Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00260621-AP-215777
Provider Information
Everbloom Memory Care
2630 CHURCH ST NE
Salem, OR 97301
- Provider ID
- 50R494
- Administrator
- Cassandra Bracamonte
- Phone
- (503) 334-2275
- admin@everbloommc.com
Violation Details
- Date
- 4/28/2023
- Report number
- 00260621-AP-215777
- 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
-
411-054-0025(1)(a) and (b)
411-054-0055(1)(a) and (f)
- Findings
- On or about April 28, 2023, Alleged Victim (AV) missed one dose of h/h insulin because facility staff gave AVs insulin needles to another resident when they moved out of the facility. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.