Regency Albany: Abuse Reporting Failures - OR
The incident occurred on a Friday evening at Regency Albany, but administrators weren't informed until the following Monday at 4:00 PM, according to federal inspection records from November.
Staff 3, a certified nursing assistant, observed Resident 101's hands on Resident 102's genitals. When the CNA entered the room, Resident 102 quickly tried to cover up, telling the aide he was putting his urinal in place.
Resident 101, who has dementia, lacked the mental capacity to consent to sexual contact, administrators acknowledged to inspectors. Despite this vulnerability, the facility implemented no interventions to ensure the resident's safety following the incident.
The family wasn't notified for three days.
"The incident occurred on Friday evening and she was not informed about it until Monday at 4:00 PM," a family member told inspectors. The relative, a retired nurse practitioner who had recently moved to Oregon to be closer to Resident 101, said the resident had never exhibited sexual behaviors previously.
"If the resident got naked after the incident, it was not a behavior she had ever seen or heard about previously," the family member stated.
A review of Resident 101's medical records revealed no protective interventions were documented in the care plan, nursing progress notes, or alert charting related to Resident 102's behavior toward other residents.
Resident 102 told inspectors that Resident 101 didn't touch him and that if anyone wanted to take advantage of him, he would let them. But staff described a pattern of concerning behavior from Resident 102.
The resident "would frequently watch pornography on his phone and would make inappropriate comments such as he liked curvy people and watching them bend over," Staff 2, a licensed practical nurse, told inspectors.
During a recent night shift, the LPN witnessed Resident 102 masturbating while watching pornography, despite her knocking and announcing herself before entering. "Which made her very uncomfortable," she told inspectors.
When Staff 2 arrived for her shift the night of the incident, Resident 101 had already been returned to his room. Staff 3 briefed her on what happened, "including that Resident 101's hands were on Resident 102's genitals."
The administrator acknowledged to inspectors that the facility failed to implement appropriate interventions because "it was not reported to her in a timely manner." Staff 3 had witnessed the sexual contact, and administrators confirmed Resident 101 could not consent due to cognitive impairment.
Federal inspectors found the facility violated regulations requiring nursing homes to ensure each resident receives treatment and care in accordance with professional standards of practice. The violation was classified as having minimal harm or potential for actual harm affecting few residents.
The family member expressed frustration with the facility's response and delayed notification. Her primary concern, she told inspectors, was "that this incident should never happen again."
She planned to move Resident 101 to a different facility with a specialized memory care unit.
The inspection occurred in response to a complaint filed about the incident. Records show no safety measures were put in place to prevent similar encounters, despite staff awareness of Resident 102's inappropriate sexual behavior and Resident 101's cognitive vulnerability.
The facility's failure to act immediately after the witnessed sexual contact left a resident with dementia at continued risk, with no documented plan to address the situation or prevent future incidents involving either resident.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Regency Albany from 2025-11-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 25, 2026 · Our methodology
REGENCY ALBANY in ALBANY, OR was cited for abuse-related violations during a health inspection on November 20, 2025.
Staff 3, a certified nursing assistant, observed Resident 101's hands on Resident 102's genitals.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.