Print Violation: 00164289-AP-130312

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 10/9/2021
Report number: 00164289-AP-130312
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
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 an Interim Service Plan (ISP) dated October 05, 2021, W1 is to fold laundry at a specific table in the dining room, away from high traffic. On or about October 09, 2021, Alleged Perpetrator #2 (AP2) placed laundry on a bench in the common area because AP2 was in a hurry. W1 was folding the laundry at the bench when another resident touched the laundry making W1 upset. Alleged Victim (AV) removed the other resident and returned to talk to W1. W1 began to hit AV, causing AV to hit W1. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.