Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00313039-AP-265450
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
- brandy.khlystov@sincerisl.com
Violation Details
- Date
- 2/10/2024
- Report number
- 00313039-AP-265450
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to administer ordered medication
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0055(1)(a) and (f)
- Findings
- The facility failed to ensure medication was administered as ordered for the Alleged Victim (AV). According to an investigation, AV experienced no negative outcome. The failure is a violation of Oregon Administrative Rules. The allegation that Alleged Perpetrator 2 (AP2) neglected AV was investigated and determined to be not substantiated.