Print Violation: 00409788-AP-360882

Provider Information

Brookdale Salem

1355 BOONE RD SE
Salem, OR 97302

Date: 6/10/2025
Report number: 00409788-AP-360882
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to properly care plan appropriate interventions for Witness 1’s (W1) after they had a change of condition. On or about June 10, 2025, the Alleged Victim (AV) was sitting in a chair and W1 tipped the chair over, causing them to fall and sustain a scrape to their knee. W1 had increased agitation due to their medical provider discontinuing mediation used for mood and behavioral management. The result of W1 medication change increased their aggression and agitation. There were no interventions placed on his/her service plan resulting in a resident-to-resident altercation, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00850 $375.00 fine assessed