Print Violation: 00249774-AP-205572

Provider Information

Everbloom Memory Care

2630 CHURCH ST NE
Salem, OR 97301

Date: 2/3/2023
Report number: 00249774-AP-205572
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings: Witness #1 (W1) has a history of agitation and aggression towards other residents and members of the care team. W1 has history of hitting Alleged Victim (AV) before. W1 service plan indicates W1 behaviors are managed and needs redirection periodically and manages h/h agitation independently or with interventions. TSP says to redirect W1 after physical altercations with residents and remove from the area. On or about February 3, 2023, W1 was irritated and grabbed AV arm, punched, and pinched AV resulting in AV having pain, bruising and scratches. The facility failed to adjust and implement reasonable interventions for W1 ongoing aggressive behavior, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00640 $500.00 fine assessed