Print Violation: 00267265-AP-222408

Provider Information

Bonaventure of Salem Memory Care

3411 BOONE RD SE
Salem, OR 97317

Date: 5/27/2023
Report number: 00267265-AP-222408
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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: Progress Notes from May 24, 2023, outlines Alleged Victim (AV) is weak related to a prior hip fracture. Between May 24th through June 6, 2023, AV fell six (6) times in the memory care unit. As of May 30, 2023, there were no fall interventions implemented after a fourth (4th) fall. There were no new fall interventions implemented after AV’s fifth (5th) and sixth (6th) fall that occurred on or about June 3rd and 6th, 2023. As a result of the falls, AV sustained skin injuries. The facility failed to care plan appropriately and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-01364 $500.00 fine assessed