Print Violation: 00168307-AP-133475

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 11/1/2021
Report number: 00168307-AP-133475
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV), Witness 1 (W1), and Witness 3 (W3) have history of prior resident to resident altercations. W1 has history of and is service planned for wandering into other residents’ rooms. AV service plan indicates facility will keep AV at a safe distance from other residents when AV enters common areas. On or about November 11, 2021, AV was watching TV with other residents. Witness 1 (W1) entered Witness 3 (W3) room causing AV to try to protect W3 from W1. W1 and AV had a physical altercation. The facility failed to follow the care plan which is a violation of resident rights is neglect of care and constitutes abuse.
Sanction: RCFCP22-00604 $375.00 fine assessed