Print Violation: 00356324-AP-306714

Provider Information

Capital Manor Retirement Community

1955 DALLAS HWY NW
Salem, OR 97304

Date: 9/12/2024
Report number: 00356324-AP-306714
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)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known wanderer and had poor cognition. On or about September 12, 2024, AV wandered from the facility and was found approximately a half mile away at a coffee shop. Facility staff were not aware that AV was missing. On September 13 and September 15, 2024, AV had went to see a friend, staff were unaware AV was gone until the friend called the facility to let them know. AV had a wander guard in place, but it did not notify staff leaving. AV also was on one to one supervision, however, staff were not providing the supervision, allowing AV to leave on September 13 and 15. The facility's failure placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00485 $500.00 fine assessed