Print Violation: 00250649-AP-206454

Provider Information

Magnolia Gardens Memory Care

1355 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 3/6/2023
Report number: 00250649-AP-206454
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) is care planned for doctor-ordered mechanical soft diet with thin liquids. AV has a history of choking requiring the Heimlich maneuver, after eating foods not on h/h Mechanical soft diet. AV continues to order pizza delivery, shop and purchase h/h own foods including salami. On or about March 06, 2023, AV came out of h/h room choking requiring the Heimlich maneuver. AV became unconscious, without a pulse, chest compressions were started, and AV was transported to the hospital. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s ongoing non-compliance to which is a violation of Oregon Administrative Rules.