Print Violation: 00181378-AP-144215

Provider Information

Bonaventure of Salem Assisted Living

3411 BOONE RD SE
Salem, OR 97317

Date: 10/3/2021
Report number: 00181378-AP-144215
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) had a known history of falls. Between June through October 2021, AV sustained approximately six (6) falls. On or about October 3, 2021, AV was found face-down on the floor. AV suffered a contusion to the head and as a result of the fall, AV suffered a scalp laceration which required 28 stitches to close, and a spinal fracture. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP22-00771 $1500.00 fine assessed