Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00031877AP-022464
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
- 5/16/2019
- Report number
- 00031877AP-022464
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
- Findings
- AP neglected AV as defined in OAR 4110200002 (1) (b) (A)(i) (B) by failing to provide basic care and supervision resulting in W1 twisting AV's forearm.
- Sanction
- RCFCP19-1049 $500.00 fine assessed