Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00080235-AP-059441
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
- 00080235-AP-059441
- 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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
- Findings
- Witness 1 (W1) had known aggressive behaviors and a history of resident to resident altercations. On April 16, 2020, W1 slapped Alleged Victim (AV) in the face when AV wandered towards W1's door. W1 and AV had a previous altercation on January 17, 2020 when W1 slapped AV and the intervention plan was to keep W1 and AV separated. 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
- RCFCP20-00657 $375.00 fine assessed