Print Violation: 00222258-AP-180960

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 9/15/2022
Report number: 00222258-AP-180960
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
Findings: Witness 1 (W1) has a known history of behaviors. Between July 24, through September 15, 2022, W1 had 17 entries of behaviors. On or about September 15, 2022, at around 9:30pm, W1 was talking to Alleged Victim (AV) after W1 had just gotten a cup of hot coffee. They had started to have a disagreement and then W1 tipped over his/her cup of hot coffee onto AV. AV then ran off to take their shirt off clearly in pain from the still. On or about September 15, 2022, at around 10pm, AV came out from his/her room to the hydration cart and grabbed his/herself a cup of hot coffee. He/she then started to talk to W1 and at some point, started to have a disagreement. W1 was seen extend their hand, and AV’s coffee spilled onto him/herself. It had spilled on his/her chest and down to the bottom of his/her sternum in a “U” shape. AV stated it only hurts when it was touched. As a result, AV sustained slight redness on his/her chest. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-00840 $375.00 fine assessed