Print Violation: 00384131-AP-334663

Provider Information

Brookdale Salem

1355 BOONE RD SE
Salem, OR 97302

Date: 2/14/2025
Report number: 00384131-AP-334663
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 Witness 1 (W1) by escorting them away from resident rooms. On or about February 14, 2025, W1 entered the Alleged Victim’s room and hit them in the stomach. W1 has a history of wandering into resident rooms resulting in resident-to-resident altercations. W1 service plan was updated on or about December 25, 2024, to redirect them when they are wandering near or in another resident room. The failure to follow the care plan for W1 resulted in a physical altercation between W1 and the AV, causing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00261 $375.00 fine assessed