Print Violation: 00332498-AP-283827

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 5/20/2024
Report number: 00332498-AP-283827
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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. According to an investigation, AV had a history of sliding to the floor from a seated position and was care planned to have the wheelchair footrests removed to help prevent injury, if they slide to the ground. On or about May 20, 2024, AV slid out of their wheelchair and was found sitting between the footrests with abrasions and scrapes. The facility failed to follow the care plan and interventions put in place 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: RCFCP25-00125 $500.00 fine assessed