Print Violation: 00081124-AP-060140

Provider Information

Bonaventure of Salem Assisted Living

3411 BOONE RD SE
Salem, OR 97317

Date: 4/22/2020
Report number: 00081124-AP-060140
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
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: Alleged Victim (AV) relies on the facility for his/her care. Between February 28th through March 24th, 2020, AV has sustained three (3) falls. No interventions were in place after the three (3) falls. On or about April 22, 2020, staff found AV on the floor next to his/her bed in a fetal position. Later that day AV was attempting to transfer from his/her wheelchair to the toilet and fell between the wall and toilet. AV stated he/she had right side pain but was able to move and communicate. AV was taken to the hospital and diagnosed with a broken rib. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP22-00627 $500.00 fine assessed