Print Violation: 00228861-AP-186993

Provider Information

Magnolia Gardens Memory Care

1355 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 10/26/2022
Report number: 00228861-AP-186993
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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) is a high fall risk and has history of falls. AV is care planned for assistance to and from all meals, and staff are to toilet AV immediately following each meal. On or about October 26, 2023, AV was found on the flour from an unwitnessed fall in the dining room after breakfast. AV hit h/h head, sustaining a head injury, laceration and was transported to the emergency room by EMS. The facility failed to follow AV care plan, which is a violation of resident’s rights is neglect of care and constitutes abuse.
Sanction: RCFCP23-01149 $1125.00 fine assessed