Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00087194-AP-065269

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
6/5/2020
Report number
00087194-AP-065269
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The facility failed to provide a safe environment for Alleged Victim (AV) by failing to protect AV from getting slapped by Witness 1 (W1) causing AV to get a swollen lip. On or about June 5, 2020, W1 swung at AV when AV wandered towards W1's bedroom door. Prior to the incident, AV was observed pacing and wandering and AV's care plan states that when AV exhibits these behaviors he/she needs to be redirected. W1 is known to be territorial of his/her bedroom and W1 and AV have had history of prior altercations. The facility's failure to provide AV a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP20-01160 $375.00 fine assessed