Print Violation: 00171268-AP-135936

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 11/21/2021
Report number: 00171268-AP-135936
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: 411-054-0025(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) is known to be aggressive and have altercations in the dining area. W1 is care planned to assure his/her preferred seat is available at mealtimes to avoid altercations. On or about November 21, 2021, Alleged Victim (AV) sat in W1’s preferred seat, which caused W1 to be aggressive towards AV, causing a nosebleed and skin injury to AV’s face. The facility’s failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00658 $375.00 fine assessed