Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00239139-AP-196129
Provider Information
Magnolia Gardens Memory Care
1355 DAUGHERTY AVE
Cottage Grove, OR 97424
- Provider ID
- 50R314
- Administrator
- Christina Sexton
- Phone
- (541) 942-8966
- mc.director@magnoliagardenssl.com
Violation Details
- Date
- 1/3/2023
- Report number
- 00239139-AP-196129
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)AMENDED : 411-054-0025(1)(a) and (b)
- Findings
- INITIAL: The facility failed to provide appropriate care and services according to Alleged Victim (AV) needs and failed to complete a change of condition. AV was admitted into the facility on or around December 05, 2022, with a stage two pressure wound. On or around December 31, 2022, AV was admitted into the hospital with a diagnosis of sepsis with encephalopathy, acute osteomyelitis, and malodorous sacral ulcer stage four. Alleged Perpetrator #2 (AP2) failed to follow medical treatment orders, by packing AV wound with barrier cream, and did not administer PRN pain medication to AV when AV was noted to be in pain during wound care. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute abuse. Alleged Perpetrator #3 (AP3) failed to assess, complete a change of condition, and ensure AV was receiving wound care services, when AV’s wound was noted to be malodorous and worsening. AP3’s actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failure to ensure adequate supervision and oversight of AV’s care, resulted in AV experiencing increased pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. AMENDED: The facility failed to provide appropriate care and services according to Alleged Victim (AV) needs. AV was admitted into the facility on or around December 05, 2022, with a stage two pressure wound. Alleged Perpetrator #2 (AP2) failed to administer PRN pain medication to AV when AV was noted to be in pain during wound care. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failure to ensure adequate supervision and oversight of AV’s care, resulted in AV experiencing increased pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00542 $250.00 fine assessed