Print Violation: 00240859-AP-197638

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 1/9/2023
Report number: 00240859-AP-197638
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: Witness 1 (W1) has a history of getting into physical altercations with other residents. On or about January 9, 2023, W1 was walking through the dining area when he/she grabbed Alleged Victim (AV) by the back of his/her hair. AV then grabbed W1’s arm and pulled him/her down to his/her knees. W1 has been involved in five (5) prior resident-to-resident altercations. The care plan did not mitigate W1’s history of behaviors. The facility failed to care plan around W1’s known behaviors, which is a violation of resident rights, is neglect of care and constates abuse.
Sanction: RCFCP23-01152 $375.00 fine assessed