Print Violation: 00129512-AP-101042

Provider Information

Suzanne Elise Assisted Living

101 FOREST DRIVE
Seaside, OR 97138

Date: 2/2/2021
Report number: 00129512-AP-101042
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
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: On or about February 2, 2021, Alleged Victim (AV) suffered an unwitnessed fall and was found laying on his/her right side on the floor with a bump to his/her right eye, skin tear to top of his/her head, and scrapes to his/her right knee. An investigation determined that AV had fallen five times since January 2021, prior to the incident on February 2, 2021. The facility's failure to provide a safe environment for AV is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP21-02783 $1500.00 fine assessed