Print Violation: 00394762-AP-345471

Provider Information

Brookdale Salem

1355 BOONE RD SE
Salem, OR 97302

Date: 4/11/2025
Report number: 00394762-AP-345471
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(s)
Findings: According to the documentation, the Alleged Perpeptrator 2 (AP2) failed to provide a safe medication administration system for the Alleged Victim (AV) by administering the wrong medication. On or about April 11, 2025, AP2 administered another resident’s medication to the AV. AP2 administered a heart medication to the AV resulting in the AV’s blood pressure to drop. The AV was sent to the hospital due to the drop in blood pressure and later returned to the facility under observation guidelines for continued side effect is a violation of resident rights, is considered neglet of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.