Print Violation: 00241433-AP-198167

Provider Information

Magnolia Gardens Memory Care

1355 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 1/13/2023
Report number: 00241433-AP-198167
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) has a history of wandering the facility and into other residents' rooms. AV was on alert charting and monitoring for a prior resident incident and had a TSP for frequent safety checks on AV’s location and wellbeing. On or about January 13, 2023, AV was found in Witness #1 room, sitting next to W1 on h/h bed, and W1 was fondling AV whose shirt was unbuttoned. AV does not have capacity to consent to the interaction with W1. The facility failed to follow the care plan which is a violation of resident’s rights is neglect of care and constitutes abuse.
Sanction: RCFCP23-00865 $375.00 fine assessed