Print Violation: 00249030-AP-204867

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 2/23/2023
Report number: 00249030-AP-204867
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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) is care planned as moderately challenged in cognition, constantly confused, and needs cuing and to be redirected often, staff is required to have AV supervised as much as possible. On or about February 23, 2023, AV entered Witness 1’s (W1’s) room. W1 saw AV enter their room and followed AV into the room. A slap sound and yelling were heard and AV left W1’s room holding their face. There is no indication that AV was being supervised by staff to have avoided AV from wondering into W1’s room and getting slapped. The facility failed to follow AV’s care plan putting AV in risk of harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-01045 $250.00 fine assessed