Inspection Reports for Brookdale Salem
1355 Boone Rd SE, Salem, OR 97306, OR, 97306
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Inspection Report
Capacity: 60
Deficiencies: 27
Mar 12, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2022-2025 with detailed deficiency history and enforcement findings
Findings
Across multiple inspections from 2022 to 2025, the facility exhibited numerous deficiencies including failures in administrative oversight, resident care, safety precautions, nutrition, activities, staffing, and environmental conditions. Immediate plans of correction were often required and implemented, with some repeat citations noted. The most recent inspections indicate ongoing challenges with compliance and resident safety.
Complaint Details
Complaint investigation conducted on 2023-02-07 identified deficiencies related to compliance with Oregon Administrative Rules including failure to implement an adequate acuity-based staffing tool.
Deficiencies (27)
| Description |
|---|
| C0000 - Comment: Findings of kitchen inspections documenting substantial compliance or noted issues |
| C0150 - Facility Administration: Operation: Failed to provide effective administrative oversight ensuring quality of care and services; immediate threat to resident health and safety |
| C0152 - Facility Administration: Required Postings: Failed to ensure required postings were displayed accessibly and conspicuously |
| C0160 - Reasonable Precautions: Failed to exercise reasonable precautions against conditions threatening resident health and safety including choking episodes and resident aggression |
| C0200 - Resident Rights and Protection - General: Failed to ensure residents were treated with dignity and respect and had a safe, home-like environment; pervasive urine odors and locked rooms |
| C0231 - Reporting & Investigating Abuse-Other Action: Failed to investigate and report falls, injuries, and resident altercations promptly to local authorities |
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain kitchen cleanliness and food palatability per Food Sanitation Rules |
| C0242 - Resident Services: Activities: Failed to provide daily social and recreational activities based on resident needs and interests |
| C0243 - Resident Services: Adls: Failed to provide adequate assistance with activities of daily living including bathing, toileting, and dressing |
| C0252 - Resident Move-In and Eval: Res Evaluation: Failed to complete quarterly evaluations for residents |
| C0260 - Service Plan: General: Failed to ensure service plans reflected resident needs and were implemented consistently |
| C0270 - Change of Condition and Monitoring: Failed to evaluate, document, communicate, and monitor changes of condition for residents |
| C0280 - Resident Health Services: Failed to assess significant changes of condition by RN and update service plans accordingly |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Failed to coordinate care with outside providers ensuring continuity of care |
| C0340 - Restraints and Supportive Devices: Failed to assess and document use of supportive devices with restraining qualities |
| C0360 - Staffing Requirements and Training: Staffing: Failed to maintain sufficient staffing to meet resident needs and provide supervision |
| C0361 - Acuity-Based Staffing Tool: Failed to implement an acuity-based staffing tool addressing all required ADLs |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department |
| C0513 - Doors, Walls, Elevators, Odors: Failed to maintain facility cleanliness, repair, and odor control |
| C0555 - Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable: Failed to ensure exit doors had alarms or acceptable alert systems |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities |
| Z0162 - Compliance With Rules Health Care: Failed to provide health care services in accordance with licensing rules |
| Z0163 - Nutrition and Hydration: Failed to develop individualized nutrition and hydration plans and provide visual contrast for independence |
| Z0164 - Activities: Failed to provide meaningful activities and complete activity evaluations for residents |
| Z0168 - Outside Area: Failed to ensure residents had access to enclosed, secured outdoor area |
| Z0176 - Resident Rooms: Failed to ensure residents were not locked outside their rooms |
| C0010 - Licensing Complaint Investigation: Findings of complaint investigation for compliance with applicable rules |
Report Facts
Inspections on page: 4
Total Surveys: 4
Total Deficiencies: 28
Abuse Violations: 0
Licensing Violations: 10
Notices: 2
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