Print Violation: 00134622-AP-105612

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 4/14/2021
Report number: 00134622-AP-105612
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: On or about April 12, 2021, Alleged Victim (AV) and Witness 1 (W1) had a resident-to-resident altercation in which W1 dragged AV out of AV's room by AV's arm which caused AV to suffer bruising and a head injury. AV went to the hospital as a result of the altercation and returned a few days later diagnosed with a brain bleed. The facility failed to protect AV from W1's aggressive behavior by not following W1's care plan. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-03023 $1125.00 fine assessed