Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00167979-AP-133199
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
- 10/29/2021
- Report number
- 00167979-AP-133199
- 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)
- Findings
- On or about October 29, 2021, Alleged Victim (AV) was discovered with an injury of unknown origin to his/her left eye resulting in bruising. An investigation determined that the facility failed to provide a safe environment for AV which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP22-00347 $188.00 fine assessed