Print Violation: 00404961-AP-355969

Provider Information

Capital Manor Retirement Community

1955 DALLAS HWY NW
Salem, OR 97304

Date: 5/31/2025
Report number: 00404961-AP-355969
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(1)(a) and (b)
External site: 411-054-0030(e)(H) and (I)
External site: 411-054-0036(2)(b), (c), and (g)
Findings: Alleged Victim (AV) and Witness 1 (W1) have history of resident-to-resident altercations with other residents and each other. On or about May 26, 2025, AV and W1 were involved in a resident-to-resident altercation in the dining room. Interventions were to Keep AV and W1 away from each other in the dining room. On or about May 31, 2025, AV and W1 were in the dining room. AV kicked W1 and rammed AV's wheelchair into W1. W1 pushed AV back. AV reached up and grabbed W1's face. Facility failed to follow AV and W1 intervention, which is a violation of resident’s rights is neglect of care and constitutes abuse.
Sanction: RCFCP25-01057 $375.00 fine assessed