Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00387019-AP-337511
Provider Information
Windsong at Eola Hills
2030 WALLACE ROAD NW
Salem, OR 97304
- Provider ID
- 50R415
- Administrator
- Rachel Nash
- Phone
- (503) 912-4551
- rnash@windsongmemorycare.com
Violation Details
- Date
- 3/3/2025
- Report number
- 00387019-AP-337511
- Type
- Licensing Violation
- 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(1)(a) and (b)
External site: 411-054-0030(1)(a)(A), and (e)(F)
External site: 411-054-0036(2)(b), (c), and (g)
- Findings
- Description of Incident Under the prior ownership: Modified diets including specialized diet orders by a health professional have to be provided. There is a whiteboard in the kitchen where all the residents’ names, room numbers and dietary needs are listed. Alleged Perpetrator #2 (AP2) was trained on specialized diets and has references to help understand them. Residents on specialized diets have blue plates, and only these residents get the colored plates. On or about March 2, 2025, AP2 cut the carrots for lunch an inch wide which is too large and too hard for minced and moist specialized diet. W1 address this with AP2 before lunch was served. On or about March 3, 2025, Alleged Victim (AV) choked on two pieces of pork from AV's lunch that were too fatty, dry, and large for AV to eat. AV is service planned for a minced and moist diet. On March 8, 2025, AP2 was disciplined for not providing food of the correct texture to AV resulting in a choking episode. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.