Print Violation: 00147983-AP-117018

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 7/2/2021
Report number: 00147983-AP-117018
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for a safe environment. On or about July 02, 2021 AV and Witness #3 (W3) were in a verbal altercation that ended in physical contact to AV by W3. Both AV and W3 have cognitive impairment and memory deficits. Both AV and W3 are documented for verbal behaviors, however there were no safety plans in place to mitigate the risk of escalation, only instructions on what steps to take after the fact and no follow up Behavior or Safety plan for W3 physical aggression toward AV. The facility failed to provide a safe environment and properly care plan which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-03299 $500.00 fine assessed