Print Violation: 00171447-AP-136089

Provider Information

Capital Manor Retirement Community

1955 DALLAS HWY NW
Salem, OR 97304

Date: 11/21/2021
Report number: 00171447-AP-136089
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: 411-054-0025(1)(a) and (b)
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: Alleged Victim (AV) and Witness #1 (W1) have history of being in verbal altercations, and both have history of resident-to-resident altercations. AV has interventions in place when AV is agitated and anxious. On or about November 21, 2021, AV was agitated after being woken from a nap. W1 struck AV in the face, as a result of AV behaviors. The facility failed to redirect and offer AV interventions. The facility failed to follow care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01068 $375.00 fine assessed