Print Violation: 00170920-AP-135728

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 11/14/2021
Report number: 00170920-AP-135728
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) has a known history of falls. Between October 5, 2022 through November 14, 2021, AV sustained approximately ten (10) falls, all resulting in injury. On or about November 14, 2021, AV suffered a fall, sustaining an injury to his/her knee. AV was taken to the emergency room to be assessed and returned to the facility. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, leading to AV's repeated unreasonable discomfort, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP22-00992 $2500.00 fine assessed