Print Violation: 00137536-AP-108153

Provider Information

Bonaventure of Salem Assisted Living

3411 BOONE RD SE
Salem, OR 97317

Date: 2/15/2021
Report number: 00137536-AP-108153
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: The facility failed to follow the Alleged Victim's (AV) care plan to provide appropriate checks due to his/her fall history. The failure resulted in AV going approximately seven hours without being checked on, and was found on the ground after an unwitnessed fall and transferred to the hospital for evaluation, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP21-01664 $375.00 fine assessed