Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00080206-AP-059432

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
Email
brandy.khlystov@sincerisl.com

Violation Details


Date
4/16/2020
Report number
00080206-AP-059432
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Witness 1 (W1) had known aggressive behaviors, a history of resident to resident altercations, and being territorial of his/her bedroom. On April 16, 2020, Alleged Victim (AV) was slapped by W1 while wandering by W1's bedroom door. W1 and AV had a previous incident on April 11, 2020 and on April 12, 2020 the facility placed W1 on an interim service plan which outlined that staff were to ensure that residents were not wandering in or near W1's room. The facility failed to follow W1's care plan and failed to protect AV from W1's aggressive behaviors which is a violation of resident rights, is considered neglect of care and resulted in negative behavior.
Sanction
RCFCP20-00656 $375.00 fine assessed