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