Print Violation: 00143734-AP-113405

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 6/9/2021
Report number: 00143734-AP-113405
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to keep medication record current or accurate
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) relies on the facility for h/h care. On or about June 09, 2021, AV saw h/h provider for right shoulder pain. AV's provider prescribed routine Tylenol for AV. An unknown Alleged Perpetrator 2 (AP2) failed to put the medication order on AV's MAR. AV did not receive the medication as ordered. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to administer medication as ordered which is a violation of Oregon Administrative Rules.