Print Violation: 00213335-AP-172692

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 7/4/2022
Report number: 00213335-AP-172692
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a homelike environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
Findings: Alleged Victim’s (AV’s) care plan states he/she is a high fall risk. During the month of July 2022, AV had sustained six (6) falls. On or about July 9, 2022, AV sustained a fall in their room. He/she was found on the floor next to his/her bed. As a result, AV sustained two skin tears to his/her left hand. The facility failed to provide a homelike environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-00943 $500.00 fine assessed