Print Violation: 00271073-AP-226472

Provider Information

Everbloom Memory Care

2630 CHURCH ST NE
Salem, OR 97301

Date: 6/26/2023
Report number: 00271073-AP-226472
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 054-0030(1)(a)
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
Findings: The Alleged Perpetrator #2 failed to provide appropriate services according to the Alleged Victim (AV)'s needs for a snack. AV reported s/he was hungry, and AP2 refused AV a snack. AV has history of wandering and has interventions in place to help prevent wandering by offering a snack/drink. After being denied a snack AV began wandering into other resident rooms, which led to AV becoming upset and a physical altercation. AP2s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to ensure the residents rights/and services were being followed, which is a violation of Oregon Administrative rules.