Print Violation: 00223699-AP-182288

Provider Information

Brookdale Salem

1355 BOONE RD SE
Salem, OR 97302

Date: 9/28/2022
Report number: 00223699-AP-182288
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: On or about September 28, 2022, the facility discovered the Alleged Victim (AV) controlled medication count was incorrect at the end of Alleged Perpetrator 2 (AP2) shift. There had been no administration from this medication during AP2 shift. AP2’s Morphine bottle count was correct at the being of shift and off, at the end. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute financial abuse. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.