Print Violation: 00209339-AP-169166

Provider Information

Magnolia Gardens Memory Care

1355 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 7/8/2022
Report number: 00209339-AP-169166
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)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
External site: 411-054-0070(1)
Findings: Witness 1 (W1) has a long history of exit seeking, and violent behaviors with staff and other residents. W1 requires extensive staff assistance with reminders, supervision, and redirection. W1 is care planned with interventions that include one-on-one. On or about July 07, 2022, W1 entered Alleged Victims (AVs) room, while AV was in bed. W1 threw a vase at AVs window breaking it. AV had glass in h/h bed causing risk of serious harm. The facility failed to follow the care plan and provide one-on-one, due to staff shortage, which is a violation of resident rights is neglect of care and constitutes abuse.
Sanction: RCFCP22-01650 $500.00 fine assessed