Print Violation: 00465012-AP-417338

Provider Information

South Beach Manor

411 SE 35TH ST
South Beach, OR 97366

Date: 11/8/2025
Report number: 00465012-AP-417338
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings: The Alleged Victim (AV) and Witness 1 (W1) both relied on the facility for care. W1 had a history of aggressive behaviors, sometimes brought on by uncontrolled pain, that often led to both verbal and physical altercations. According to an investigation, on or about November 8, 2025, AV and W1 were at the dining table when W1 grabbed AV by the head and pushed AV down on the table, shattering a glass and placing AV at risk for harm. The facility failed to provide appropriate services, to include implementing effective interventions to address W1's behaviors and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined by OAR 411-020-0002(1)(b)(A)(ii).
Sanction: RCFCP26-00591 $500.00 fine assessed