Print Violation: 00329774-AP-281052

Provider Information

Brookdale Salem

1355 BOONE RD SE
Salem, OR 97302

Date: 5/9/2024
Report number: 00329774-AP-281052
Type: Abuse: Neglect
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: According to the documentation, the facility failed to follow the care plan for the Alleged Victim (AV) by not adequately performing safety checks for the AV’s known fall history. From approximately March 11, 2024, through May 06, 2024, the AV experienced approximately four falls, one causing cuts on the AV’s face. On or about April 27, 2024, the facility implemented an immediate intervention to put the AV on close watch with AV being with the med tech or caregiver, within close distance and within sight and to implement more frequent checks during sleeping hours. On or about May 06, 2024, the AV suffered an unwitnessed fall at approximately 3:30 pm. The service plan interventions for fall prevention were not being followed, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00055 $375.00 fine assessed