Print Violation: 00422049-AP-373524

Provider Information

Brookdale River Road

592 BEVER DR NE
Keizer, OR 97303

Date: 8/23/2025
Report number: 00422049-AP-373524
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 follow the care plan for catheter care to ensure the Alleged Victim’s (AV) catheter was cleaned properly. On or about August 23, 2025, AV was sent to the emergency room, and it was found the AV’s catheter was out of their bladder approximately 10 inches. The 10 inches the catheter was out also covered in stool. The AV was discharged back to the facility. Approximately two days later, the AV was found to not be as baseline and was sent back to the emergency room. The AV was diagnosed with a UTI. the failure to follow the care plan to ensure the catheter care was clean and proper care was delivered is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP25-01084 $250.00 fine assessed