Print Violation: 00242938-AP-199405

Provider Information

Magnolia Gardens Senior Living

1425 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 1/19/2023
Report number: 00242938-AP-199405
Type: Licensing Violation
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)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings: On or about December 21, 2022, AV had a fall while being transferred by Alleged Perpetrator #2 (AP2). AV is care planned to use a gait belt for transfers. AP2 was not using a gait belt when attempting to transfer AV. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failed to follow the care plan which is a violation of Oregon Administrative Rules.