Print Violation: 00192082-AP-153622

Provider Information

Middlefield Oaks Memory Care Community

1500 VILLAGE DRIVE
Cottage Grove, OR 97424

Date: 1/17/2022
Report number: 00192082-AP-153622
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
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)
Findings: Witness 3 (W3) is care planned to wonder to other resident’s rooms. On or about January 17, 2022, W3 wandered into Alleged Victim’s (AV’s) room. W3 and AV got into a resident-to-resident altercation resulting in W3 sustaining a swollen face and a purple eye. AV sustained skin tears to both elbows, both forearms, and scratches to his/her face. The facility failed to provide a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP22-01239 $375.00 fine assessed