Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00436219-AP-388089
Provider Information
Brookstone Alzheimer's Special Care Center
5881 WOODSIDE DR SE
Salem, OR 97306
- Provider ID
- 5MA151
- Administrator
- BRANDY KHLYSTOV
- Phone
- (503) 316-0687
- brandy.khlystov@sincerisl.com
Violation Details
- Date
- 10/30/2025
- Report number
- 00436219-AP-388089
- 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), 411-054-0040(2)(a)
- Findings
- The Alleged Victim (AV) and Witness 1 (W1) are dependent on staff for their safety and daily care. W1 is care planned to have a door alarm that sounds when W1's door is opened to ensure no other residents enter as he/she is known to not want others in W1's apartment. AV has a history of resident-to-resident altercations. According to the investigation, on or about October 30, 2025, AV and W1 were in a resident-to-resident altercation when AV entered W1’s apartment. AV stomped on W1's foot and W1 then struck AV in the face when W1 was trying to show AV out of the room. The door alarm did not sound as the batteries were not working. The facility failed to have a system to monitor the battery/alarm and provide a safe environment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP26-00282 $375.00 fine assessed