Print Violation: 00371513-AP-321878

Provider Information

Bonaventure of Salem Assisted Living

3411 BOONE RD SE
Salem, OR 97317

Date: 12/8/2024
Report number: 00371513-AP-321878
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Chart notes between October 21st through November 28, 2024, indicate that Alleged Victim (AV) was getting weaker and needed more help with things such as standing up. AV had two non-injury falls on October 19, 2024, and a non-injury fall the evening of December 7, 2024. AV's November 30, 2024, service plan did not reflect AV's current needs and instead noted that AV had a steady gait, had not had a fall in the last 90 days, and was not a fall risk. On or about December 8, 2024, AV sustained a fall which resulted in a fractured hip. The facility failed to care plan and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP26-00032 $1500.00 fine assessed