Print Violation: 00263195-AP-218493

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 5/15/2023
Report number: 00263195-AP-218493
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: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) is a known fall risk, with a documented history of increased falls recently. Multiple interventions the facility put in place were either already on the service plan or contradicted the service plan. On or about May 15, 2023, AV was found on their bathroom floor resulting in a closed head injury, neck sprain and left shoulder contusion. The facility failed to put effective, person-centered interventions in place after repeated falls, leading to multiple falls with injuries, which is a violation of resident rights is neglect of care and constitutes abuse.
Sanction: RCFCP23-01125 $500.00 fine assessed