Aging and People with Disabilities
Safety, Oversight and Quality
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
- 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
- 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
- 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