Provider Details - Brookstone Alzheimer's Special Care Center | Licensed Long-Term Care Settings Search

Brookstone Alzheimer's Special Care Center

5881 WOODSIDE DR SE
Salem, OR 97306

(503) 316-0687
brandy.khlystov@sincerisl.com

Administrator name: BRANDY KHLYSTOV

ID: 5MA151
Status: Open
Type: Residential Care Facility
Licensed beds: 57
Accepts Medicaid: Yes
Memory Care: Yes

Owner: SH1 Brookstone OpCo LLC

5881 WOODSIDE DRIVE SOUTH
Salem, OR 97306

(360) 254-9442

Owner since: 4/1/2019

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

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Licensing inspections evaluate a provider’s compliance with rules and laws. Licensing surveyors look at a variety of factors, including quality of care and services provided, as well as the condition of the provider’s physical structure, equipment, staffing levels, policies, procedures and finances. Under federal requirements, nursing facilities receive recertification inspections and inspections following a complaint investigation. The inspections represent a snapshot of the provider’s compliance with regulatory requirements at the time the inspection took place.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Brookstone Alzheimer's Special Care Center
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
11/22/2024	KIT001468	Kitchen	2
5/6/2024	TOWK	Validation	8
1/5/2024	3IL7	State Licensure	0
7/20/2023	B86J	Licensure Complaint	1
1/18/2023	H6XE	State Licensure	2

5 records found

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Brookstone Alzheimer's Special Care Center
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to follow care plan Failed to maintain a safe physical environment Failed to properly plan care Failed to properly use restraint Failed to protect resident from financial exploitation Failed to protect resident from rough treatment Failed to provide a safe medication administration system Failed to provide safe environment Failed to provide service	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect Abuse: Physical Abuse
3/7/2026	00462513-AP-414849	Failed to properly plan care	2	Abuse: Neglect
10/30/2025	00436208-AP-388074	Failed to maintain a safe physical environment	2	Abuse: Neglect
10/30/2025	00436219-AP-388089	Failed to provide safe environment	2	Abuse: Neglect
9/19/2025	00427774-AP-379443	Failed to provide safe environment	2	Abuse: Neglect
4/27/2025	00398477-AP-349169	Failed to properly plan care	2	Abuse: Neglect
4/12/2025	00395425-AP-346226	Failed to address resident's behavior	2	Abuse: Neglect
9/27/2022	00223384-AP-181995	Failed to properly plan care	3	Abuse: Neglect
8/31/2022	00218948-AP-177883	Failed to follow care plan	2	Abuse: Neglect
7/22/2022	00211895-AP-171418	Failed to follow care plan	2	Abuse: Neglect
6/26/2022	00207241-AP-167237	Failed to follow care plan	2	Abuse: Neglect

42 records found | Page 1 of 5

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Brookstone Alzheimer's Special Care Center
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to administer ordered medication Failed to follow care plan Failed to provide safe environment Failed to report potential or suspected abuse	Level Level Between And	Type Type Licensing Violation
7/3/2025	00411919-AP-363053	Failed to follow care plan	2	Licensing Violation
2/10/2024	00313039-AP-265450	Failed to administer ordered medication	2	Licensing Violation
2/7/2024	00312595-AP-265030	Failed to administer medication as ordered	2	Licensing Violation
6/17/2023	00271199-AP-226089	Failed to follow care plan	2	Licensing Violation
5/16/2019	SR19338	Failed to report potential or suspected abuse	3	Licensing Violation
3/5/2018	MV186756	Failed to provide safe environment	2	Licensing Violation
1/5/2018	MV185423	Failed to provide safe environment	2	Licensing Violation
12/4/2017	MV175046	Failed to provide safe environment	2	Licensing Violation
11/6/2017	MV174418	Failed to provide safe environment	2	Licensing Violation
9/10/2017	MV173432	Failed to provide safe environment	2	Licensing Violation

16 records found | Page 1 of 2

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Brookstone Alzheimer's Special Care Center
	Sanction Sanction	Allegation Allegation Failed to provide infection control Failed to use an ABST	Type Type License Condition	Effective date Effective date From To	End date End date From To	Actions
	RCFCD23-01038	Failed to use an ABST	License Condition	8/29/2023	11/8/2023
	RCFCD20-00634	Failed to provide infection control	License Condition	6/30/2020	8/19/2020

2 records found

The Oregon Department of Human Services publishes annual reports about assisted living and residential care facilities, including those with memory care endorsements. The reports show how facilities are doing in areas like staffing, safety, and resident experience.

Facilities submit this information once each year using an online reporting tool. The results reflect how each facility operated during that year. The information is self-reported by facilities and is not independently audited by the department. This means the reports show what facilities report about their own performance.

Each year, assisted living and residential care facilities must report information on:

Retention of direct care staff
Compliance with staff training requirements
Number of resident falls that result in injury
Incidence of use of antipsychotic medications for non-standard purposes
Results of an annual resident satisfaction survey conducted by an independent entity

Facilities submit this information electronically each year. Reporting began in 2020. Instructions and definitions are updated annually and published on the Residential Care Quality Metrics Program web page

Provider Details - Brookstone Alzheimer's Special Care Center

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Provider Details - Brookstone Alzheimer's Special Care Center

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