Print Violation: 00296927-AP-250708

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 11/15/2023
Report number: 00296927-AP-250708
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide service
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: The Alleged Victim (AV) has a history of multiple falls. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning around falls and instruction. On or about November 15, 2023 AV had a fall that was unwitnessed by facility staff, and he/she was found face down on the hallway floor bleeding from their nose. AV was transported to the hospital via ambulance and was diagnosed with a subarachnoid hemorrhage, an open nasal fracture, and multiple abrasions. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00395 $1125.00 fine assessed