Print Violation: 00252253-AP-207948

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 12/28/2022
Report number: 00252253-AP-207948
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 known history of behaviors. On or about December 28, 2022, W1 was walking in the dining area towards the back door. W1 walked towards Alleged Victim (AV) and slapped AV on their right side of their face. As W1 started to walk away, AV grabbed W1 by the hair and pulled them to the ground. W1 was documented in observation charting notes to have ongoing aggressive behavior issues with both staff and other residents since October 2022, however, W1’s care plan does not clearly indicate any interventions to address W1’s known behaviors. The facility failed to care plan for W1’s known behaviors, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-01165 $500.00 fine assessed