Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00007488AP-005564
Provider Information
Brookstone Alzheimer's Special Care Center
5881 WOODSIDE DR SE
Salem, OR 97306
- Provider ID
- 5MA151
- Administrator
- BRANDY KHLYSTOV
- Phone
- (503) 316-0687
- brandy.khlystov@sincerisl.com
Violation Details
- Date
- 11/8/2018
- Report number
- 00007488AP-005564
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
- Findings
- AP neglected AV as defined in OAR 4110200002(1)(b)(A)(ii) by failing to provide adequate supervision to AV, which resulted in physical harm.
- Sanction
- RCFCP19-028 $375.00 fine assessed