Print Violation: 00240887-AP-197664

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 1/9/2023
Report number: 00240887-AP-197664
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings: Alleged Victim (AV) has a history of getting into physical altercations with other residents. On or about January 9, 2023, AV was walking through the dining area when he/she grabbed Witness 1 (W1) by the back of his/her hair. W1 then grabbed AV’s arm and pulled him/her down to his/her knees. AV has five (5) prior resident-to-resident altercations, putting AV in risk of harm. The care plan did not mitigate AV’s history of behaviors. The facility failed to care plan around AV’s known behaviors, which is a violation of resident rights, is neglect of care and constates abuse.
Sanction: RCFCP23-01159 $375.00 fine assessed