Print Violation: 00399722-AP-350518

Provider Information

Capital Manor Retirement Community

1955 DALLAS HWY NW
Salem, OR 97304

Date: 5/4/2025
Report number: 00399722-AP-350518
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(1)(a) and (b)
External site: 411-054-0030(e)(H) and (I)
External site: 411-054-0036(2)(b), (c), and (g)
Findings: Witness 1 (W1) has a history of previous resident-to-resident altercations. W1 has interventions in place, if W1 has signs of escalating behavior, staff to offer W1 coffee, offer 1;1 conversation, staff will move W1 away from others, staff to monitor W1's reactions to the behavioral expressions around W1 and redirect accordingly. On or about May 4, 2025, W1 and Alleged Victim (AV) were in the dining room. W1 was yelling and staff did not intervene, W1 was walking towards caregiver when W1 bumped into AV's wheelchair. W1 thought AV hit W1 and yelled at AV to "get out of the way!'. W1 got ready to punch AV then SV tapped W1's tummy, so W1 smacked AV's forehead. The facility failed to provide AV a safe environment and follow W1's interventions resulting in a resident-to-resident altercation, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-01101 $375.00 fine assessed