Print Violation: 00260117-AP-215296

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 4/25/2023
Report number: 00260117-AP-215296
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)
Findings: Alleged Victim (AV) often has behaviors related to their cognitive decline, is constantly confused, and needs cueing/redirecting often. Staff are required to supervise AV as much as possible. On or about May 25, 2023, Witness 1 (W1) went to AV and started stomping on their feet. AV then tried stomping back and W1 started stomping/kicking AV’s shins. It appears that as the altercation had occurred, staff noticed AV and W1 and separated the two, however, AV’s care plan states staff are required to supervise AV as much as possible, it is more likely than not that if AV was being monitored, the altercation may have been avoided. The facility failed to follow AV’s care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP24-00032 $500.00 fine assessed