Print Violation: 00337812-AP-288694

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 6/19/2024
Report number: 00337812-AP-288694
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. AV has a history of repeated falls, many with injury, and the fall risk interventions noted after the falls to either be in place already and reused, or nonexistent. According to an investigation, on or about June 19, 2024, AV had a fall while attempting to self-transfer, resulting in skin tear. The facility filed to implement effective interventions to mitigate AV's increasing fall risk, provide a safe environment for AV, and caused AV repeated unreasonable discomfort, which is a violation of resident rights, is considered neglect of care, and constitutes abuse.
Sanction: RCFCP25-00192 $1125.00 fine assessed