Print Violation: 00276907-AP-231954

Provider Information

Magnolia Gardens Memory Care

1355 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 7/28/2023
Report number: 00276907-AP-231954
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
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)
Findings: Alleged Victim (AV) relies on the facility for a safe environment. Witness 1 (W1) has history of behavioral changes including aggressive behaviors. W1 and AV have history of resident-to-resident altercations with other residents. W1 has history of refusing medications. On or about July 28, 2023, W1 began unlocking the wheelchair of a resident at AV's table. AV kicked W1. W1 then hits AV twice striking h/h in the face, which resulted in redness and an imprint of glasses to AV face. The Facility failed to provide adequate supervision and a safe environment during mealtime for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP24-00013 $500.00 fine assessed