Print Violation: 00171118-AP-135827

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 11/12/2021
Report number: 00171118-AP-135827
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) and Witness 1 (W1) have history of prior resident-to-resident altercations. AV has history of wandering into other resident’s rooms, and W1 has history of escalating behaviors. On or about November 12, 2021, AV wandered up to W1s door and tried to open it. W1 was yelling at AV through the door, W1 opened the door and slapped AV’s face. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s wandering and entering other residents’ rooms and the facility failed to appropriately care plan and implement reasonable interventions to address W1 continued escalating behaviors, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00737 $500.00 fine assessed