Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Inspection: DOJB

Provider Information


Bonaventure of Salem Memory Care

3411 BOONE RD SE
Salem, OR 97317

Provider ID
50R385
Administrator
Kylie Spragg
Phone
(503) 480-0004
Email
memorycareslm@livebsl.com

Inspection Details


Date
7/13/2022
Event ID
DOJB
Inspection type(s)
Complaint Investig.
Deficiencies cited
4

Citation Details


C0010: Licensing Complaint Investigation


Visit Number
1
Visit Date
7/13/2022
Corrected Date
N/A
Details

Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the complaint investigation conducted 07/13/2022.  The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57.  The following deficiencies were identified:



Abbreviations possibly used in this document:


ADL:activities of daily living

bid:twice a day

CBG:capillary blood glucose or

blood sugar

cc:cubic centimeter

CG:caregiver

cm:centimeter

F:Fahrenheit

HH:Home Health

HS or hs:hour of sleep

LPN:Licensed Practical Nurse

MA:Medication Aide

MAR:Medication Administration

Record

MCCMemory Care Community

mg:milligram

ml:milliliter

O2 sats:oxygen saturation in the

blood

OT:Occupational Therapist

PT: Physical Therapist

PRN:as needed

qd:every day or daily

qid:four times a day

RN:Registered Nurse

SP:service plan

TAR:Treatment Administration

Record

tid:three times a day















































C0160: Reasonable Precautions


Visit Number
1
Visit Date
7/13/2022
Corrected Date
N/A
Details

Based on interview, observation and record review, it was confirmed that the facility is not providing a safe and home-like environment. Findings include:

Compliance specialist (CS) did not observe salon door unlocked with chemicals visible.  

Interview with Staff #3 and #4 on 07/13/22, they stated the salon door is never locked.  

Plan of Corrections:

Facility will have door locked.

C0242: Resident Services: Activities


Visit Number
1
Visit Date
7/13/2022
Corrected Date
N/A
Details

Based on interview, observation, and record review, it was confirmed that the facility does not have enough staff working to meet the needs of the residents. Findings include:

Review of staffing schedules for July and August showed the facility has staff schedule.  No posted staffing plan.

Interviews on 07/13/2022, Staff #3-5 stated that there is not enough staff to meet the needs of the residents.  Currently there are 5 2-person transfers.  Residents are often left in the common areas with minimal supervision.  Staff can not get to daily activities with residents.

Plan of Correction: Facility will get a posted staffing plan and staff to the needs of the residents.   

C0360: Staffing Requirements and Training: Staffing


Visit Number
1
Visit Date
7/13/2022
Corrected Date
N/A
Details

Based on interview, observation, and record review, it was confirmed that the facility does not have enough staff working to meet the needs of the residents. Findings include:

Review of staffing schedules for July and August showed the facility has staff schedule.  No posted staffing plan.

Interviews on 07/13/2022, Staff #3-5 stated that there is not enough staff to meet the needs of the residents.  Currently there are 5 2-person transfers.  Residents are often left in the common areas with minimal supervision.  Staff can not get to daily activities with residents.

Plan of Correction: Facility will get a posted staffing plan and staff to the needs of the residents.