Print Violation: 00277838-AP-232521

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 7/28/2023
Report number: 00277838-AP-232521
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. Between June 11, 2023, and July 28, 2023, AV experienced multiple falls, some resulting in injury, to include skin tears, and two hip fractures. The facility failed to put effective, person-centered interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01545 $1500.00 fine assessed