Print Violation: 00330032-AP-281323

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 5/8/2024
Report number: 00330032-AP-281323
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim’s (AV’s) care plan states AV is to be monitored due to wandering at all times when in the common areas. On or about May 8, 2024, AV entered Witness 1’s (W1’s) room trying to adjust W1’s thermostat. W1 then put up his/her hand to stop AV from entering leading to AV sustaining a fall. During the time of the incident, AV was not being monitored when AV attempted to enter W1’s room. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP24-01032 $188.00 fine assessed