Print Violation: 00328616-AP-280024

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 5/1/2024
Report number: 00328616-AP-280024
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)(g) and (s)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) relies on the facility for his/her care and is documented as a fall risk. According to an investigation, AV had a history of repeated falls, some with significant injury. On or about May 1, 2024, AV had an unwitnessed fall resulting in knee skin injuries. The facility failed to implement effective interventions to mitigate AV’s increasing fall risk and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01153 $375.00 fine assessed