Print Violation: 00207565-AP-167576

Provider Information

Magnolia Gardens Senior Living

1425 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 5/15/2021
Report number: 00207565-AP-167576
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: 411-054-0025(1)(a) and (b)
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. AV is a high fall risk and is care planned for assistance with all transfers using a gait belt. On or about May 15, 2022, staff attempted to transfer AV from the toilet without the gait belt and AV fell hitting h/h head, causing it to bleed and the need for medical treatment. The facility failed to follow AV care plan, which is a violation of resident’s rights is neglect of care and constitutes abuse.
Sanction: ALFCP22-00829 $500.00 fine assessed