Print Violation: 00247639-AP-203683

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 2/15/2023
Report number: 00247639-AP-203683
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: Alleged Victim (AV) has a known history of wandering into other resident rooms. On or about February 15, 2023, AV tired to enter into Witness 1’s (W1’s) room. W1 yelled at AV and so AV walked away and sat at the table. W1 then came out of their room and went over to AV. Staff heard AV say “ouch!” and when they rushed to see what had happen, they saw W1 with a clinched fists standing over AV. AV was holding the left side of their head. Other residents witnessed the incident and conformed AV got hit in the head by W1 with a closed fist. AV has had about seven (7) incidents of wandering into other residents’ rooms where resident-to-resident altercations have occurred between November 4, 2022, through February 15, 2023. 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: RCFCP23-01597 $375.00 fine assessed