Print Violation: 00146410-AP-115725

Provider Information

Capital Manor Retirement Community

1955 DALLAS HWY NW
Salem, OR 97304

Date: 4/1/2021
Report number: 00146410-AP-115725
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) had approximately five (5) falls from about February 02, 2021, to April 18, 2021. On or about April 01, 2021. AV was found on the floor in h/h room resulting in a torn shoulder. Documentation shows a bed bulb was not placed in AV bed to alert staff when AV was getting out of bed. The facility failed to follow AV care plan, failed to appropriately care plan and implement reasonable interventions to address AV’s increasing and ongoing falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00157 $1500.00 fine assessed