Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00312595-AP-265030

Provider Information


Brookstone Alzheimer's Special Care Center

5881 WOODSIDE DR SE
Salem, OR 97306

Provider ID
5MA151
Administrator
BRANDY KHLYSTOV
Phone
(503) 316-0687
Email
brandy.khlystov@sincerisl.com

Violation Details


Date
2/7/2024
Report number
00312595-AP-265030
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
411-054-0055(1)(f)
Findings
The facility failed to properly administer the Alleged Victim’s (AV) medications. According to documentation, AV experienced no negative outcome. The failure is a violation of Oregon Administrative Rules.