Print Violation: 00242323-AP-198913

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 1/7/2023
Report number: 00242323-AP-198913
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(f) and (r)
Findings: Alleged Victim (AV) relies on the facility to administer his/her medication. AV has missed four (4) of their scheduled medications between January 12th through 14th, 2023, due to medication being all on order. It was found that medications were not being ordered correctly and that staff were not properly trained on how/when to order. As a result, missed pain management medication can result in increased pain, behaviors and decreased mobility and participation in ADL’s/activities by AV. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-01161 $500.00 fine assessed