Print Violation: 00158176-AP-125455

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 8/29/2021
Report number: 00158176-AP-125455
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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: 411-054-0036(2)(g)
Findings: Witness 1 (W1) has history of wandering into other resident’s rooms. W1 interim service plan indicates W1 is to be re-directed away from other resident’s rooms. On or about August 29, 2021, W1 wandered into Alleged Victim (AV) room. AV got upset and asked W1 to leave, W1 became physical and grabbed AV’s wrists. The facility failed to redirect W1. The facility failed to follow care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00530 $500.00 fine assessed