Print Violation: 00256738-AP-212160

Provider Information

Everbloom Memory Care

2630 CHURCH ST NE
Salem, OR 97301

Date: 4/7/2023
Report number: 00256738-AP-212160
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings: Witness 1 (W1) has a known history of sexually inappropriate behaviors with other residents and Alleged Victim (AV). TSP interventions are to ensure W1 keeps hands to h/h-self, no inappropriate behaviors with other residents, keep W1 out of other resident rooms and check on W1 to ensure s/he is in the common area or own room. AV TSP interventions are to ensure AV is keeping to h/h-self, no inappropriate behaviors with other residents, keep AV out of other’s rooms and check on AV to ensure AV is in the common area or in h/h own room. During the investigation, staff reported that on or about April 07, 2023, W1 and AV were not in the common area. W1 door was locked, staff unlocked door and found W1 and AV both naked, and W1 was on top of AV. The facility failed to provide a safe environment for AV by failing to protect AV from W1's sexualized behavior, and failed to follow W1 and AV TSP, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-00822 $500.00 fine assessed