Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00121031-AP-093901
Provider Information
South Beach Manor
411 SE 35TH ST
South Beach, OR 97366
- Provider ID
- 50R476
- Administrator
- Kaili Oliver
- Phone
- (541) 961-3237
- kaili.oliver@caringplaces.com
Violation Details
- Date
- 1/19/2021
- Report number
- 00121031-AP-093901
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
- Findings
- Alleged Victim (AV) relies on the facility for his/her care. On or about November 2, 2020, facility staff were instructed, in writing, that AV and Witness 1 (W1)’s relationship was consensual, and that staff were not to separate AV and W1 if they were witnessed being intimate. Facility documentation regarding AV and W1, including service plans, provide staff with limited information about AV and W1’s relationship and do not appear to contain any instruction on how staff are to determine if the relationship, or intimate contact, is no longer consensual; further, there is no instruction to staff on how to record, report, or respond to contact that may not be consensual. On or about January 14, 2021, W1 was send to the hospital after AV alerted staff that W1 was unresponsive in AV’s bed. On or about January 15, 2021, AV referred to W1 as his/her “property” and grabbed W1’s arm attempting to pull W1 into AV’s room. On or about January 16, 2021, AV requested assistance from staff, stating that W1 was in his/her room and “was accusing AV of stuff”. Staff found W2 in AV’s bed, naked and waring only a sheet on his/her top half while crying and shaking. Prior to the event from January 16, 2021, staff and W1’s family witnessed multiple concerning interactions between AV and W1 that caused them to question if the relationship could be consensual. Staff reported their concerns to management, but no changes occurred. The facility failed to properly pan care around AV’s behaviors, which resulted in AV being served with a Restraining Order and removed from the facility, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP21-03379 $500.00 fine assessed