Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00079900-AP-059210
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
- 4/11/2020
- Report number
- 00079900-AP-059210
- 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: 411-054-0028(2)
- Findings
- The facility failed to provide a safe environment for Alleged Victim (AV) by failing to ensure the safety of AV when AV is wandering around the facility. On or about April 11, 2020, AV and Witness 1 (W1) had an altercation that resulted in W1 hitting AV which caused AV to fall to the floor and sustain a scratch on his/her ear. At time of incident, AV wandered into W1's bedroom. The facility failed to keep an eye on AV and to redirect AV if he/she is wandering into another resident's room. The facility's failure to provide a safe environment for AV is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP20-00916 $188.00 fine assessed