Print Violation: 00238647-AP-195709

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 12/28/2022
Report number: 00238647-AP-195709
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. AV has had behaviors since August 2022; however, their care plan had not been updated appropriately to provide staff preventative care for the behavioral needs of AV. Witness 4 (W4) admitted that some of the facility care plans lacked sufficient information regarding behaviors and interventions. On or about December 28, 2022, AV was walking in the dining area towards the back door. Witness 1 (W1) was standing near the back door, AV walked towards W1 and slapped W1 in the right side of their face. AV started to then walk away and W1 grabbed AV by the hair and pulled AV to the ground. The facility failed to care plan around AV’s known behaviors putting AV in risk of harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-01044 $375.00 fine assessed