Print Violation: 00417379-AP-368701

Provider Information

Brookdale Salem

1355 BOONE RD SE
Salem, OR 97302

Date: 7/26/2025
Report number: 00417379-AP-368701
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(2)
External site: 411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to implement appropriate interventions for the Alleged Victim’s (AV) history of repeated falls. From approximately May 14, 2025, through July 26, 2025, the AV experienced approximately 8 falls, two with injury. The facility interventions were found to be unsuccessful due to the continued falls experienced by the AV. The facility failure to implement new and appropriate interventions after repeated falls which lead to pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-01086 $500.00 fine assessed