Print Violation: 00159714-AP-126671

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 9/7/2021
Report number: 00159714-AP-126671
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 his/her care. Witness 1 (W1) service plan indicates Staff will set W1 up to eat at a table by him/herself. W1 has history of altercations with other residents and becomes upset and aggressive when another resident sits at the same table or in the W1 seat. On or about September 07, 2021, AV attempted to sit in W1 chair when W1 got up to throw something away which resulted in a resident-to-resident altercation. The facility failed to appropriately care plan and implement any measures to mitigate other residents from sitting at W1 table/chair, which is violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00452 $500.00 fine assessed