Inspection Reports for Battle Creek Memory Care
1805 Waln Dr SE, Salem, OR 97306, United States, OR, 97306
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Inspection Report
Complaint Investigation
Census: 59
Capacity: 68
Deficiencies: 38
Apr 7, 2025
Visit Reason
State-compiled facility profile showing 8 inspections from 2021 to 2025 with detailed deficiency history and enforcement actions.
Findings
The facility has multiple deficiencies across inspections including failures in resident services, administrative compliance, health and safety protocols, and documentation. Several deficiencies were repeated and some were corrected over time, but issues such as inadequate investigation of abuse, improper medication administration, and failure to maintain sanitary conditions were noted.
Complaint Details
The complaint investigations conducted on 4/7/2025 and 4/12/2023 identified multiple deficiencies including failures in resident services, medication administration, and acuity-based staffing tool implementation.
Deficiencies (38)
| Description |
|---|
| Z0160 - Resident Services: Failure to meet resident services requirements |
| C0240 - Resident Services Meals, Food Sanitation Rule: Failure to maintain kitchen in good repair and sanitary manner including food spills, glove use, thermometer sanitation, and food storage |
| Z0142 - Administration Compliance: Failure to follow licensing rules for Residential Care and Assisted Living Facilities |
| C0000 - Comment: Various observations and compliance comments |
| C0150 - Facility Administration: Operation: Failure to provide effective administrative oversight and supervision |
| C0160 - Reasonable Precautions: Failure to exercise reasonable precautions against conditions threatening resident health and safety |
| C0231 - Reporting & Investigating Abuse-Other Action: Failure to promptly investigate and report abuse and neglect incidents |
| C0252 - Resident Move-In and Eval: Res Evaluation: Failure to complete thorough and timely resident evaluations |
| C0260 - Service Plan: General: Failure to ensure service plans reflect current resident needs and provide clear direction |
| C0262 - Service Plan: Service Planning Team: Failure to ensure service plans developed by required team members |
| C0270 - Change of Condition and Monitoring: Failure to identify, communicate, and monitor changes of condition |
| C0280 - Resident Health Services: Failure to assess residents after significant change of condition |
| C0302 - Systems: Tracking Control Substances: Failure to accurately track controlled substances |
| C0303 - Systems: Treatment Orders: Failure to carry out physician orders and maintain signed orders |
| C0310 - Systems: Medication Administration: Failure to maintain accurate medication administration records |
| C0340 - Restraints and Supportive Devices: Failure to assess supportive devices prior to use |
| C0361 - Acuity-Based Staffing Tool: Failure to fully implement and update acuity-based staffing tool |
| C0455 - Inspections and Investigation: Insp Interval: Failure to implement and satisfy plan of correction |
| Z0162 - Compliance With Rules Health Care: Failure to provide health care services in accordance with licensing rules |
| Z0163 - Nutrition and Hydration: Failure to develop individualized nutrition and hydration plans |
| Z0165 - Behavior: Failure to provide individualized service plan for behavioral symptoms |
| Z0168 - Outside Area: Failure to provide access to secured outdoor space without staff assistance |
| Z0173 - Secure Outdoor Recreation Area: Failure to ensure outdoor furniture prevents elopement |
| Z0177 - Exit Doors: Failure to ensure exit doors have electronic locking devices that release appropriately |
| C0010 - Licensing Complaint Investigation: Failure to operate in compliance with applicable laws and regulations |
| C0303 - Systems: Treatment Orders (Complaint): Failure to administer medications as prescribed |
| C0361 - Acuity-Based Staffing Tool (Complaint): Failure to update acuity-based staffing tool accurately |
| C0000 - Comment (No Deficiencies): Facility in substantial compliance with food sanitation rules |
| C0000 - Comment (Initial Licensure): Findings from initial survey and re-licensure survey |
| C0231 - Reporting & Investigating Abuse-Other Action (Initial Licensure): Failure to report resident-to-resident altercation to APS |
| C0303 - Systems: Treatment Orders (Initial Licensure): Failure to follow physician orders as prescribed |
| C0305 - Systems: Resident Right to Refuse: Failure to notify physician when resident refused consent |
| C0420 - Fire and Life Safety: Safety: Failure to conduct fire drills and provide training as required |
| C0555 - Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable: Failure to provide exit door alarm or system |
| Z0142 - Administration Compliance (Initial Licensure): Failure to follow licensing rules |
| Z0155 - Staff Training Requirements: Failure to ensure required dementia training and competency |
| Z0162 - Compliance With Rules Health Care (Initial Licensure): Failure to ensure consistent health care services |
| Z0164 - Activities: Failure to maintain individualized plan for meaningful activities |
Report Facts
Inspections on page: 8
Total deficiencies: 37
Licensing violations: 9
Notices: 2
Licensed beds: 68
Resident census: 59
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| NATALIE NELSON | Administrator | Named as facility administrator |
| Staff 1 | Executive Director | Named in multiple findings related to administrative compliance and investigations |
| Staff 2 | RN/Director of Health Services or Director of Dining Services | Named in findings related to health services and kitchen sanitation |
| Staff 3 | Resident Care Coordinator (RCC) | Named in findings related to service plans and resident care |
| Staff 4 | Resident Care Coordinator (RCC) | Named in findings related to service plans and resident care |
| Staff 13 | Caregiver | Named in findings related to resident weight monitoring |
| Staff 16 | Caregiver | Named in findings related to restraints and supportive devices |
| Staff 18 | Caregiver | Named in findings related to resident care and training |
| Staff 19 | Caregiver | Named in findings related to resident care and training |
| Staff 9 | Director of Dining Services | Named in findings related to diet order compliance |
| Staff 5 | Maintenance Director | Named in findings related to fire and life safety and exit door alarms |
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