I'm very pleased with this warm, well-maintained facility - the staff (especially Cori and Paulie) are professional, friendly, and genuinely attentive, and they know the residents by name. My family member receives personalized, loving care with regular updates, quick issue resolution, and supportive hospice when needed. The building is clean and inviting, and there are lots of music, activities and daily exercise that keep residents engaged. Overall a very good choice that gives our family peace of mind.
Active calendar with music, live entertainment, and special events
Daily exercise routines and engaging programs
Supportive and professional management
Quick response to issues and good communication about condition changes
Hospice and end-of-life care appreciated
Warm reception and welcoming atmosphere (receptionist Paulie noted)
Small, dedicated, close-knit environment
Families report peace of mind and highly recommend the facility
Cons
Door-code access system inconvenient — visitors must bother staff to enter/exit
Summary of reviews
Overall sentiment: Reviews of South Beach Manor Memory Care are overwhelmingly positive. Across the summaries, families and visitors repeatedly highlight exceptional caregiving, a clean and attractive physical environment, an active program schedule, and management that is both professional and responsive. Many summaries use strong, consistent language — “amazing,” “outstanding,” “exceptional care,” and “highly recommend” — indicating broad satisfaction with the facility’s core services and atmosphere.
Care quality and staff: The dominant theme is the quality of caregiving. Multiple reviewers name staff members (notably Cori and Paulie) and emphasize that caregivers are caring, attentive, and familiar with residents — often knowing everyone’s name and delivering personalized attention. Reviewers describe the staff as compassionate, nurturing, and professional, providing dignity-respecting care. Families specifically note assistance with personal needs (toilet assistance mentioned) and express gratitude for attentive hospice support when needed. The repeated references to peace of mind and families being “blessed” or “grateful” point to strong trust in frontline caregivers.
Activities and resident engagement: Reviewers consistently praise an active and varied activity program. Frequent mentions include musical groups and live entertainment, many special events, daily exercise routines, and generally enriching programming that keeps residents engaged and happy. Multiple summaries state that residents are active and content, and that staff or management proactively bring in musical groups and arrange events — a clear strength for memory care residents where routine and stimulation are important.
Facility, cleanliness, and atmosphere: The physical facility is frequently described as clean, beautiful, inviting, and homey. Reviewers emphasize that the environment feels welcoming — residents are greeted warmly (one review explicitly mentioned being welcomed home upon return) and visits are enjoyable. The facility’s small size is framed positively in several reviews, described as dedicated and conducive to a healthier, close-knit community.
Management, communication, and responsiveness: Management and leadership receive repeated praise for professionalism and responsiveness. Reviewers note that management is quick to address problems, provides updates when residents’ conditions change, and displays energy and compassion toward the community. These comments, along with reports of timely fixes and good communication, suggest effective operational oversight and family-facing transparency.
Notable positives around end-of-life care and family experience: Several reviews single out hospice services and end-of-life care as appreciated and well handled, which is an important consideration for memory care communities. Families consistently report feeling relieved and confident in their placement choice; many explicitly recommend the facility.
Concerns and gaps: Negative feedback is minimal and concentrated: the primary operational complaint is the door-code access system, which some visitors find inconvenient because it forces them to bother staff to enter or exit. Beyond that single recurring issue, reviewers did not raise other consistent complaints. It is also worth noting what the reviews do not cover: there is little to no mention of dining/meal quality, detailed clinical staffing ratios, medication management specifics, pricing, or clearance on transportation and medical appointments. Those areas either were not experienced by reviewers or were not mentioned in these summaries and would require direct inquiry to the facility for clarity.
Overall assessment: Based on the collated summaries, South Beach Manor Memory Care presents as a small, well-kept memory care community with strong, relationship-driven caregiving, robust activity programming (particularly musical and social events), responsive leadership, and a family-friendly atmosphere. The only recurring operational annoyance is the entry system for visitors. If prospective families prioritize personalized care, frequent engaging activities, a tidy and homelike environment, and responsive management, these reviews indicate South Beach Manor is highly regarded by residents’ families and visitors. For a complete evaluation, prospective families should still ask the facility directly about meals, clinical staffing levels, costs, and any additional services not described in these reviews.
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Location
South Beach Manor Memory Care is located at 411 SE 35th St, South Beach, OR, 97366.
About South Beach Manor Memory Care
South Beach Manor Memory Care sits in South Beach, Oregon, and serves folks throughout Lincoln County, including Waldport and Newport, so families in the area have a local place focused on helping those with memory loss. The facility is set up for 41 residents, all living in apartments that have their own bathrooms and can be set up with cable and phone service, and each apartment has emergency call devices for safety and peace of mind. Staff and licensed nurses are on hand all day and night, with 24-hour assistance, and they've got special care for people living with Alzheimer's, dementia, and similar conditions, including incontinence care, diabetic care, and support for those who can't get around on their own.
The community surrounds a big, safe courtyard where raised flower beds, walking paths, and a gazebo with covered seating spots invite residents outdoors, and these wide hallways through the building make movement and exercise easier for everyone even on rainy days. Around the inside, you'll see spacious shared areas too-places with fireplaces and TVs, a big open dining room with lots of daylight, an Activity Room, and spots for watching TV or reading. Other rooms let folks take part in daily events like exercise classes, musical performances, and socials, and there's a salon run by a licensed beautician for haircuts and more.
South Beach Manor Memory Care pays special attention to meaningful activities with its Life Skills Stations, which offer self-directed, dementia-friendly options that help residents feel engaged and independent, plus there's a solid Activities and Life Enrichment Program to keep days from getting dull. The base rent includes an apartment, three dietitian-approved meals a day with alternate options at every meal, snacks available any time, and weekly housekeeping and laundry, so residents stay comfortable with less to worry about. Transportation and escorts are arranged for trips and outings, while community involvement and family connections stay a focus. Apartments and common spaces have fire safety features like smoke detectors and sprinklers, plus electronic security for added protection.
The place is known for kind staff who offer help and treat everyone with dignity and warmth, and it's even picked up awards for its meals, activities, and friendly atmosphere, which speaks well for the way residents and their families feel there. Residents can take scenic drives, join waterfront outings, enjoy flexible group and solo activities, and relax in cozy corners or engaged discussion areas, whichever suits them best that day. South Beach Manor Memory Care offers respite care when families need short-term help, keeps care plans updated for each person, and stays active with outside organizations like the Oregon Health Care Association. Everything here aims to help residents keep a sense of belonging, independence, and well-being, and to meet the day-to-day needs that come up in memory care living.
People often ask...
South Beach Manor Memory Care offers assisted living and memory care.
There are 40 photos of South Beach Manor Memory Care on Mirador.
The full address for this community is 411 SE 35th St, South Beach, OR 97366.
No, South Beach Manor Memory Care does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Determined a staffing records deficiency occurred after failing to provide records upon request.
Licensing—Failed to submit timely or adequate staffing documentation
15 Jan 2026Inspection
15 Jan 2026Inspection
Found that records were not provided upon request. This constitutes a violation of Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
15 Jan 2026Inspection
15 Jan 2026Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
15 Jan 2026Inspection
15 Jan 2026Inspection
Investigated an allegation of failing to submit timely or adequate staffing documentation; found a records-keeping violation.
Licensing—Failed to submit timely or adequate staffing documentation
10 Dec 2025Inspection
10 Dec 2025Inspection
Investigated the staffing allegation and found that an Acuity Based Staffing Tool was not developed, maintained, or implemented.
Licensing—Failed to update staffing plan based on ABST
18 Oct 2025Inspection
18 Oct 2025Inspection
Investigated an allegation of staffing plan failure and found lack of an acuity-based staffing tool.
Licensing—Failed to update staffing plan based on ABST
05 Oct 2025Inspection
05 Oct 2025Inspection
Investigated the staffing allegation and concluded there was a failure to develop, maintain, and implement an Acuity Based Staffing Tool.
Licensing—Failed to update staffing plan based on ABST
24 Sept 2025License Condition
24 Sept 2025License Condition
Concluded that a safe environment was not provided, putting residents at risk of immediate jeopardy.
Regulatory Action—Failed to provide safe environment
20 Sept 2025Inspection
20 Sept 2025Inspection
Found a deficiency in updating the staffing plan based on ABST and in developing, maintaining, and implementing an acuity-based staffing tool.
Licensing—Failed to update staffing plan based on ABST
05 Sept 2025Inspection
05 Sept 2025Inspection
Found deficiencies in staffing planning, including failure to update the ABST-based staffing plan and to develop, maintain, and implement an acuity-based staffing tool.
Licensing—Failed to update staffing plan based on ABST
05 Sept 2025Inspection
05 Sept 2025Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data due to an outdated Acuity-Based Staffing Tool.
Licensing—Failed to use an ABST
13 Jul 2025Abuse: Neglect
13 Jul 2025Abuse: Neglect
Investigated found that staff failed to provide services and to maintain a safe environment, resulting in an assault on a resident.
Abuse—Failed to provide service
22 Jun 2025Inspection
22 Jun 2025Inspection
Investigated an allegation of failing to update the staffing plan based on ABST and found that an Acuity-Based Staffing Tool was not developed, maintained, or implemented.
Licensing—Failed to update staffing plan based on ABST
22 Jun 2025Abuse: Neglect
22 Jun 2025Abuse: Neglect
Investigated a failure to properly plan care that contributed to an unwitnessed fall with head injury; violations were found and a fine assessed.
Abuse—Failed to properly plan care
11 May 2025Inspection
11 May 2025Inspection
Investigated and found a deficiency in developing, maintaining, and implementing an Acuity-Based Staffing Tool.
Licensing—Failed to use an ABST
08 May 2025Inspection
08 May 2025Inspection
Found that the required Acuity-Based Staffing Tool was not developed, maintained, or implemented.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
15 Apr 2025Abuse: Neglect
15 Apr 2025Abuse: Neglect
Investigated and found neglect of care and abuse occurred; a $375 fine was assessed.
Abuse—Failed to provide service
06 Apr 2025Abuse: Neglect
06 Apr 2025Abuse: Neglect
Investigated and found neglect of care and abuse due to failure to provide services and a safe environment for a resident.
Abuse—Failed to provide service
06 Apr 2025Inspection
06 Apr 2025Inspection
Identified a deficiency for failing to develop, maintain, and implement an acuity-based staffing tool, resulting in unmet resident needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
06 Apr 2025Abuse: Neglect
06 Apr 2025Abuse: Neglect
Found neglect of care and abuse due to failure to address aggressive behaviors and provide a safe environment, resulting in injuries to an alleged victim.
Abuse—Failed to provide safe environment
19 Mar 2025Inspection
19 Mar 2025Inspection
Found failure to develop, maintain, and implement an Acuity-Based Staffing Tool. This constitutes a violation of Oregon Administrative Rules.
Licensing—Failed to staff as indicated by ABST
06 Dec 2024Inspection
06 Dec 2024Inspection
Investigated staffing levels did not align with the Acuity-Based Staffing Tool, with inconsistencies between the staffing schedule and ABST data and staffing not meeting residents' scheduled and unscheduled needs.
Licensing—Failed to staff as indicated by ABST
15 Nov 2024Abuse: Neglect
15 Nov 2024Abuse: Neglect
Investigated and found that failure to properly plan care contributed to falls and harm, constituting neglect and abuse. A fine was assessed.
Abuse—Failed to properly plan care
10 Oct 2024Inspection
10 Oct 2024Inspection
Identified an outdated ABST that did not reflect resident needs and found inconsistencies between the roster, care plans, and ABST data, violating Oregon Administrative Rules.
Licensing—Failed to use an ABST
09 Oct 2024Inspection
09 Oct 2024Inspection
Investigated ABST accuracy and found deficiencies in reflecting resident population and care needs, with inconsistencies between roster, care plans, and ABST data.
Licensing—Failed to use an ABST
09 Oct 2024Complaint
09 Oct 2024Complaint
Investigated and found failures to update an acuity-based staffing tool and to account for two-person transfers, causing staffing plan discrepancies.
Deficiency—Acuity Based Staffing Tool - Abst Time
Deficiency—Acuity Based Staffing Tool - Updates & Plan
09 Oct 2024Inspection
09 Oct 2024Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data, indicating the Acuity-Based Staffing Tool was not up to date.
Licensing—Failed to use an ABST
09 Oct 2024Inspection
09 Oct 2024Inspection
Found an outdated ABST that did not reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
03 Oct 2024Inspection
03 Oct 2024Inspection
Identified that resident records were not prepared, complete, accurate, or preserved. This reflects a deficiency in records management.
Licensing—Failed to keep resident record current or accurate
21 Sept 2024Abuse: Neglect
21 Sept 2024Abuse: Neglect
Found deficiencies in care planning and interventions to mitigate fall risk, leading to a fall and related injury. The findings indicate neglect and abuse.
Abuse—Failed to properly plan care
20 Sept 2024Inspection
20 Sept 2024Inspection
Investigated the allegation and found a deficiency in not fully implementing and updating an acuity-based staffing tool.
Licensing—Failed to use an ABST
19 Sept 2024Inspection
19 Sept 2024Inspection
Found a deficiency in maintaining an updated Acuity-Based Staffing Tool that accurately reflects residents' care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
18 Sept 2024Inspection
18 Sept 2024Inspection
Found that the acuity-based staffing tool was not fully implemented or updated. An investigation determined this violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
31 Aug 2024Inspection
31 Aug 2024Inspection
Identified inconsistencies between the resident roster, care plans, and data in the Acuity-Based Staffing Tool indicating it was not up to date.
Licensing—Failed to use an ABST
26 Aug 2024Inspection
26 Aug 2024Inspection
Found inconsistencies between the resident roster, care plans, and ABST data due to an outdated ABST, violating Oregon Administrative Rules.
Licensing—Failed to use an ABST
23 Jul 2024Abuse: Neglect
23 Jul 2024Abuse: Neglect
Investigated and substantiated neglect and abuse involving failure to provide adequate care and safety monitoring for a resident, including failed safety checks and a fall. The finding ties to insufficient care planning and monitoring of changes in condition.
Abuse—Failed to provide service
16 Jul 2024Abuse: Neglect
16 Jul 2024Abuse: Neglect
Investigated and found neglect and abuse due to failure to plan care and mitigate fall risk, resulting in injury.
Abuse—Failed to properly plan care
15 Jul 2024Abuse: Neglect
15 Jul 2024Abuse: Neglect
Investigated found neglect and abuse due to failure to properly plan care, resulting in fall risk and skin injury. A fine was assessed.
Abuse—Failed to properly plan care
09 Jul 2024Licensure
09 Jul 2024Licensure
Determined substantial compliance with meal service and food sanitation requirements.
Deficiency—Comment
23 Jun 2024Abuse: Neglect
23 Jun 2024Abuse: Neglect
Found deficiencies in care planning and safety for a resident with known behavioral history. This led to neglect and abuse.
Abuse—Failed to properly plan care
19 Jun 2024Abuse: Neglect
19 Jun 2024Abuse: Neglect
Found fall risk management and care planning failures that led to a fall injury and ongoing discomfort for a resident.
Abuse—Failed to properly plan care
12 Jun 2024Complaint
12 Jun 2024Complaint
Identified deficiencies in updating the acuity-based staffing tool and in fire safety measures.
Deficiency—Facility Administration: Operation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Fire and Life Safety: Egress, First Aid
10 Jun 2024Abuse: Neglect
10 Jun 2024Abuse: Neglect
Found neglect and abuse for failing to provide oral hygiene care, resulting in unreasonable discomfort and loss of personal dignity for the resident.
Abuse—Failed to provide service
29 May 2024Abuse: Neglect
29 May 2024Abuse: Neglect
Investigated a care complaint and found neglect of care due to failure to provide oral hygiene services, resulting in a $500 fine.
Abuse—Failed to provide service
25 May 2024Abuse: Neglect
25 May 2024Abuse: Neglect
Investigated and substantiated neglect and abuse due to failure to monitor and plan care after a treatment likely to cause itching, resulting in scratches on a resident.
Abuse—Failed to properly plan care
24 May 2024Inspection
24 May 2024Inspection
Found deficiencies in maintaining an up-to-date ABST that reflects resident care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
20 May 2024Abuse: Neglect
20 May 2024Abuse: Neglect
Found that the care plan to prevent falls was not followed, leading to a resident sliding from a wheelchair and sustaining injuries; a $500 fine was assessed.
Abuse—Failed to follow care plan
19 May 2024Inspection
19 May 2024Inspection
Investigated and found insufficient staff to provide a safe environment.
Licensing—Failed to provide safe environment
19 May 2024Inspection
19 May 2024Inspection
Identified obstruction of stairways, halls, doorways, passageways, and exits, risking safety.
Licensing—Failed to provide safe environment
19 May 2024Inspection
19 May 2024Inspection
Found deficiencies in supervision, training, and overall staff conduct.
Licensing—Failed to provide safe environment
01 May 2024Abuse: Neglect
01 May 2024Abuse: Neglect
Determined that neglect occurred due to failure to properly plan care and implement effective fall-prevention interventions, leading to an unwitnessed fall with knee injuries.
Abuse—Failed to properly plan care
24 Apr 2024Abuse: Neglect
24 Apr 2024Abuse: Neglect
Investigated found a failure to provide a safe environment, with multiple falls and injuries among a resident, culminating in a $500 fine.
Abuse—Failed to provide safe environment
23 Apr 2024Abuse: Neglect
23 Apr 2024Abuse: Neglect
Investigated found that care planning failed to address increasing fall risk and safety, with a $500 fine assessed.
Abuse—Failed to properly plan care
22 Apr 2024Inspection
22 Apr 2024Inspection
Identified deficiencies in the acuity-based staffing tool, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
20 Apr 2024Abuse: Neglect
20 Apr 2024Abuse: Neglect
Investigated a fall-risk case and found that interventions were not added to the resident's care plan, increasing risk of harm. A $1,500 fine was assessed.
Abuse—Failed to properly plan care
17 Apr 2024Abuse: Neglect
17 Apr 2024Abuse: Neglect
Investigated a failure to provide a safe environment, which led to multiple falls and injuries for an at-risk resident; a $1500 fine was assessed.
Abuse—Failed to provide safe environment
10 Apr 2024Complaint
10 Apr 2024Complaint
Found confidentiality breaches due to an unlocked computer and accessible records, and found failures to implement and document a resident's behavioral interventions.
Deficiency—Resident Rights and Protection - General
Deficiency—Service Plan: General
10 Apr 2024Inspection
10 Apr 2024Inspection
Found that medical and other records were not kept confidential; the investigation determined no licensing violation or abuse occurred.
Licensing—Failed to assure resident rights
10 Apr 2024Inspection
10 Apr 2024Inspection
Found a deficiency due to an out-of-date Acuity-Based Staffing Tool that did not reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
01 Apr 2024Abuse: Neglect
01 Apr 2024Abuse: Neglect
Investigated found that new diet orders were not added to the resident's care plan and interventions were delayed, amid significant weight loss and hospice placement.
Abuse—Failed to properly plan care
20 Mar 2024Abuse: Neglect
20 Mar 2024Abuse: Neglect
Investigated a fall-related allegation and found failures to properly plan care and provide adequate staff to intervene, resulting in a resident fall and injury.
Abuse—Failed to properly plan care
20 Mar 2024Abuse: Neglect
20 Mar 2024Abuse: Neglect
Investigated a complaint and found fall prevention interventions were inadequate and staffing insufficient, and care planning failed to protect a known fall-risk resident from falls.
Abuse—Failed to properly plan care
14 Mar 2024Inspection
14 Mar 2024Inspection
Identified a failure to immediately notify the Department office or local authorities about abuse or suspected abuse.
Licensing—Failed to report potential or suspected abuse
14 Mar 2024Inspection
14 Mar 2024Inspection
Determined that a medication administration deficiency occurred.
Licensing—Failed to keep medication record current or accurate
09 Mar 2024Abuse: Neglect
09 Mar 2024Abuse: Neglect
Found inadequate staffing allowed an altercation and placed a resident at risk for harm; a fine was assessed.
Abuse—Failed to provide appropriate staffing
09 Mar 2024Abuse: Neglect
09 Mar 2024Abuse: Neglect
Found neglect and abuse due to failure to properly plan care and mitigate rising fall risk. This resulted in a witnessed fall with injuries and an unsafe environment for the resident.
Abuse—Failed to properly plan care
09 Mar 2024Abuse: Neglect
09 Mar 2024Abuse: Neglect
Determined that failure to properly plan care for a fall-risk resident amounted to neglect and abuse, with a $500 fine assessed.
Abuse—Failed to properly plan care
07 Mar 2024Abuse: Neglect
07 Mar 2024Abuse: Neglect
Investigated and found improper care planning led to neglect and abuse, with the resident found on the floor with feces on hands, arms, legs, and face.
Abuse—Failed to properly plan care
07 Mar 2024Abuse: Neglect
07 Mar 2024Abuse: Neglect
Investigated a neglect allegation and found failures to properly plan care for a resident at risk of falls, leading to ongoing fall-related harm risk.
Abuse—Failed to properly plan care
01 Mar 2024Abuse: Neglect
01 Mar 2024Abuse: Neglect
Found neglect and abuse due to failure to properly plan and implement interventions to address ongoing falls after an unwitnessed fall, leading to injuries and hospital transport.
Abuse—Failed to properly plan care
16 Feb 2024Inspection
16 Feb 2024Inspection
Found a deficiency for not having an identified intervention to address a resident's behavior.
Licensing—Failed to address resident's behavior
10 Feb 2024Abuse: Neglect
10 Feb 2024Abuse: Neglect
Investigated and determined that care-plan interventions were not followed, resulting in neglect and abuse; a $500 fine assessed.
Abuse—Failed to follow care plan
28 Jan 2024Abuse: Neglect
28 Jan 2024Abuse: Neglect
Investigated and found neglect and abuse due to failure to properly plan care, resulting in a resident being found on the floor with feces and a loss of personal dignity.
Abuse—Failed to properly plan care
28 Jan 2024Abuse: Neglect
28 Jan 2024Abuse: Neglect
Found neglect and abuse for failing to properly plan care and address ongoing falls. A fine was assessed.
Abuse—Failed to properly plan care
24 Jan 2024Abuse: Neglect
24 Jan 2024Abuse: Neglect
Investigated a complaint about care planning and falls; found failures to implement interventions to reduce falls, resulting in neglect and abuse.
Abuse—Failed to properly plan care
16 Jan 2024Abuse: Neglect
16 Jan 2024Abuse: Neglect
Investigated allegations of an unsafe environment and found neglect and abuse due to inadequate interventions for aggressive residents and wandering that caused injuries.
Abuse—Failed to provide safe environment
07 Jan 2024Abuse: Neglect
07 Jan 2024Abuse: Neglect
Investigated the allegation found neglect and abuse due to failure to plan care for ongoing falls, with a fine assessed.
Abuse—Failed to properly plan care
30 Dec 2023Abuse: Neglect
30 Dec 2023Abuse: Neglect
Found failure to provide a safe environment, resulting in neglect and abuse. A $375 fine was assessed.
Abuse—Failed to provide safe environment
18 Dec 2023Abuse: Neglect
18 Dec 2023Abuse: Neglect
Investigated a complaint and found neglect and abuse due to failing to plan care and implement fall prevention for a known fall risk, resulting in an unwitnessed fall and discomfort.
Abuse—Failed to properly plan care
08 Dec 2023Abuse: Neglect
08 Dec 2023Abuse: Neglect
Investigated the complaint and found that care planning and safety interventions were not properly implemented, resulting in a resident's fall and head injury.
Abuse—Failed to properly plan care
08 Dec 2023Abuse: Neglect
08 Dec 2023Abuse: Neglect
Investigated and found that inadequate staffing and supervision during the night allowed a resident at risk of falls to wander unsupervised, resulting in injury. This constitutes neglect of care.
Abuse—Failed to provide appropriate staffing
01 Dec 2023Abuse: Neglect
01 Dec 2023Abuse: Neglect
Identified a failure to implement meaningful interventions or a care plan for a resident's fall risk, resulting in an unwitnessed fall with injuries; a fine was assessed.
Abuse—Failed to properly plan care
26 Nov 2023Abuse: Neglect
26 Nov 2023Abuse: Neglect
Investigated an allegation of neglect and abuse; found failure to properly care plan and implement interventions to address ongoing falls, violating resident rights.
Abuse—Failed to properly plan care
24 Nov 2023Abuse: Neglect
24 Nov 2023Abuse: Neglect
Investigated a fall-risk resident safety issue and found a failure to provide a safe environment, with repeated falls and ongoing risk.
Abuse—Failed to provide safe environment
15 Nov 2023Abuse: Neglect
15 Nov 2023Abuse: Neglect
Investigated the complaint and found care plan interventions were not followed, contributing to an unwitnessed fall and injury due to wet conditions after cleaning.
Abuse—Failed to follow care plan
15 Nov 2023Abuse: Neglect
15 Nov 2023Abuse: Neglect
Found neglect and abuse; assessed a $1,125 fine.
Abuse—Failed to provide service
11 Nov 2023Abuse: Neglect
11 Nov 2023Abuse: Neglect
Found violations for neglect and abuse due to failure to plan care, placing residents at risk.
Abuse—Failed to properly plan care
11 Nov 2023Abuse: Neglect
11 Nov 2023Abuse: Neglect
Found a failure to provide a safe environment, with abuse/neglect identified and a $375 fine assessed.
Abuse—Failed to provide safe environment
01 Nov 2023Abuse: Neglect
01 Nov 2023Abuse: Neglect
Found neglect and abuse due to failure to implement interventions to reduce altercations, placing a resident at risk for harm; a fine was assessed.
Abuse—Failed to properly plan care
21 Oct 2023Abuse: Neglect
21 Oct 2023Abuse: Neglect
Found violations of resident rights due to neglect that contributed to multiple falls and injuries.
Abuse—Failed to provide service
21 Oct 2023Abuse: Neglect
21 Oct 2023Abuse: Neglect
Determined that inadequate care planning and failure to implement fall-risk interventions for a resident led to multiple falls and injuries, constituting neglect and abuse.
Abuse—Failed to properly plan care
08 Oct 2023Abuse: Neglect
08 Oct 2023Abuse: Neglect
Found violations for failing to properly plan care for a known fall risk, resulting in neglect and abuse. A $375 fine was assessed.
Abuse—Failed to properly plan care
30 Sept 2023Abuse: Neglect
30 Sept 2023Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, constituting neglect and abuse.
Abuse—Failed to provide safe environment
24 Sept 2023Abuse: Neglect
24 Sept 2023Abuse: Neglect
Investigated an abuse/neglect allegation and found failures to plan care contributed to a resident head injury. The incident required hospital treatment.
Abuse—Failed to properly plan care
15 Sept 2023Abuse: Neglect
15 Sept 2023Abuse: Neglect
Investigated abuse and neglect found that interventions and a safe environment were not provided, resulting in harm to a resident with a fine assessed.
Abuse—Failed to provide safe environment
27 Aug 2023Abuse: Neglect
27 Aug 2023Abuse: Neglect
Determined a failure to provide a safe environment, leading to an altercation and injury; a fine was assessed.
Abuse—Failed to provide safe environment
26 Aug 2023Abuse: Neglect
26 Aug 2023Abuse: Neglect
Investigated the allegation of neglect and found the care plan was not followed, resulting in a fall and injury to a known fall risk resident.
Abuse—Failed to follow care plan
26 Aug 2023Abuse: Neglect
26 Aug 2023Abuse: Neglect
Investigated an incident of aggressive behavior that harmed a resident and found safety measures were not adequately addressed.
Abuse—Failed to provide safe environment
18 Aug 2023Abuse: Neglect
18 Aug 2023Abuse: Neglect
Investigated the allegation of abuse and neglect and found the care plan did not clearly address how to handle the resident's habit of holding onto the wheelchair, and staff directions were unclear, resulting in a skin tear during repositioning.
Abuse—Failed to properly plan care
11 Aug 2023Abuse: Neglect
11 Aug 2023Abuse: Neglect
Found a resident was not protected from inappropriate sexual contact, causing emotional distress; identified as abuse and neglect.
Abuse—Failed to protect resident from inappropriate sexual contact
05 Aug 2023Abuse: Neglect
05 Aug 2023Abuse: Neglect
Found inadequate interventions and care planning for two residents with a history of aggression, resulting in an unsafe environment and abuse.
Abuse—Failed to provide safe environment
30 Jul 2023Abuse: Neglect
30 Jul 2023Abuse: Neglect
Found violations for failure to properly plan care to prevent falls, risking serious harm, and assessed a $500 fine.
Abuse—Failed to properly plan care
28 Jul 2023Abuse: Neglect
28 Jul 2023Abuse: Neglect
Investigated and found neglect and abuse due to failure to plan care for a known fall risk, resulting in multiple falls and injuries; a fine was assessed.
Abuse—Failed to properly plan care
10 Jul 2023Validation
10 Jul 2023Validation
Identified multiple deficiencies across care, safety, and administrative areas during the relicensure process, including failure to investigate abuse, inadequate resident assessments, and poor facility conditions.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Treatment Administration
Deficiency—Acuity-Based Staffing Tool
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Administration Compliance
Deficiency—Compliance With Rules Health Care
Deficiency—Activities
09 Jul 2023Abuse: Neglect
09 Jul 2023Abuse: Neglect
Investigated and substantiated neglect and abuse for failing to provide a safe environment and appropriate care.
Abuse—Failed to provide safe environment
09 Jul 2023Abuse: Neglect
09 Jul 2023Abuse: Neglect
Determined that a safe environment was not provided.
Abuse—Failed to provide safe environment
09 Jun 2023License Condition
09 Jun 2023License Condition
Found failure to use an ABST as required.
Regulatory Action—Failed to use an ABST
04 Jun 2023Abuse: Neglect
04 Jun 2023Abuse: Neglect
Investigated fall-risk care planning and found deficiencies in interventions that allowed repeated falls and led to a sacrum fracture. Violations were cited.
Abuse—Failed to properly plan care
25 May 2023Abuse: Neglect
25 May 2023Abuse: Neglect
Determined that there were deficiencies showing neglect and abuse due to failure to implement effective, person-centered interventions after repeated falls, resulting in injuries.
Abuse—Failed to properly plan care
25 May 2023Abuse: Neglect
25 May 2023Abuse: Neglect
Found that the care was not properly planned for a known fall risk, leading to multiple falls and injuries. A $3,000 fine was assessed.
Abuse—Failed to properly plan care
15 May 2023Abuse: Neglect
15 May 2023Abuse: Neglect
Concluded that neglect and abuse occurred due to failure to implement effective, person-centered interventions after repeated falls, resulting in injuries.
Abuse—Failed to properly plan care
09 May 2023Abuse: Neglect
09 May 2023Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a safe environment that harmed a resident.
Abuse—Failed to provide safe environment
11 Apr 2023Complaint
11 Apr 2023Complaint
Identified deficiencies related to failing to fully implement and update an acuity-based staffing tool and to document all ADLs with staffing time.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
01 Dec 2022Inspection
01 Dec 2022Inspection
Found failure to submit timely or adequate staffing documentation for weekly reporting of vaccinated individuals, residents, and staff; substantiated.
Licensing—Failed to submit timely or adequate staffing documentation
23 Aug 2022Abuse: Neglect
23 Aug 2022Abuse: Neglect
Found a failure to provide a safe environment that led to a resident-to-resident altercation and minor harm; a fine was assessed.
Abuse—Failed to provide safe environment
03 Aug 2022Abuse: Neglect
03 Aug 2022Abuse: Neglect
Found failures to implement interventions or appropriate care plans for known behaviors, resulting in a physical altercation with injuries on August 3, 2022.
Abuse—Failed to properly plan care
03 Aug 2022Abuse: Neglect
03 Aug 2022Abuse: Neglect
Investigated the complaint and found a failure to plan care for known behaviors, leading to a physical altercation with injuries. This involved neglect of resident rights and abuse.
Abuse—Failed to properly plan care
31 Jul 2022Abuse: Neglect
31 Jul 2022Abuse: Neglect
Found neglect and abuse due to failure to protect a resident from inappropriate sexual contact and to implement appropriate care plans, placing a resident at risk.
Abuse—Failed to protect resident from inappropriate sexual contact
22 Jul 2022Abuse: Neglect
22 Jul 2022Abuse: Neglect
Determined neglect and abuse due to failure to plan care, leading to a resident harming another and creating an unsafe environment.
Abuse—Failed to properly plan care
29 Jun 2022Abuse: Neglect
29 Jun 2022Abuse: Neglect
Investigated a failure to provide a safe environment that led to an altercation and injury. Found abuse and neglect.
Abuse—Failed to provide safe environment
02 Jun 2022Abuse: Neglect
02 Jun 2022Abuse: Neglect
Found that interventions and an appropriate care plan for the Alleged Victim’s known behaviors were not implemented, resulting in an altercation with injuries on or about June 2, 2022.
Abuse—Failed to properly plan care
03 Apr 2022Abuse: Neglect
03 Apr 2022Abuse: Neglect
Investigated found neglect in fall-risk care planning and interventions after a resident fall, with a fine assessed.
Abuse—Failed to properly plan care
20 Mar 2022Abuse: Neglect
20 Mar 2022Abuse: Neglect
Identified failure to plan and implement care for known fall risk, which led to a head injury and a $500 fine assessed.
Abuse—Failed to properly plan care
03 Mar 2022Abuse: Neglect
03 Mar 2022Abuse: Neglect
Investigated found failure to plan and implement interventions for a known fall risk, resulting in a painful fall and a $500 fine.
Abuse—Failed to properly plan care
09 Feb 2022Abuse: Neglect
09 Feb 2022Abuse: Neglect
Identified failures to plan and implement fall-risk interventions, leading to a resident fall with an abrasion; repeated prior interventions instead of updating the care plan.
Abuse—Failed to properly plan care
28 Jan 2022Abuse: Neglect
28 Jan 2022Abuse: Neglect
Found failures to implement meaningful fall-risk interventions and appropriate care planning for a resident at risk of falls; a 500 fine was assessed.
Abuse—Failed to properly plan care
19 Jan 2022Abuse: Neglect
19 Jan 2022Abuse: Neglect
Found deficiencies in fall-risk care planning and interventions, indicating neglect and abuse. Assessed a $500 fine.
Abuse—Failed to properly plan care
03 Jan 2022Abuse: Neglect
03 Jan 2022Abuse: Neglect
Identified failures to plan and implement care for a known fall risk, resulting in a fall and a $500 fine assessed.
Abuse—Failed to properly plan care
14 Nov 2021Abuse: Neglect
14 Nov 2021Abuse: Neglect
Found that fall risk care planning was inadequate, contributing to repeated resident falls and injuries.
Abuse—Failed to properly plan care
06 Nov 2021Abuse: Neglect
06 Nov 2021Abuse: Neglect
Investigated and found that care planning for falls risk was not done properly, resulting in injuries and an abuse/neglect finding; a fine was assessed.
Abuse—Failed to properly plan care
31 Oct 2021Abuse: Neglect
31 Oct 2021Abuse: Neglect
Investigated a resident fall-risk case and found failure to plan care, resulting in neglect and abuse; a $2,500 fine was assessed.
Abuse—Failed to properly plan care
15 Sept 2021Abuse: Neglect
15 Sept 2021Abuse: Neglect
Investigated and found failures to properly plan care and implement interventions to reduce fall risk, resulting in violations and a $1,000 fine.
Abuse—Failed to properly plan care
15 Sept 2021Abuse: Neglect
15 Sept 2021Abuse: Neglect
Investigated a fall-related care planning issue and found the facility failed to plan appropriately to mitigate fall risk, resulting in abuse/neglect findings and a $1,000 fine.
Abuse—Failed to properly plan care
09 Sept 2021Abuse: Neglect
09 Sept 2021Abuse: Neglect
Investigated, found neglect and abuse due to failure to properly plan and implement care, leading to a skin injury requiring medical attention.
Abuse—Failed to properly plan care
26 Aug 2021Abuse: Neglect
26 Aug 2021Abuse: Neglect
Concluded that there was a failure to provide a safe environment, resulting in an unwitnessed altercation and injury.
Abuse—Failed to provide safe environment
03 Jul 2021Abuse: Neglect
03 Jul 2021Abuse: Neglect
Found that the facility failed to properly plan care to mitigate fall risk, resulting in neglect and abuse.
Abuse—Failed to properly plan care
08 Jun 2021Abuse: Neglect
08 Jun 2021Abuse: Neglect
Investigated allegations of abuse and neglect and found a failure to provide a safe environment that caused scratches and bruising.
Abuse—Failed to provide safe environment
06 Jun 2021Abuse: Neglect
06 Jun 2021Abuse: Neglect
Found violations for failing to provide a safe environment, resulting in a skin injury; a $375 fine assessed.
Abuse—Failed to provide safe environment
16 May 2021Abuse: Neglect
16 May 2021Abuse: Neglect
Investigated an allegation of neglect and abuse due to failure to plan care for falls; findings supported the allegation and a $500 fine was assessed.
Abuse—Failed to properly plan care
28 Apr 2021Abuse: Neglect
28 Apr 2021Abuse: Neglect
Found abuse and neglect due to failing to provide required care, including proper compression stockings. Delays and missing equipment contributed to inadequate care.
Abuse—Failed to provide service
16 Apr 2021Abuse: Neglect
16 Apr 2021Abuse: Neglect
Investigated and found safety gaps and inadequate care planning that led to a resident altercation and pain.
Abuse—Failed to provide safe environment
23 Mar 2021Abuse: Neglect
23 Mar 2021Abuse: Neglect
Found deficiencies for failing to properly plan care around a resident’s self-transfer, which led to a fall and injury. A $375 fine was assessed.
Abuse—Failed to properly plan care
22 Mar 2021Abuse: Neglect
22 Mar 2021Abuse: Neglect
Investigated and found neglect and abuse due to failing to provide a safe environment and properly escort a resident with known aggression. This failure led to a physical altercation and unreasonable discomfort.
Abuse—Failed to provide safe environment
19 Jan 2021Abuse: Neglect
19 Jan 2021Abuse: Neglect
Investigated an allegation of abuse and neglect involving failure to properly plan care related to a resident's intimate interactions, which led to a restraining order and removal from the facility and a fine was assessed.
Abuse—Failed to properly plan care
16 Jan 2021Abuse: Neglect
16 Jan 2021Abuse: Neglect
Found a neglect/abuse violation for failing to provide a safe environment; an incident occurred with an alleged victim found in another resident’s room engaging in sexual behaviors.
Abuse—Failed to provide safe environment
14 Jan 2021Abuse: Neglect
14 Jan 2021Abuse: Neglect
Found the facility failed to care plan per assessment, resulting in neglect and abuse; a $500 fine was assessed.
Abuse—Failed to care plan in accordance with assessment
28 Dec 2020Abuse: Neglect
28 Dec 2020Abuse: Neglect
Investigated and found failure to administer ordered medication on several dates, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to administer ordered medication
23 Dec 2020Abuse: Neglect
23 Dec 2020Abuse: Neglect
Found neglect and abuse due to failure to care plan for a resident with significant cognitive deficits, and assessed a $1,500 fine.
Abuse—Failed to properly plan care
19 Oct 2020Abuse: Neglect
19 Oct 2020Abuse: Neglect
Found deficiencies related to failure to plan care for a resident's known exit-seeking behaviors, which contributed to elopement.
Abuse—Failed to properly plan care
08 Sept 2020Abuse: Neglect
08 Sept 2020Abuse: Neglect
Investigated an allegation of neglect and abuse related to exit-seeking behavior; found a resident left the premises without an adequate care plan, putting them at risk of serious harm. A $500 fine was assessed.
Abuse—Failed to properly plan care
07 Sept 2020Abuse: Neglect
07 Sept 2020Abuse: Neglect
Determined that the resident's care plan did not adequately address fall risk or implement interventions, resulting in multiple falls and injury risk.
Abuse—Failed to properly plan care
01 Feb 2020Abuse: Neglect
01 Feb 2020Abuse: Neglect
Found violations of resident care standards due to failure to address a changing condition and to intervene, resulting in weight loss over seven months.
Abuse—Failed to intervene when resident's condition changed
21 Feb 2014Abuse: Neglect
21 Feb 2014Abuse: Neglect
Investigated an allegation of neglect and found a failure to follow the service plan during a two-person transfer, resulting in injuries.
Abuse—Failed to follow care plan
21 Feb 2014Abuse: Neglect
21 Feb 2014Abuse: Neglect
Investigated and found a failure to provide transfer assistance that caused a fall with injuries. Violations were cited.
Abuse—Failed to follow care plan
06 Feb 2014Abuse: Neglect
06 Feb 2014Abuse: Neglect
Investigated an allegation that care was not properly planned; resulted in a civil penalty.
Abuse—Failed to properly plan care
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Mirador Living is not affiliated with the owner or operator(s) of South Beach Manor Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact South Beach Manor Memory Care directly. There is no cost for this service. We are compensated by the community you select.
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