Print Violation: 00152614-AP-120886

Provider Information

Magnolia Gardens Memory Care

1355 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 5/20/2021
Report number: 00152614-AP-120886
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) relies on the facility for his/her care. W1 has a history of aggression. On or about May 20, 2021, AV and Witness #1 (W1) were involved in a resident-to-resident altercation. An Interim Service Plan ISP was put into place to keep AV and W1 Separated at all times. On or about June 03, 2021 W1 entered AV room and hit AV on the head. The facility failed to follow the care plan, which is violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-03538 $500.00 fine assessed