Print Violation: 00436208-AP-388074

Provider Information

Brookstone Alzheimer's Special Care Center

5881 WOODSIDE DR SE
Salem, OR 97306

Date: 10/30/2025
Report number: 00436208-AP-388074
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to maintain a safe physical 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), 411-054-0025(4)
Findings: The Alleged Victim (AV) relies on the facility for his/her care and has a history of resident-to-resident altercations. AV is care planned to have a door alarm that sounds when door is opened because AV does not like other residents wandering into AV's room. According to an investigation, on or about October 30, 2025, W1 entered AV's room and stomped on AV's foot during an altercation, resulting in unreasonable discomfort. The door alarm did not sound as the batteries were dead. The facility did not have a system to ensure batteries were checked and working. The facility failed to provide a safe physical environment, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction: RCFCP26-00150 $188.00 fine assessed