Print Violation: 00160242-AP-127082

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 9/10/2021
Report number: 00160242-AP-127082
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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: 411-054-0030(1)(e)(I)
Findings: Alleged Victim (AV) relies on the facility for his/her care. On or about September 10, 2021, AV, and Witness 1 (W1) were involve in a physical altercation resulting in both residents sustaining injuries. AV had entered his/her room through a conjoining bathroom. AV was holding a fork and had stated that W1 hit and threatened him/her. AV had scratches on his/her neck. W1 was complaining of hip pain and was sent to the ER and was found to have sustained a hip fracture. AV and W1 were involved in a prior resident-to-resident altercation on August 19, 2021. The facility failed to provide a safe environment which is a violation of resident rights, is neglect of care and constitutes abuse.