Print Violation: 00083283-AP-062000

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 5/10/2020
Report number: 00083283-AP-062000
Type: Licensing Violation
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)(r)
Findings: Alleged Perpetrator 2 failed to follow the Alleged Victim's (AV) care plan to provide standby assistance with showers. The failure resulted in AV experiencing an unwitnessed fall with injury, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect the AV from abuse, which is a violation of Oregon Administrative Rules.