Print Violation: 00348348-AP-298728

Provider Information

Everbloom Memory Care

2630 CHURCH ST NE
Salem, OR 97301

Date: 8/15/2024
Report number: 00348348-AP-298728
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to follow the care plan for the Alleged Victim’s (AV) known fall history. Between approximately June 14, 2024, through August 18, 2024, the AV experienced a total of 18 falls, some including injury. The most recent service plan directs staff to conduct 2-hour safety checks and the AV is to always wear non-slip socks. Interviews with staff indicated safety checks were not being conducted and the AV was often seen without non-slip socks on. the failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01206 $0.00 fine assessed