Print Violation: 00268491-AP-223421

Provider Information

Everbloom Memory Care

2630 CHURCH ST NE
Salem, OR 97301

Date: 6/13/2023
Report number: 00268491-AP-223421
Type: Licensing Violation
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)
Findings: The Alleged Perpetrator 2 (AP2) failed to provide appropriate supervision to the Alleged Victim (AV) according to his/her needs. The failure resulted in AV eloping from an appointment where AP2 was responsible for his/her supervision and safety, placing AV at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to assure AV's safety which is a violation of Oregon Administrative Rules.