Print Violation: 00167510-AP-132858

Provider Information

Capital Manor Retirement Community

1955 DALLAS HWY NW
Salem, OR 97304

Date: 10/24/2021
Report number: 00167510-AP-132858
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-045-0027(1)(f) and (r)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for assistance with mobility, which includes two-person transfers and use of a gait belt. On or about October 24, 2021, the Alleged Perpetrator 2 (AP2) did not follow AV's care plan and transferred AV by themselves without a gait belt resulting in AV falling. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure care plans were followed which is a violation of Oregon Administrative Rules.