Print Violation: 00075909-AP-055907

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 3/15/2020
Report number: 00075909-AP-055907
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to assure resident was safe
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
Findings: The Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim's (AV) care plan to assure two person assist when providing cares. AP2's failure resulted in AV receiving a skin injury to his/her wrist, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to assure resident rights, which is a violation of Oregon Administrative Rules.