Print Violation: 00322573-AP-274312

Provider Information

Brookdale Salem

1355 BOONE RD SE
Salem, OR 97302

Date: 3/7/2024
Report number: 00322573-AP-274312
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk, wears oxygen and is to be assisted by staff while ambulating and transferring. On or about March 7, 2024, AV was standing at his/her closet with Alleged Perpetrator #2 (AP2) and fell backwards, hitting his/her head, elbow and hip. AP2 was not holding onto AV, nor was AV wearing his/her oxygen at the time of the incident. AV was sent out to the hospital for evaluation and was noted to have discoloration on his/her left hip. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure is a violation of Oregon Administrative Rules.