Inspection Reports for Bayberry Commons Assisted Living

2211 LAURA STREET, SPRINGFIELD, OR, 97477

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 10.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

54% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

24 18 12 6 0
2022
2023
2024
2025
Inspection Report Change Of Owner Capacity: 62 Deficiencies: 2 Sep 19, 2025
Visit Reason
Facility failed to ensure adequate staffing on night shift to meet residents' scheduled and unscheduled needs and fire safety standards. Facility also failed to maintain interior materials and surfaces in good repair and clean condition.
Findings
Facility failed to ensure adequate staffing on night shift to meet residents' scheduled and unscheduled needs and fire safety standards. Facility also failed to maintain interior materials and surfaces in good repair and clean condition.
Deficiencies (2)
Description
OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing
OAR 411-054-0300 (4)(d-i) General Building: Doors-Walls, Cleanable
Inspection Report Kitchen Capacity: 62 Deficiencies: 2 Apr 16, 2025
Visit Reason
Facility failed to maintain kitchen in good repair and sanitary manner per Food Sanitation Rules. Multiple areas with food debris, needed repairs, expired sanitizing strips, and unsafe food handling practices were observed.
Findings
Facility failed to maintain kitchen in good repair and sanitary manner per Food Sanitation Rules. Multiple areas with food debris, needed repairs, expired sanitizing strips, and unsafe food handling practices were observed.
Deficiencies (2)
Description
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval
Inspection Report Complaint Investigation Capacity: 62 Deficiencies: 2 May 17, 2024
Visit Reason
Facility failed to ensure service plans were updated quarterly and failed to maintain interior materials and surfaces in clean and good repair.
Findings
Facility failed to ensure service plans were updated quarterly and failed to maintain interior materials and surfaces in clean and good repair.
Deficiencies (2)
Description
OAR 411-054-0260 Service Plan: General
OAR 411-054-0300 (4)(d-i) General Building: Doors-Walls, Cleanable
Inspection Report Complaint Investigation Capacity: 62 Deficiencies: 3 Jan 10, 2023
Visit Reason
Facility failed to comply with multiple licensing complaint investigation requirements including service plan updates, staffing, record preservation, resident rights, abuse reporting, and other regulatory requirements.
Findings
Facility failed to comply with multiple licensing complaint investigation requirements including service plan updates, staffing, record preservation, resident rights, abuse reporting, and other regulatory requirements.
Deficiencies (3)
Description
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0260 Service Plan: General
OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing
Inspection Report Complaint Investigation Capacity: 62 Deficiencies: 24 Nov 15, 2022
Visit Reason
Facility failed to provide adequate meals, update service plans quarterly, maintain accurate records, ensure resident rights and protection, investigate and report abuse, maintain environment in good repair, and comply with multiple other regulatory requirements.
Findings
Facility failed to provide adequate meals, update service plans quarterly, maintain accurate records, ensure resident rights and protection, investigate and report abuse, maintain environment in good repair, and comply with multiple other regulatory requirements.
Deficiencies (24)
Description
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
OAR 411-054-0260 Service Plan: General
OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing
OAR 411-054-0361 Acuity-Based Staffing Tool
OAR 411-054-0380 Involuntary Move-Out Criteria
OAR 411-054-0200 Resident Rights and Protection - General
OAR 411-054-0231 Reporting & Investigating Abuse-Other Action
OAR 411-054-0252 Resident Move-In and Eval: Res Evaluation
OAR 411-054-0262 Service Plan: Service Planning Team
OAR 411-054-0270 Change of Condition and Monitoring
OAR 411-054-0280 Resident Health Services
OAR 411-054-0282 Rn Delegation and Teaching
OAR 411-054-0295 Infection Prevention & Control
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0310 Systems: Medication Administration
OAR 411-054-0315 Systems: Treatment Administration
OAR 411-054-0370 Staffing Requirements and Training – Pre-Serv
OAR 411-054-0372 Training Within 30 Days: Direct Care Staff
OAR 411-054-0374 Annual and Biennial Inservice For All Staff
OAR 411-054-0420 Fire and Life Safety: Safety
OAR 411-054-0455 Inspections and Investigation: Insp Interval
OAR 411-054-0613 General Building: Doors-Walls, Cleanable
OAR 411-054-0640 Heating and Ventilation
Inspection Report Complaint Investigation Capacity: 62 Deficiencies: 6 Sep 20, 2022
Visit Reason
Complaint investigation identified deficiencies related to licensing complaint investigation, reasonable precautions, resident move-in evaluation, service plans, treatment orders, and staffing requirements.
Findings
Complaint investigation identified deficiencies related to licensing complaint investigation, reasonable precautions, resident move-in evaluation, service plans, treatment orders, and staffing requirements.
Deficiencies (6)
Description
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0160 Reasonable Precautions
OAR 411-054-0252 Resident Move-In and Eval: Res Evaluation
OAR 411-054-0260 Service Plan: General
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing
Inspection Report Complaint Investigation Capacity: 62 Deficiencies: 2 Aug 4, 2022
Visit Reason
Facility failed to comply with licensing complaint investigation and failed to fully implement and update an acuity-based staffing tool (ABST).
Findings
Facility failed to comply with licensing complaint investigation and failed to fully implement and update an acuity-based staffing tool (ABST).
Deficiencies (2)
Description
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0361 Acuity-Based Staffing Tool

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