Provider Details - South Beach Manor | Licensed Long-Term Care Settings Search

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

(541) 961-3237
kaili.oliver@caringplaces.com

Administrator name: Kaili Oliver

ID: 50R476
Status: Open
Type: Residential Care Facility
Licensed beds: 41
Accepts Medicaid: Yes
Memory Care: Yes

Owner: South Beach Manor LLC

2040 A STREET
Forest Grove, OR 97116

(503) 357-3793

Owner since: 7/22/2019

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

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Licensing inspections evaluate a provider’s compliance with rules and laws. Licensing surveyors look at a variety of factors, including quality of care and services provided, as well as the condition of the provider’s physical structure, equipment, staffing levels, policies, procedures and finances. Under federal requirements, nursing facilities receive recertification inspections and inspections following a complaint investigation. The inspections represent a snapshot of the provider’s compliance with regulatory requirements at the time the inspection took place.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - South Beach Manor
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
10/9/2024	WRIR	Complaint Investig.	2
7/9/2024	H5KP	State Licensure	0
6/12/2024	DNHF	Complaint Investig.	4
4/10/2024	I96F	Complaint Investig.	2
7/10/2023	1COU	Validation	13
4/11/2023	V324	Licensure Complaint	1

6 records found

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - South Beach Manor
Date Date From To	Report number Report number	Allegation Allegation Failed to administer ordered medication Failed to care plan in accordance with assessment Failed to follow care plan Failed to intervene when resident's condition changed Failed to properly plan care Failed to protect resident from inappropriate sexual contact Failed to provide appropriate staffing Failed to provide safe environment Failed to provide service	Level Level Between And	Type Type Abuse: Neglect
2/14/2026	00457742-AP-409932	Failed to provide service	2	Abuse: Neglect
11/14/2025	00439855-AP-391700	Failed to provide service	2	Abuse: Neglect
11/8/2025	00465012-AP-417338	Failed to provide service	2	Abuse: Neglect
10/18/2025	00433526-AP-385587	Failed to provide service	2	Abuse: Neglect
9/5/2025	00424893-AP-376460	Failed to provide service	2	Abuse: Neglect
7/13/2025	00413633-AP-364888	Failed to provide service	2	Abuse: Neglect
6/22/2025	00409261-AP-360307	Failed to properly plan care	2	Abuse: Neglect
4/15/2025	00395713-AP-346474	Failed to provide service	2	Abuse: Neglect
4/6/2025	00393613-AP-344261	Failed to provide safe environment	2	Abuse: Neglect
4/6/2025	00393651-AP-344308	Failed to provide service	2	Abuse: Neglect

112 records found | Page 1 of 12

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - South Beach Manor
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to assure resident rights Failed to keep medication record current or accurate Failed to keep resident record current or accurate Failed to make facility or resident records accessible Failed to meet the scheduled and unscheduled needs of residents Failed to provide safe environment Failed to report potential or suspected abuse Failed to staff as indicated by ABST Failed to submit timely or adequate staffing documentation Failed to update staffing plan based on ABST Failed to use an ABST	Level Level Between And	Type Type Licensing Violation
1/15/2026	CALMS - 00097819	Failed to make facility or resident records accessible	2	Licensing Violation
1/15/2026	CALMS - 00097824	Failed to make facility or resident records accessible	2	Licensing Violation
1/15/2026	CALMS - 00101918	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
1/15/2026	CALMS - 00101942	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
12/10/2025	CALMS - 00101949	Failed to update staffing plan based on ABST	2	Licensing Violation
10/18/2025	CALMS - 00101936	Failed to update staffing plan based on ABST	2	Licensing Violation
10/5/2025	CALMS - 00101914	Failed to update staffing plan based on ABST	2	Licensing Violation
9/20/2025	CALMS - 00101911	Failed to update staffing plan based on ABST	2	Licensing Violation
9/5/2025	CALMS - 00089913	Failed to use an ABST	2	Licensing Violation
9/5/2025	CALMS - 00101904	Failed to update staffing plan based on ABST	2	Licensing Violation

37 records found | Page 1 of 4

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - South Beach Manor
	Sanction Sanction	Allegation Allegation Failed to provide safe environment Failed to use an ABST	Type Type License Condition	Effective date Effective date From To	End date End date From To	Actions
	RCFCD25-01082	Failed to provide safe environment	License Condition	9/24/2025	2/18/2026
	RCFCD23-00719	Failed to use an ABST	License Condition	6/9/2023	2/6/2024

2 records found

The Oregon Department of Human Services publishes annual reports about assisted living and residential care facilities, including those with memory care endorsements. The reports show how facilities are doing in areas like staffing, safety, and resident experience.

Facilities submit this information once each year using an online reporting tool. The results reflect how each facility operated during that year. The information is self-reported by facilities and is not independently audited by the department. This means the reports show what facilities report about their own performance.

Each year, assisted living and residential care facilities must report information on:

Retention of direct care staff
Compliance with staff training requirements
Number of resident falls that result in injury
Incidence of use of antipsychotic medications for non-standard purposes
Results of an annual resident satisfaction survey conducted by an independent entity

Facilities submit this information electronically each year. Reporting began in 2020. Instructions and definitions are updated annually and published on the Residential Care Quality Metrics Program web page

Provider Details - South Beach Manor

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Provider Details - South Beach Manor

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