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StarlynnCare
Oregon · Brookings

Monarch Gardens Memory Care.

Monarch Gardens Memory Care is Grade B−, ranked in the top 39% of Oregon memory care with 14 OR DHS citations on record; last inspected Mar 2026.

ALF · Memory Care55 licensed beds · largeDementia-trained staff
984 Parkview Drive · Brookings, OR 97415LIC# 0000005222
Facility · Brookings
Monarch Gardens Memory Care
© Google Street Viewoperator? submit a photo →
A 55-bed ALF · Memory Care with 14 citations on file — most recent Jan 2025.
Last inspection · Mar 2026 · citedSource · OR-DHS
Licensed beds
55
Memory care
✓ Yes
Last inspection
Mar 2026
Last citation
Jan 2025
Operated by
Phone
§ 01 · Snapshot

A large home, reviewed on public record.

§ 02 · Peer Comparison

Ranked against 118 Oregon facilities.

ALF memory care · 36-month window. Higher percentile = better. Source: Oregon Dept. of Human Services · Long-Term Care Licensing.

Severity rank
41th
Weighted citations per bed.
peer median
0
100
Repeat rank
100th
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
43th
Deficiencies per inspection.
peer median
0
100

FACILITY WATCH · BETA

Monarch Gardens Memory Care has 14 citations on record. Know the moment anything changes.

New findings, complaint investigations, or status changes — emailed to you free.

§ 03 · The Record

Citation history, plotted month by month.

14 deficiencies on record. Each bar is a month with a citation.

3weighted score · 24 mo
Last citation: JAN 2025. Compared against peer median (dashed).
peer median
JAN 2025
Jun 2024May 2026

Finding distribution

14 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G9
H
I
Sev 2
D
E
F
Sev 1
A5
B
C
§ 05 · Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Monarch Gardens Memory Care's record and state requirements.

01 /

Oregon DHS records show 203 inspection reports with 197 deficiencies cited — can you walk us through the three most recent corrective action plans the facility submitted, and explain what changes were made to prevent those issues from recurring?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

The facility holds an Oregon DHS Memory Care Endorsement and serves residents in 55 licensed beds — what specific dementia care training do direct-care staff complete beyond Oregon's basic assisted living requirements, and how often is that training refreshed?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

Records show 198 complaints filed with Oregon DHS over the inspection period — can you share how many of those complaints were substantiated, and provide written documentation of the corrective actions taken in response to substantiated findings?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

§ 06 · Full Inspection Record

Every OR-DHS visit, verbatim.

18 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

18
reports on file
14
total deficiencies
2026-03-24
Annual Compliance Visit
No findings
2025-06-17
Annual Compliance Visit
No findings
2025-01-15
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to submit timely or adequate staffing documentation to the state. This is a licensing violation. The facility was required to correct this deficiency.

Licensing ViolationOAR §__or_8cf141c1c40a69bb278d5b822e2b0309
Verbatim citation text · OAR §__or_8cf141c1c40a69bb278d5b822e2b0309

Failed to submit timely or adequate staffing documentation

Full inspector notes

—: Failed to submit timely or adequate staffing documentation

2025-01-14
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to maintain staffing levels as required by the Adult Behavioral Support Team (ABST) authorization. No further details about the specific staffing deficiency or its impact are provided in this summary.

Licensing ViolationOAR §__or_addb33d2c0d9e45195888aebe33d3cfb
Verbatim citation text · OAR §__or_addb33d2c0d9e45195888aebe33d3cfb

Failed to staff as indicated by ABST

Full inspector notes

—: Failed to staff as indicated by ABST

2024-11-27
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to keep a resident's record current or accurate. No further details about the specific deficiencies or corrective actions are provided in this summary.

Licensing ViolationOAR §__or_316b3347ce22b3e07607bd9845499d5f
Verbatim citation text · OAR §__or_316b3347ce22b3e07607bd9845499d5f

Failed to keep resident record current or accurate

Full inspector notes

—: Failed to keep resident record current or accurate

2024-05-15
Annual Compliance Visit
No findings
2024-05-12
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging that the facility failed to follow a resident's care plan. The investigation found a licensing violation related to this failure. The facility was required to correct the violation.

Licensing ViolationOAR §__or_8c9935db6d9346bfdc76841baaae0964
Verbatim citation text · OAR §__or_8c9935db6d9346bfdc76841baaae0964

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-05-08
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging that the facility failed to follow a resident's care plan. The investigation found a licensing violation on this issue. The facility was required to take corrective action.

Abuse: NeglectOAR §__or_d9f456d464342af742003f38d6d7542c
Verbatim citation text · OAR §__or_d9f456d464342af742003f38d6d7542c

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-01-07
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was received alleging the facility failed to provide a safe environment. The investigation found a licensing violation related to this allegation. The facility was directed to correct the deficiency.

Abuse: NeglectOAR §__or_c95b29f205e5a5044eeb5e24f35e50e2
Verbatim citation text · OAR §__or_c95b29f205e5a5044eeb5e24f35e50e2

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2023-11-30
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated that medication was not administered as ordered. The investigation outcome was not determined or remains pending at this time.

Abuse: NeglectOAR §__or_d3d8284990b3d3561b8e4875f91f4509
Verbatim citation text · OAR §__or_d3d8284990b3d3561b8e4875f91f4509

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2023-11-28
Annual Compliance Visit
No findings
2023-11-19
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation found a licensing violation related to this allegation. The facility was required to take corrective action to address the safety concern.

Abuse: NeglectOAR §__or_91d1b98610c85dd445ab59f323b3d2b6
Verbatim citation text · OAR §__or_91d1b98610c85dd445ab59f323b3d2b6

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2023-10-18
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation did not substantiate the complaint. No violation was found.

Abuse: NeglectOAR §__or_b41ba04e2e33f3f5233d2395dad36b89
Verbatim citation text · OAR §__or_b41ba04e2e33f3f5233d2395dad36b89

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2023-09-18
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation outcome was not substantiated, meaning no violation was found. No further details regarding the specific allegations are available in this summary.

Licensing ViolationOAR §__or_a2989ef63403223dfa7d170e140a6af8
Verbatim citation text · OAR §__or_a2989ef63403223dfa7d170e140a6af8

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2023-07-29
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to provide a safe environment. The specific nature of the safety failure and any corrective actions are not detailed in the available information. Families should contact the facility or Oregon DHS for additional details about this finding.

Abuse: NeglectOAR §__or_7e9529b3e1cacebb10c33841be6285c5
Verbatim citation text · OAR §__or_7e9529b3e1cacebb10c33841be6285c5

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2023-07-16
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation outcome was not substantiated, meaning no violation was found. No further details about the complaint allegation are available in this summary.

Abuse: NeglectOAR §__or_41df9fd6350be2397ef770bdf9b4af0d
Verbatim citation text · OAR §__or_41df9fd6350be2397ef770bdf9b4af0d

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2023-06-23
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment; however, the specific findings and outcome of that investigation are not detailed in the available information provided.

Abuse: NeglectOAR §__or_e58004f7f8d243432d5d339534ed7fab
Verbatim citation text · OAR §__or_e58004f7f8d243432d5d339534ed7fab

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2023-05-31
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to properly plan care for a resident. No further details about the specific care planning deficiencies or their impact were provided in the inspection record.

Abuse: NeglectOAR §__or_76f386c8fdc7181dc00c465e865f820c
Verbatim citation text · OAR §__or_76f386c8fdc7181dc00c465e865f820c

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

32 older inspections from 2022 are not shown in the free view.

32 older inspections (20222023) are available with a premium membership.

§ 07 · Nearby

Other facilities in Brookings.

Other memory care facilities near Brookings with similar care offerings.

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