Print Violation: 00326339-AP-278179

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 4/20/2024
Report number: 00326339-AP-278179
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) relies on the facility for his/her care and had a significant change of condition relating to falls. According to an investigation, AV had multiple documented falls between February 08, 2024, and April 20, 2024, some resulting in injury. There were interventions noted on facility incident reports, but they were never added to AV’s Service Plan. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01139 $1500.00 fine assessed