Print Violation: 00219025-AP-177949

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 8/22/2022
Report number: 00219025-AP-177949
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to administer medication as ordered
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a)
External site: 411-054-0027(1)(r)
Findings: According to documentation Alleged Perpetrator (AP2) failed to follow facility’s medication pass protocols. The failure resulted in Alleged Victim (AV) not receiving their medication and put the AV at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment which is a violation of Oregon Administrative Rules.