Print Violation: 00352491-AP-302900

Provider Information

Capital Manor Retirement Community

1955 DALLAS HWY NW
Salem, OR 97304

Date: 9/2/2024
Report number: 00352491-AP-302900
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
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: 411-054-0030(1)(e)(H) and (I)
External site: 411-054-0036(2)(g)
Findings: Witness 1 (W1) and Alleged Victim (AV) have a history of resident-to-resident altercations. W1 service plan indicates the noise from TV room near W1's room will create expressions of frustration and confusion. W1 will at times go into the room and ask the group to keep the noise down. AV is known to be territorial over the living room. Interventions for W1 at the time of the altercation included redirecting W1 with a drink, snack book, walk, or item, and keeping W1 in areas with staff. On September 2, 2024, in the TV Room W1 pushed a side table in AV's right side and W1 hit AV. Resulting in bruising and pain on AV's right side. The facility failed to provide a safe environment, adequate supervision and appropriately care plan and implement reasonable interventions to address W1's frustration of the noise from TV room, resulting in a resident-to resident altercation between W1 and AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00130 $375.00 fine assessed