Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00403779-AP-354709
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
- 5/24/2025
- Report number
- 00403779-AP-354709
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious 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)(A), (H) and (I)
External site: 411-054-0036(2)(b), (c), (e), and (g)
External site: 411-054-0070(1)
- Findings
- Alleged Victim (AV ) is identified as a high fall risk. Prior to moving into the facility on or about April 16, 2025, AV had a history of falls. Between April 16, 2025, and May 24, 2025, there were 16 documented falls involving AV. The service plan dated approximately April 15, 2025, reflects AV’s history of falls. AV does not have a history of agitation or anxiety and is not experiencing behavioral concerns and AV does not have a history of pacing and wandering. AV does have non-pharmaceutical interventions in place that include offering black coffee, engaging in conversations about family, providing a change of face, and offering outdoor walks. AV’s has ISP interventions to address frequent falls; NOC-shift, safety checks increased to every 3 hours, staff to offer toileting assistance at the beginning of the shift, staff to offer toileting assistance prior to dinner, during safety checks staff to ask AV if assistance with toileting is needed. On or about May 24, 2025, Witness 4 (W4) observed AV circling the hallways. AV was seen coming around a corner at a high rate of speed with pants falling below the waist. As AV transitioned from carpet to wood flooring, Av’s pants fell, and AV tripped and landed onto h/h left side. Witness 4 (W4) reported that AV had not been taken to the restroom. AV typically seeks out staff for assistance, as AV cannot remember the restroom location. The service plan indicates that staff are to offer and assist with toileting at the beginning of the NOC shift. The facility failed to provide adequate supervision and oversight and follow the Individualized Service Plan (ISP), resulting in AV’ falling and fracturing h/h hip.
- Sanction
- RCFCP25-01114 $375.00 fine assessed