Print Violation: 00427774-AP-379443

Provider Information

Brookstone Alzheimer's Special Care Center

5881 WOODSIDE DR SE
Salem, OR 97306

Date: 9/19/2025
Report number: 00427774-AP-379443
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2)
External site: 411-054-0036(2)(g), 411-054-0030(1)(e)(I)
Findings: The Alleged Victim (AV) relies on the facility for his/her care. Witness 1 (W1) has a history of agitation and aggressive behaviors. AV and W1 were roommates and W1 had stated a dislike of W1's roommate. According to an investigation, on or about September 19, 2025, AV reported W1 had struck AV while in the room they shared, resulting in scratches, bruises and a cut to AV's forearms and wrists. At the time of the incident, W1's service plan identified that W1 would be re-directed by staff to minimize behaviors but did not provide specific interventions for staff to follow when behaviors occurred. The facility failed to properly care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01426 $500.00 fine assessed