspection
26 Feb 2020Inspection
Found a violation for failing to label medication cups with the resident's name.
Licensing—Failed to provide a safe medication administration system
26 Feb 2020Inspection
26 Feb 2020Inspection
Found inadequate professional oversight of the medication administration system.
Licensing—Failed to provide a safe medication administration system
03 Nov 2018Abuse: Neglect
03 Nov 2018Abuse: Neglect
Found neglect of a resident resulting in actual harm and discomfort; a fine was assessed.
Abuse—Failed to adequately care plan related to falls
23 Aug 2018Abuse: Neglect
23 Aug 2018Abuse: Neglect
Found neglect-related deficiencies due to failure to provide basic care, causing unreasonable discomfort; assessed a $188 fine.
Abuse—Failed to provide or maintain resident care equipment
18 Jul 2018Abuse: Neglect
18 Jul 2018Abuse: Neglect
Investigated a falls-related care complaint and found neglect due to inadequate supervision that caused actual harm. The findings cite multiple rule violations related to records, supervision, and neglect.
Abuse—Failed to adequately care plan related to falls
09 Jul 2018Abuse: Neglect
09 Jul 2018Abuse: Neglect
Identified failures to assess and intervene related to falls, resulting in a $375.00 fine.
Abuse—Failed to adequately care plan related to falls
27 Nov 2015Abuse: Neglect
27 Nov 2015Abuse: Neglect
Found substantiated abuse/neglect due to failure to follow the care plan and to assess/intervene.
Abuse—Failed to follow care plan
01 Aug 2015Abuse: Financial abuse
01 Aug 2015Abuse: Financial abuse
Investigated a report and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
18 Sept 2014Abuse: Neglect
18 Sept 2014Abuse: Neglect
Investigated a neglect allegation and found an inadequate care plan for RV.
Abuse—Failed to provide service
08 May 2014Abuse: Financial abuse
08 May 2014Abuse: Financial abuse
Found a substantiated abuse allegation due to failure to protect residents from theft.
Abuse—Failed to provide safe environment
06 Jan 2014Abuse: Financial abuse
06 Jan 2014Abuse: Financial abuse
Found that a secure environment was not provided, resulting in a medication theft.
Abuse—Failed to provide safe environment
21 Oct 2013Abuse: Financial abuse
21 Oct 2013Abuse: Financial abuse
Investigated a financial abuse allegation and found a resident's personal property was not adequately protected from wrongful taking.
Abuse—Failed to provide safe environment
11 Jul 2013Abuse: Sexual abuse
11 Jul 2013Abuse: Sexual abuse
Identified deficiencies for failing to protect multiple residents from inappropriate sexual contact.
Abuse—Failed to protect resident from inappropriate sexual contact
20 Jan 2012Abuse: Verbal/Mental abuse
20 Jan 2012Abuse: Verbal/Mental abuse
Investigated the allegation of verbal/mental abuse and found substantiated that residents experienced significant emotional harm through humiliation and mental cruelty.
Abuse—Failed to protect resident from mental or emotional abuse
20 Jan 2012Abuse: Verbal/Mental abuse
20 Jan 2012Abuse: Verbal/Mental abuse
Found deficiencies in protecting a resident from verbal/mental abuse and in preventing sexual exploitation; the findings included the use of sexually explicit material involving a resident.
Abuse—Failed to protect resident from mental or emotional abuse
20 Sept 2011Abuse: Financial abuse
20 Sept 2011Abuse: Financial abuse
Investigated and found a failure to provide a system that prevents theft or misuse of medication.
Abuse—Failure to provide a system that prevents theft or misuse of medication
27 May 2011Abuse: Neglect
27 May 2011Abuse: Neglect
Investigated the allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
17 Feb 2011Abuse: Physical Abuse
17 Feb 2011Abuse: Physical Abuse
Concluded that residents were not protected from rough treatment, resulting in violations of multiple rules.
Abuse—Failed to protect resident from rough treatment
02 Sept 2010Abuse: Financial abuse
02 Sept 2010Abuse: Financial abuse
Found substantiated financial abuse and failure to protect a resident's medications from theft.
Abuse—Failed to protect resident from financial exploitation
02 Sept 2010Abuse: Financial abuse
02 Sept 2010Abuse: Financial abuse
Investigated a financial abuse allegation and found substantiated that protection failed to prevent financial exploitation and theft of a resident's personal property.
Abuse—Failed to protect resident from financial exploitation
04 Aug 2010Abuse: Financial abuse
04 Aug 2010Abuse: Financial abuse
Concluded that a resident was not protected from theft due to financial exploitation.
Abuse—Failed to protect resident from financial exploitation
30 Mar 2010Abuse: Financial abuse
30 Mar 2010Abuse: Financial abuse
Determined that a resident was not protected from financial exploitation. The finding indicated failure to protect a resident from theft.
Abuse—Failed to protect resident from financial exploitation
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Bayberry Commons. The information above has not been verified or approved by the owner or operator. For exact information, please contact Bayberry Commons directly. There is no cost for this service. We are compensated by the community you select.
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