Print Violation: 00204530-AP-164930

Provider Information

Magnolia Gardens Memory Care

1355 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 6/2/2022
Report number: 00204530-AP-164930
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(f)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system. On or about June 02, 2022, AP2 placed Alleged Victim (AV) on Alert charting for rash under the left and right chest fold, and documented s/he faxed the PCP for treatment orders. It was discovered the fax was not sent to the PCP until on or about June 09, 2022. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. On or about June 11, 2022, the pharmacy faxed AP1 as the prescription was a non-covered medication. AP1 failed to follow up with AV’s PCP to address different medication options, leaving AV in pain and discomfort. The facilities failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01644 $500.00 fine assessed