Print Violation: 00320373-AP-272235

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 3/20/2024
Report number: 00320373-AP-272235
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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)
External site: 411-054-0070(1)
Findings: The Alleged Victim (AV) is a known fall risk and has suffered multiple falls. On or about March 21, 2024, AV was found on the floor in the hallway without his/her walker or shoes. AV suffered redness to his/her hip and a previous skin tear had opened and was bleeding. AV was sent to the emergency room and diagnosed with a significant hematoma on his/her hip. The facility failed to ensure interventions for falls were appropriate and provide enough staff to intervene when necessary. The facility's failure to properly care plan to ensure AV's safety from falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00623 $750.00 fine assessed