Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00015803AP-011287
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
- 1/18/2019
- Report number
- 00015803AP-011287
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)
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 by OAR 4110200002 (1) (b) (A) (ii) by failing to provide supervision for safety resulting in W1 slapping AV creating a risk of serious emotional harm.
- Sanction
- RCFCP19-050 $188.00 fine assessed